2 Responses

  1. Tammy Robinson at |

    Patricia,

    I thoroughly enjoyed your presentation! I think the idea of a chime to remind staff about turning patients is a good idea, but I think the even better idea is to ride the high of when patients don’t get pressure ulcers, as well as when they do get them. Differentiating between the two, and making it known on the unit can not only be motivating if a nursing intense patient did not get a pressure ulcer; but it can also point out outliers and the “why” another patient got a pressure ulcer. We know it is multi-factoral, but the more we see our results, the more likely we are to ignite the change within our practice. Our community and organization background section of our presentation is strikingly similar, my fellow Banner employee! We have to be Sophia obsessed! “Do you know Sophia?” Is my favorite rounding question from the C-suites!

  2. iamacielezuzarte at |

    Hi Patricia. Your current issue in nursing project is a hot topic for Joint Commission and The Center of Medicare and Medicaid. As private and government insurances restrict payments related to pressure ulcers, we all have to assume responsibility and follow institutional guidelines on the prevention of pressure ulcers. As you mentioned in you presentation, pressure ulcers effect patients in all areas of the hospital. In the OR, we apply a protective skin barrier on patients whose surgeries are scheduled for 180 minutes or more. We do pay close attention to the skin integrity of our transplant patients. We apply the skin barrier to their sacrum, heels and elbows and assess their skin pre and post procedure.
    As part of your recommendations, maybe you can suggest discharge instructions for the quadriplegic and paraplegic patients. My son is a recent paraplegic as a result of a spinal cord injury. At discharge my son and we the family were taught to closely exam his skin every so often, ensure his wheelchair cushion had enough air, lift himself periodically and have proper wheelchair transfer technique. This education has helped us tremendously to avoid pressure ulcers.
    Your unit’s approach to try and fix the problem instead of fixing the blame is commendable. Good job. Thank you.

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