Pressure Injury Prevention and Management Policy
|
|
- Lionel Sullivan
- 7 years ago
- Views:
Transcription
1 Pressure Injury Prevention and Management Policy Owner (initiating the document): Dr Amanda Ling Contact name and number: Rachel Dennis (Ph: ) Version: 1.5 Approved by: Professor Bryant Stokes, A/Director General Date: November 2013 File number WA DoH registered file
2 Acknowledgements The WA Health Pressure Injury Prevention and Management Policy was prepared for WA Health by WoundsWest on behalf of the WA Pressure Injury Forum, where it was agreed that WA Health would benefit from a state-wide policy for the prevention and management of pressure injuries. This policy is based on the South Australian Health Pressure Injury Prevention and Management Policy Directive, Suggested Citation WA Health Pressure Injury Prevention and Management Policy, Document Control Version Effective date Author Comment Jun 2013 Initial draft developed by WoundsWest Aug 2013 Reviewed by Pressure Injury Forum working party Aug 2013 Reviewed by WoundsWest Sep2013 Reviewed by Office of Safety and Quality in Healthcare Oct 2013 Further editing by the Office of Safety and Quality in Healthcare
3 Contents 1 Policy monitoring and review Policy scope Policy purpose Related WA Health Policies Principles of Pressure Injury Prevention and Management Evidence-based care Patient and carer involvement Leadership and complete team involvement Resources to support pressure injury and management Continuous improvement Clinical Practice Screening and Assessment Prevention Strategies and Management of Pressure Injuries Care Planning and Documentation Reporting of Pressure Injury Incidents Responsibilities Health Service Chief Executives Hospital Executives, Clinical Directors, Heads of Services/Departments and other senior managers WA Health employees References... 5 Appendix A - Glossary... 6 Appendix B - Other sources of information... 9
4 1 Policy monitoring and review This policy will be reviewed at least every three years by the Office of Safety and Quality in Healthcare, Performance Activity and Quality, in collaboration with the WA Pressure Injury Forum. The next review should occur by December Policy scope All WA Health employees or persons who provide health services on behalf of WA Health must adhere to this policy. 3 Policy purpose The purpose of this policy and accompanying guideline is to: Establish a consistent and evidence-based approach to pressure injury prevention and management across WA Health in accordance with the Australian Commission on Safety and Quality in Healthcare, National Safety and Quality Health Service Standards: Preventing and Managing Pressure Injuries Standard 8. Promote systematic and proactive risk identification and evidence-based management in order to reduce the incidence and prevalence of pressure injuries and to prevent or delay complications arising from them. 4 Related WA Health Policies Implementation of the Australian Health Service Safety and Quality Accreditation Scheme and the National Safety and Quality Health Service Standards in Western Australia (OD 0410/12) Clinical Incident Management Policy Principles of Pressure Injury Prevention and Management 5.1 Evidence-based care Screening, assessment, prevention strategies and wound management are provided in accordance with: WA Health Pressure Injury Prevention and Management Guideline; Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury; Standards for Wound Management; Australian Commission on Safety and Quality in Health Care; 1
5 National Safety and Quality Health service Standards: Preventing and Managing Pressure Injuries Standard 8; and, Relevant accreditation standards. 5.2 Patient and carer involvement All organisations and services in WA Health are to ensure that patients and carers are: Informed of the risk associated with pressure injuries; Engaged in care planning for both prevention and management; Provided with appropriate information about prevention and management of pressure injuries; and, Encouraged to provide feedback about services. 5.3 Leadership and complete team involvement Leaders in WA Health are to provide a systematic approach to the prevention and management of pressure injuries and encourage the implementation of best practice guidelines. 5.4 Resources to support pressure injury and management Evidence-based wound management should be provided by staff with appropriate skills and knowledge, using appropriate materials to optimise healing and prevent or delay complications. WA Health and employers are required to provide: Employees with access to pressure injury policies, procedures, referral information and other resources relevant to their role. Employees with access to regular education and training programs; and, Systems to ensure competence, monitoring and review of the performance of employees, and the effectiveness of the training strategies. 