Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS

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Presentation transcript:

Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS REDUCING Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS MARILOU MENDOZA, RN, Senior Wound and Stoma Care Specialist and Educator

Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS REDUCING Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS HIGHLIGHTS Identify common factors causing pressure ulcers among Spinal Cord Injury patients Describe strategies in reducing Hospital Acquired Pressure Ulcers among spinal cord injury patients at Sultan Bin Abdulaziz Humanitarian City

POOR NUTRITIONAL STATUS MOBILITY (limitation in activity ) SENSATION (impaired) MOISTURE (incontinence) POOR NUTRITIONAL STATUS PRESSURE ULCER Pressure Ulcers Following Spinal Cord Injury http://www.gneaupp.es/app/adm/documentos-guias/archivos/77_pdf.pdf

Yearly HAPU Monitoring (2010-2011)

SCI Units Pressure Ulcer Prevention Group Hospital Acquired Pressure Ulcer Prevention Team (Interdisciplinary members) SCI Units Pressure Ulcer Prevention Group (Education and Accreditation Manager, Service Manager, Charge Nurses, RNs, NAs ) STRATEGIES LEADING THE TASK

STRATEGIES PRESSURE ULCERS DEVICES LACK OF EDUCATION (previous trauma) DEVICES (lack of assessment, tight application) LACK OF EDUCATION (previous trauma) NON-COMPLIANCE STRATEGIES PRESSURE ULCERS IDENTIFYING OUR CHALLENGES LACK OF CONTINUOUS PREVENTIVE MEASURES UNDOCUMEN-TED / UNREPORTED PRESSURE ULCERS

Goal: STRATEGIES Reduce HAPU incidence among SCI Units to 27% Goal: Reduce HAPU incidence among SCI Units to 27% STRATEGIES Sub goals: To educate at least >80% of the staff with direct patient care (Nurses, Rehab staff, Physicians)by the end of 2012 Monthly unit acquired pressure ulcer incidence shall not exceed 27% of the total monthly HAPU To reach 100 % documentation of the presence of pressure ulcers either hospital acquired or community acquired SETTING OUR GOAL

APPLYING OUR PLANS TO ACTION EDUCATION RISK ASSESSMENT AND PROTOCOLS SKIN INSPECTION COMMUNICATION QUARTERLY POINT PREVALENCE SURVEY UNANNOUNCED UNIT ROUNDS INDIVIDUALIZED UNIT PLANNING STRATEGIES APPLYING OUR PLANS TO ACTION

Result To be presented RESULT Education

SCI Monthly HAPU rate (2012) Result To be presented RESULT SCI Monthly HAPU rate (2012)

Result To be presented RESULT Documentation (CAPU/HAPU)

Result To be presented RESULT GOAL

Make Pressure Ulcer Education as mandatory for all healthcare providers. Provide consistent education and close monitoring to all patients at risk not only with SCI patients. Continuous awareness plan regarding identifying and prevention of pressure ulcers among healthcare providers, patient, family and caregiver. Recommendations

Education plays a big role in prevention. Pressure Ulcer Prevention requires participation from the different members of the Interdisciplinary Team. Management/Organization‘s support is very essential to facilitate programs in HAPU prevention. SUMMARY

The future belongs to those who believe The future belongs to those who believe in the beauty of their dreams." Thank you… Q & A