Presentation is loading. Please wait.

Presentation is loading. Please wait.

Vancouver Coastal Health - Richmond Pressure Ulcer Prevention An Interdisciplinary Approach BCPSQC Quality Forum 2015 Lisa Stewart Maria Torres.

Similar presentations


Presentation on theme: "Vancouver Coastal Health - Richmond Pressure Ulcer Prevention An Interdisciplinary Approach BCPSQC Quality Forum 2015 Lisa Stewart Maria Torres."— Presentation transcript:

1 Vancouver Coastal Health - Richmond Pressure Ulcer Prevention An Interdisciplinary Approach BCPSQC Quality Forum 2015 Lisa Stewart Maria Torres

2 Disclosure Statement Both presenters are employees of Vancouver Coastal Health and declare no potential conflicts of interest.

3 “A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear…” International NPUAP-EPUAP Pressure Ulcer Definition

4 Why? (do we need to be concerned about pressure ulcers?)

5 Pressure ulcers can develop in less than 12 hours

6 Prevention is better than treatment

7 Pressure ulcers have a significant impact on quality of life.

8 Prevention Strategies = Pressure Ulcers = Quality of Care

9

10 Our Strategy

11 Innovative RespectfulSustainable

12 evaluated current state identified resources developed the project plan ActPlan DoStudy

13

14 challenge status quo

15 Pressure Ulcer Risk Scale completed by the interdisciplinary team at R-Care

16 Why? (in team rounds?)

17 Pressure Ulcer risk assessment and care planning is interdisciplinary Nutrition Mobility Activity Sensory Perception Moisture Friction & Sheer Comorbidities BMI Medical Status Lab ValuesMedical History Age Hydration

18 …how does this apply to my practice

19 collaboration

20 Promotes Awareness within the Interdisciplinary Team

21 Supports Pressure Ulcer Prevention as part of the team’s standard work

22 sustainability DO NOT STOP

23 shared work

24 The whole is greater than the sum of its parts - Aristotle

25 Utilization of health discipline expertise

26 Can the interdisciplinary team efficiently complete the Braden Scale?

27 Can the interdisciplinary team accurately complete the Braden Scale?

28 Comparison of Total Braden Scale Score - Interdisciplinary Team and WOCN

29 Comparison of Braden Scale Score - Interdisciplinary Team and WOCN

30

31

32

33

34

35 Pressure Ulcer Prevention Best Practice

36

37 … 5 weeks later

38 Richmond Hospital Pressure Ulcer Prevention Accreditation Standards Met

39 Measurement

40 Richmond Hospital Patients With a Completed Pressure Ulcer Risk Screen (%) Chart Audit Results

41 2014 Average 97.3%

42 Prevalence & Incidence

43

44 What we asked for…

45 we got more than we asked for…

46 teams talking team pride team ownership

47 Pressure Ulcers No Incident Incident February 2015

48

49 Are we identifying and communicating the risk of a developing pressure ulcer Can we see it coming?

50

51 “The process is great for allowing you to very quickly visually note the problem areas for that particular patient ultimately allowing you to prevent sores from progressing”

52 “Although we all know the key boney areas of the body most at risk, every patient is different. This form allows for patient centered documentation and prioritization of your care strategies and goals”

53 “Having a designated location and a standardized way of documentation/communication assures us that patients have their pressure ulcer risks addressed every single day”

54 “It makes you really think about and consider the high risk skin areas. It also allows the nurse to see what areas may be of concern specific to that patient and concentrate on their assessment and care before they progress”

55 “It is a good tool in that it allows you to see immediately when there has been a change in a patients skin condition”

56

57

58 Pressure Ulcer Prevention in the Operating Room

59

60 What? Be dynamic Be present Listen Say thank you Did we learn…

61 Thank you

62 “ Around here, however, we don’t look backwards for very long. We keep moving forward, opening up new doors and doing new things…and curiosity keeps leading us down new paths” - Walt Disney


Download ppt "Vancouver Coastal Health - Richmond Pressure Ulcer Prevention An Interdisciplinary Approach BCPSQC Quality Forum 2015 Lisa Stewart Maria Torres."

Similar presentations


Ads by Google