5.5 Continuous improvement Appropriate data is to be gathered and analysed to monitor performance in relation to the prevention and management of pressure injuries, and to facilitate planning and the development of strategies to improve performance. 6 Clinical Practice 6.1 Screening and Assessment To identify patients who are at risk, a formal pressure injury risk screening and assessment of skin and nutrition should be undertaken for all patients within eight hours of presentation. For some patients these assessments should be supplemented by 2
6 clinical judgement that takes account of the likelihood of rapid deterioration such as in palliative or cachexic patients with failure of one or more systems The frequency of repeated assessment will depend on the patients identified level of risk, health and mobility status Risk assessment should be repeated whenever there is a change in the patients condition and on the patients discharge Skin assessments should be conducted at least daily or more frequently for high risk patients. 6.2 Prevention Strategies and Management of Pressure Injuries All patients with a known pressure injury(s) are deemed to be at high risk. A formal pressure injury risk screening and assessment of skin and pain should be undertaken as soon as possible after presentation and a management plan developed and documented within eight hours. Prevention and management strategies should include consideration of the handover of management that was in place prior to presentation After observation of a new pressure injury(s), prevention and wound management strategies are to be implemented as soon as possible and a management plan developed and documented within eight hours All at risk patients should be provided with appropriate prevention interventions including, but not limited to equipment within time frames that minimise risk. These interventions will result in reduced exposure to pressure, shear and friction, and strategies to maintain and improve tissue tolerance. Where equipment is provided, its use should be monitored for safety and effectiveness. 6.3 Care Planning and Documentation Documentation of screening, assessment and management strategies should be maintained. Communication of the level of risk, the care plan and effectiveness of the care is to be part of all handover occasions, including discharge and transfer. This information should be available to all relevant members of the multidisciplinary team, as well as patients and carers. 7 Reporting of Pressure Injury Incidents 7.1 Systems are to be in place to ensure ongoing monitoring and reporting of pressure injuries through the Clinical Incident Monitoring System (CIMS). Analysis of CIMS data can be used to inform practice improvement. 7.2 A report will be made to CIMS for: Any pressure injury (stage 2 or above) that arises during care; and, 3
7 Any pressure injury that existed on admission and has deteriorated significantly (progressed to the next stage) during care. 7.3 If a pressure injury occurs during care, the patient and carer will be informed in accordance with Open Disclosure principles. 7.4 All incidents should be investigated to the level required by the Clinical Incident Management Policy (2012). 8 Responsibilities 8.1 Health Service Chief Executives Allocate sufficient human and material resources (including equipment), within their area of control, to enable effective prevention and management of pressure injuries ; Support the design and development of care systems where pressure injury prevention and identification is embedded sustainably in practice and delivered in a manner consistent with the pressure injury guidelines; and, Ensure the health services within their area of control have systems in place which facilitate effective notification, management and practice improvement. 8.2 Hospital Executives, Clinical Directors, Heads of Services/Departments and other senior managers Provide organisational governance and leadership in relation to pressure injury prevention and management; Develop, implement and monitor local processes that support employees and other persons providing health services on behalf of WA Health, to reduce health care acquired pressure injuries; Ensure the availability of education and training in pressure injury prevention and management; and, Ensure that relevant data is being collected to monitor performance in relation to pressure injury prevention and management. 8.3 WA Health employees Take appropriate action to ensure they are preventing pressure injuries and treating pressure injuries according to best practice; and, Ensure that pressure injuries are reported to CIMS in accordance with the Clinical Incident Management Policy (2012). 4
