1. What worked in Argyll and Bute
Key Stakeholders:
Care Home Manager
Care Home Staff
Community Nursing Team
Key Resources:
SPSP RPUCH NES Pack/website, especially;
Data Collection Spreadsheet
Pressure Identification Tool (NATVNS)
SSKIN Bundle, Root Cause Analysis
Training for all staff
Key Roles:
Care Home Champion
Link District Nurse – with access to a Tissue Viability Nurse when needed
Management support in Care Home
Lead Nurse support in HSCP
Key Learning Points: 1
Build on what you have. Care Home and Community Nursing team work extremely closely and as a team, meeting at least weekly. We use a link nurse system for easy communication. This affords the opportunity to jointly scrutinise & review data, management plans and recognise knowledge gaps for planning future joint development sessions. Involve specialists when necessary.
Having a pressure ulcer champion in the home really reaps rewards in keeping focus and updating the data. 2
Review current baseline knowledge of staff regarding pressure ulcer identification and management. This should be with Care Home and Community Nursing staff. Could use the P&K tool - we did.
Arrange joint training at the earliest opportunity. It is useful for all home and community nursing staff to have this same baseline and understanding of current evidence and resources. People think they know but maybe not. 3
We were a very small scale trial and there was low incidence of pressure ulcers, but this focus meant we all learned together
We used resources that had been agreed together, we successfully tested guidance for residents & relatives
We identified issues and looked for solutions together, eg. Moisture and pressure problems from continence product change
We shared our progress and learning at the Care Home Network with other care home teams, this will continue
TEAM APPROACH MAKES IT WORK