Speaker
Description
Pressure injury prevention (PIP) and wound care management is a priority for the 250-bed multi-site complex-continuing care and rehabilitation hospital. Understanding the current wound care landscape is crucial as the Interprofessional Practice and Education (IPPE) team revitalizes its wound care program.
Aim
To leverage wound care metrics related to prevalence, incidence, and preventative care that will help determine gaps and opportunities in clinical practice, wound care infrastructure and staff competency.
Methodology
The IPPE team comprised of advanced practice nurses, allied health professionals, frontline nurses and personal support workers, conducted a point-prevalence survey (PPS) which involved a head-to-toe skin and wound assessment followed by a chart review. Data involving palliative care and skin tones were also captured. The team was divided into two groups to ensure that the survey was conducted concurrently across sites. A standardized form was developed to promote consistency in data collection. Consent was obtained from all survey participants. Data analysis was completed and presented to management and clinicians.
Results 178 of 190 admitted patients were included in the PPS. 31% of patients presented with a wound, PIs were the most common. 14% of patients developed a hospital acquired PI (HAPI) during their hospital stay. Dietitian referrals were seen in 94% of patients; daily skin inspection was done in 84% of patients, and 79% of patients were on a pressure redistribution surface. However, only 13% of patients had a PIP care plan in place.
Implications for Practice
A multifaceted approach was implemented to improve wound care practices including:
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Promoting timely risk and regular skin assessments
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Developing individualized preventative care plans and treatment protocols
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Ongoing PI Education to improve holistic assessment and care planning
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Integrating PIP bundles in current policy
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Purchasing equipment to support PIP
Success of the approach will be evaluated.
What RNAO BPG or tool/toolkit is your abstract related to?
Registered Nurses’ Association of Ontario (RNAO). Diabetic foot ulcers: Prevention, assessment and management. 3rd ed. Toronto (ON): RNAO; 2024.
Registered Nurses’ Association of Ontario (RNAO). Pressure injury management: Risk assessment, prevention and treatment. 4th ed. Toronto (ON): RNAO; 2024.
Author(s) Credentials and Title
Joshua Moralejo, MScCH:WPC, RN, BScN, NSWOC, WOCC(C), IIWCC (Advanced Practice Nurse – Wound Care, Wound Care Program Lead) (Co-Author - Speaker 1) Email: [email protected]
Kaylem Boileau, RD, MHSc, IIWCC-CAN (Registered Dietitian, Wound Care Program Co-Lead) (Co-Author - Speaker 2) Email: [email protected]
Melissa Pham, RN, BScN, MN (Advanced Practice Nurse, BPSO Co-Lead) (Co-Author) Email: [email protected]
Arlenne Atienza, RN, BScN, MN, CNCC(C) (Advanced Practice Nurse, BPSO Lead) (Co-Author) Email: [email protected]
Rola Moghabghab, NP, PhD, GNC(C), IIWCC (Palliative Care Unit Manager, Interprofessional Practice & Education) (Co-Author) Email: [email protected]
| Organization Name | Toronto Grace Health Centre |
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