8 9 References 1) SA Health Pressure Injury Prevention and Management Policy Directive, Available: 2) Department of Health, Western Australia. Clinical Incident Management Policy. (2012). Perth: Patient Safety Surveillance Unit, Performance Activity and Quality Division. 3) Australian Commission on Safety and Quality in Health Care. Safety and Quality Improvement Guide Standard 8: Preventing and Managing Pressure Injuries (October 2012). Sydney. 4) Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury, Australian Wound Management Association, Cambridge Media Osborne Park, WA: ISBN Online
9 Appendix A - Glossary Carer Clinical practice guideline Friction Incident Malnutrition Moisture Patient Pressure Injury Prevention strategies Repositioning Risk Screening / risk assessment a family member, significant other, guardian or friend who has an interest in, contributes to or is responsible for, the care of a patient. systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. a mechanical force that occurs when two surfaces move across one another. In relation to pressure injuries friction creates resistance between the skin and contact surface the person is lying or sitting on. any event or circumstance which could have (near miss) or did lead to unintended and / or unnecessary mental or physical harm to a person and/or to a complaint, loss or damage. a state of nutrition in which a deficiency or excess (or imbalance) of energy, protein, and other nutrients causes measurable adverse effects on tissue / body form (body shape, size and composition) and function and clinical outcome. alters resilience of the epidermis to external forces by causing maceration, particularly when the skin is exposed for prolonged periods. Moisture can occur due to spilt fluids, incontinence, wound exudate and perspiration. refers to a person receiving healthcare. The term patient has been used for the purpose of this document and ease of reading only. It is intended to also include consumers, clients, residents and other people, however titled, receiving healthcare from a clinician or other healthcare provider. localised injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure, shear and/or friction, or a combination of these factors. strategies or interventions designed to reduce the chance of a patient developing a pressure injury. These will also be used to provide conditions to optimise healing of an existing pressure injury. changing a patient s body position to redistribute the pressure on the tissue overlying bony prominences that were in contact with the surface supporting the body. The frequency is determined by skin s response, support surface in use and patient s general condition. Select position(s) to promote comfort, safety and relaxation, prevent deformities and reduce the effects of tissue strain on skin. use of a formal tool, score or scale to help determine the level or degree of risk of pressure injury, as indicated by a score. 6
10 Seating cushion Senior Nurse/Midwife Shear Skin Assessment Stages of Pressure Injury reactive (static) or active (dynamic) cushions on a chair for pressure redistribution purposes depending on size of service this includes the senior nurse e.g. shift coordinator; after hours Nurse Manager; Clinical Nurse Manager (CNM); after hours CNM; DON/HSM. a mechanical force created from a parallel (tangential) load that causes the body to slide against resistance between the skin and a contact surface. The outer layers of the skin (the epidermis and dermis) remain stationary while deep fascia moves with the skeleton, creating distortion in the blood vessels and lymphatic system between the dermis and deep fascia. This leads to thrombosis and capillary occlusion. general examination of the skin, looking for existing lesions or factors that may indicate reduced tissue tolerance. Stage I pressure injury: intact skin with non-blanchable redness of a localised area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its colour may differ form the surrounding area. The area may be painful, firm, soft, warmer or cooler compared to adjacent tissue. May be difficult to detect in individuals with dark skin tones. May indicate at risk persons (a heralding sign of risk); Stage II pressure injury: partial thickness loss of dermis presenting as a shallow, open wound with a red-pink wound bed, without slough. May also be present as an intact or open/ruptured serum-filled blister. Presents as a shiny or dry, shallow injury without slough or bruising (note: bruising indicates suspected deep tissue injury). Stage II PI should not be used to describe skin tears, tape burns, perineal dermatitis, maceration or excoriation; Stage III pressure injury: full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining or tunneling. The depth of Stage III PI varies by anatomical location. The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and Stage III PIs can be shallow. In contrast, areas of significant adiposity can develop extremely deep Stage III PIs. Bone or tendon is not visible or directly palpable; Stage IV pressure injury: full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. The depth of Stage IV PI varies by anatomical location. The bridge of the nose, ear, occiput and malleolus do not have subcutaneous tissue and Stage IV PIs can be shallow. Stage IV PI can extend into muscle and/or supporting structures (e.g. fascia, tendon or joint capsule) making osteomyelitis 7
11 possible. Exposed bone or tendon is visible or directly palpable; Unstageable pressure injury: Depth Unknown - full thickness tissue loss in which the base of the PI is covered with slough (yellow, tan, grey, green or brown) and/or eschar (tan, brown or black) in the PI bed. Until enough slough/eschar is removed to expose the base of the PI, the true depth, and therefore the stage, cannot be determined. Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as the body s natural biological cover and should not be removed; Suspected deep tissue injury: Depth Unknown purple or maroon localised area or discoloured, intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Deep tissue injury may be difficult to detect in individuals with dark skin tone. Evolution may include a thin blister over a dark wound bed. The PI may further evolve and become covered by thin eschar. Evolution may be rapid, exposing additional layers of tissue even with optimal treatment. Support surface a surface on which the patient is placed to manage pressure load by distributing body weight pressure more effectively over the support surface. Includes beds, trolleys and operating table mattresses and overlays; integrated bed systems; and seat cushions and overlays Active support surface: a powered support surface that produces alternating pressure through mechanical means, thereby providing the capacity to change its load distribution properties with or without an applied load. This generally occurs through alternation of air pressure in air cells on a programmed cycle time. Also called an alternating pressure support surface or a dynamic support surface. Reactive support surface: a support surface which, in response to applied pressure, distributes interface pressure over a wider body area through immersing and enveloping the patient. May be referred to as static support surface or a constant low pressure support surface. Tissue tolerance the ability of skin and underlying tissues to endure pressure without experiencing any adverse effects. 8
12 Appendix B - Other sources of information WoundsWest. SA Health. Standards For Wound Management, Australian Wound Management Association, Cambridge Publishing, West Leederville WA. Evidence based practice guidelines for the dietetic management of adults with pressure injuries, 2011, Trans Tasman Dietetic Wound Care Group, Dietitians Association of Australia. Victorian Government Health Information Wound and Lymphoedema Management, World Health Organization. Pressure Ulcer Treatment Quick Reference Guide EPUAP and NPUAP Final_Quick_Treatment.pdf Australian Charter of Healthcare Rights. Getting Started Kit: Prevent Pressure Ulcers, How-to Guide Million Lives Campaign. Institute for Healthcare Improvement; Cambridge, MA. Pressure Ulcers: Prevention and Management The Joanna Briggs Institute. Pressure Area Care: Management The Joanna Briggs Institute. Queensland Health. DAA Evidence Based Practice Guidelines for Nutritional Management of Malnutrition in Adult Patients Across the Continuum of Care, Dietitians Association of Australia. 9
13 This document can be made available in alternative formats on request for a person with a disability. Department of Health 2013
Position Statement: Pressure Ulcer Staging
Position Statement: Pressure Ulcer Staging Statement of Position The Wound, Ostomy and Continence Nurses (WOCN) Society supports the use of the National Pressure Ulcer Advisory Panel Staging System (NPUAP).
More informationHow To Stage A Pressure Ulcer
WOCN Society Position Statement: Pressure Ulcer Staging Originated By: Wound Committee Date Completed: 1996 Reviewed/Revised: July 2006 Revised: August 2007 Reviewed/Revised: April 2011 Definition of Pressure
More information7/11/2011. Pressure Ulcers. Moisture-NOT Pressure. Wounds NOT Caused by Pressure
Assessment and Documentation of Pressure Ulcers Jeri Ann Lundgren, RN, BSN, PHN, CWS, CWCN Pathway Health Services July 19, 2011 Training Objectives Describe etiologies of pressure ulcers Discuss how to
More informationPressure Ulcers Assessing and Staging. Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010
Pressure Ulcers Assessing and Staging Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010 Never Events: Pressure Ulcers Pressure Ulcer Codes: MD documentation of pressure ulcers determines
More informationOASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers
OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers Presented by: Rhonda Will, RN, BS, COS-C, HCS-D Assistant Director, OASIS Competency Institute 243 King Street, Suite 246 Northampton,
More informationPressure Ulcers in Neonatal Patients. Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care
Pressure Ulcers in Neonatal Patients Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care Objectives Review skin anatomy and understand why neonatal skin is at increased risk for
More informationWound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians
Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians Acknowledgments Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary
More informationWOUND OSTOMY CONTINENCE NURSES SOCIETY GUIDANCE ON OASIS-C INTEGUMENTARY ITEMS
Wound Ostomy Continence Nurses Society Guidance on OASIS-C Integumentary Items WOCN OASIS Taskforce Members: Ben Peirce (Chairperson), RN, BA, CWOCN, COS-C Dianne Mackey, BSN, RN, PHN, CWOCN Laurie McNichol,
More informationPressure Ulcer Passport
Pressure Ulcer Passport Information for patients This is a record of the treatment you are receiving for your pressure ulcer injury. Please bring it with you to all your healthcare appointments. This will
More informationPRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT
PRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT The following are suggested guidelines for treatment of pressure ulcers using products from Swiss-American Products, Inc. and are intended to supplement
More informationSkin & Wound Care Prevention & Treatment. By Candy Houk, RN Skin & Wound Program Manager
Skin & Wound Care Prevention & Treatment By Candy Houk, RN Skin & Wound Program Manager OBJECTIVES Classify Stage 1 and 2 pressure ulcers Recognize suspected Stage 3, 4, DTI, and unstageable pressure ulcers
More informationPressure Ulcers Risk Management and Treatment
Pressure Ulcers Risk Management and Treatment Objectives State reasons why individuals initiate lawsuits. Define strategies to reduce the risk of litigation. Determine appropriate treatment for the patient.
More informationSECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life.
SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents
More informationPERFORMANCE MEASURE TECHNICAL SPECIFICATIONS
PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS 1. Rate of Emergency Department Visits The number of visits experienced by PACE participants to acute care hospital Emergency Departments, urgent care clinics,
More informationWound Classification Name That Wound Sheridan, WY June 8 th 2013
Initial Wound Care Consult Sheridan, WY June 8 th, 2013 History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed
More informationObjectives- Participants will:
Pressure Ulcer Staging Elizabeth A. Ayello PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Clinical Editor, Advances in Skin and Wound Care Faculty, Excelsior College School of Nursing Co-Director and Course
More informationWound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center
Wound and Skin Assessment Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Skin The largest Organ Weighs between 6 and 8 pounds Covers over 20 square feet Thickness
More informationPressure Injury Prevention and Management
Policy Professional Leadership, Education and Research Branch ACT Health Pressure Injury Prevention and Management Policy Statement This policy provides for a comprehensive, coordinated and systematic
More informationProtocol for Determining Neglect in the Development of a Pressure Ulcer
Protocol for Determining Neglect in the Development of a Pressure Ulcer Date of Implementation: October 2012 Date of Review: October 2014 National and Regional Context: This protocol is supported by the
More informationReducing Hospital. of Pressure Damage. Spread the Learning and celebrate the successes
Reducing Hospital Acquired Pressure Ulcers Prevention & Management of Pressure Damage Spread the Learning and celebrate the successes Prevalence & Cost Prevalence ranges from 10% to 18% in the UK (Clark
More informationPressure Injury Prevention and Management Clinical Guideline
Pressure Injury Prevention and Management Clinical Guideline Owner (initiating the document): Dr Amanda Ling, Director Office of Safety and Quality in Healthcare Contact name and number: Rachel Dennis
More informationREGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE. Documentation Checklist Local Coverage Determination (LCD)
REGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE Documentation Checklist Local Coverage Determination (LCD) Disclaimer: The ROHO Group gathered these documents from various sources as an educational
More information9/20/2013. Webinar Guidelines. September 26, 2013 12-1:00 pm ET. 1 hour presentation by Dr. Elizabeth Ayello including a discussion period at the end.
Medicaid Redesign Team Gold STAMP Project Webinar Staging, Measuring and Documenting Pressure Ulcers September 26, 2013 12-1:00 pm ET This project is funded through a Memorandum of Understanding with the
More informationIntroduction Suggested Citation
Introduction This Quick Reference Guide summarizes evidence-based guidelines on pressure ulcer prevention and treatment. It was developed as a 4-year collaborative effort between the European Pressure
More informationHow To Prevent Pressure Ulcer
Pressure ulcers prevention and treatment A Coloplast quick guide Table of Contents Pressure ulcers prevention and treatment... 3 What is a pressure ulcer?... 4 How do pressure ulcers occur?... 5 Who develops
More informationPressure Ulcers: Facility Assessment Checklists
Pressure Ulcers: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to managing pressure ulcers in the facility, in
More informationNSQHS Standard 8 Pressure Injury
NSQHS Standard 8 Pressure Injury Definitions sheet Pressure Injury Audit Tools Definitions The following definitions and examples apply to the Pressure Injury Audit Tools: 1. Pressure Injury Equipment
More informationDiabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences
Diabetic Foot Ulcers and Pressure Ulcers Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Lecture Objectives Identify risk factors Initiate appropriate
More informationQuality standard Published: 11 June 2015 nice.org.uk/guidance/qs89
Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard
More informationPressure injuries prevention and treatment
After 30 years in wound care, we at Coloplast believe that absorption is the key to better healing. Our Biatain portfolio brings superior absorption to daily wound care needs, making Biatain the simple
More informationS O S TOOLKIT FOR PRESSURE ULCER PREVENTION AND TREATMENT SAV E O KL A HOMA S S K I N A SYSTEMS APPROACH TO QUALITY IMPROVEMENT IN HEALTH CARE
S O S SAV E O KL A HOMA S S K I N A SYSTEMS APPROACH TO QUALITY IMPROVEMENT IN HEALTH CARE TOOLKIT FOR PRESSURE ULCER PREVENTION AND TREATMENT S K I N A Systems Approach to Quality Improvement in Health
More informationSkin/Wound Referral Resource
Skin/Wound Referral Resource This resource was designed by the University of Michigan Health System Multidisciplinary Pressure Ulcer Prevention Committee for nursing and physician use. This document s
More informationIntroduction. Suggested Citation
Introduction This Quick Reference Guide summarizes evidence-based guidelines on pressure ulcer prevention and treatment. It was developed as a 4-year collaborative effort between the European Pressure
More informationUnderstand nurse aide skills needed to promote skin integrity.
Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin
More informationPressure Ulcer Grading and POVA Referral Procedure
Pressure Ulcer Grading and POVA Referral Procedure Version Number: 1 Page 1/13 -Contents- Page 1. Introduction 3 2. Aim 3 3. Procedure 3 4. Responsibilities 4 5. Implementation and Training 4 6. Equality
More informationAPPLICATION OF DRY DRESSING
G-100 APPLICATION OF DRY DRESSING PURPOSE To aid in the management of a wound with minimal drainage. To protect the wound from injury, prevent introduction of bacteria, reduce discomfort, and assist with
More informationPRA Disclosure Statement
PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB
More informationNPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE
Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government
More information5 Pressure Ulcer Classification
5 Pressure Ulcer Classification Carol Dealey and Christina Lindholm Introduction Pressure ulcer classification is a method of determining the severity of a pressure ulcer. A classification system describes
More informationPressure Ulcer Prevention and Management Guidelines
A Whittington Hospital Nursing Management Policy Pressure Ulcer Prevention and Management Guidelines Date: July 2003 Review: July 2006 Author: Deborah Rogers - Assistant Director of Nursing (Surgery) Pauline
More informationSilicone pressure-reducing pads for the prevention and treatment of pressure ulcers
S46 Product focus Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers Abstract Pressure ulcers, a key quality of care indicator, cause emotional distress to the patient,
More informationWOUND MANAGEMENT PROTOCOLS WOUND CLEANSING: REMOVING WOUND DEBRIS FROM WOUND BASE
WOUND MANAGEMENT PROTOCOLS PURPOSE: Provide nursing personnel with simple guidance regarding appropriate dressing selection in the absence of wound specialist expertise Identify appropriate interventions
More informationPreventing pressure ulcers
Golden Jubilee National Hospital NHS National Waiting Times Centre Preventing pressure ulcers Patient information guide for adults at risk of pressure ulcers Agamemnon Street Clydebank, G81 4DY (: 0141
More informationHCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR:
HCPCS CODING GUIDANCE FOR: AMERIGEL HYDROGEL DRESSINGS FORM 1500 MUST HAVE THE FOLLOWING: APPROPRIATE HCPCS CODE APPROPRIATE A MODIFIER ACCURATE POS = 12 The Centers for Medicare and Medicaid Services
More informationThe Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation
The Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation Helen Shaw, BSc (Hons), ConvaTec Research and Development Rachel Mathison, Msc, BSc (Hons),
More informationWound Care: The Basics
Wound Care: The Basics Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP University of Virginia May, 2010 What Type of Wound is it? How long has it been there? Acute-generally
More informationFUNCTIONS OF THE SKIN
FUNCTIONS OF THE SKIN Skin is the largest organ of the body. The average adult has 18 square feet of skin which account for 16% of the total body weight. Skin acts as a physical barrier for you to the
More information7/30/2012. Increased incidence of chronic diseases due
Dianne Rudolph, DNP, GNP bc, CWOCN Discuss management of wound care in older adults with focus on lower extremity ulcers Identify key aspects of prevention Explain basic principles of wound management
More informationThe Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation
The Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation Helen Shaw, BSc (Hons), ConvaTec Research and Development Rachel Mathison, Msc, BSc (Hons),
More informationPressure Ulcers in the ICU Incidence, Risk Factors & Prevention
Congress of the Critical Care Society of South Africa Sun City, 10-12 July 2015 Pressure Ulcers in the ICU Incidence, Risk Factors & Prevention Stijn BLOT Dept. of Internal Medicine Faculty of Medicine
More informationWorking together to prevent pressure ulcers (prevention and pressure-relieving devices)
Working together to prevent pressure ulcers (prevention and pressure-relieving devices) Understanding NICE guidance information for people at risk of pressure ulcers, their carers, and the public Draft
More informationHealth Care Protocol: Pressure Ulcer Prevention and Treatment Protocol. Protocol Reviewed with No Recommended Changes (March 2014):
Health Care Protocol: Pressure Ulcer Prevention and Treatment Protocol Protocol Reviewed with No Recommended Changes (March 2014): The ICSI Pressure Ulcer Prevention and Treatment Protocol were scheduled
More informationIllinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION. Statement of LICENSURE Violations
(X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER (X4) SUMMARY REGULATORY OR LSC ENTIFYING INFORMATION) PROVER'S PLAN OF CORRECTION Final Observations Statement of
More informationPressure Injury Prevention
Clinical Contents Policy... 1 Purpose... 2 Scope/Audience... 2 Definitions... 2 Associated documents... 2 Objectives... 3 Personnel Authorised to Perform Procedure... 3 Initial Skin and Pressure Injury
More informationPressure Ulcer Prevention
A Reference Guide for Community Health Care Teams To be used in conjunction with the; Nottingham CityCare Partnership Policy for the Prevention of Pressure Ulcers Useful links Pressure Ulcer Prevention
More informationPressure Reducing Support Surfaces - Group 2 (L33642)
Pressure Reducing Support Surfaces - Group 2 (L33642) Contractor Information Contractor Name Contract Number Contract Type NHIC, Corp. 16003 DME MAC LCD Information LCD ID L33642 Original ICD-9 LCD ID
More informationPressure Ulcers Among Nursing Home Residents: United States, 2004
Pressure Ulcers Among Nursing Home Residents: United States, 2004 Eunice Park-Lee, Ph.D., and Christine Caffrey, Ph.D., Division of Health Care Statistics Key findings Data from the National Nursing Home
More informationWestern Australian Strategic Plan for Safety and Quality in Health Care 2013 2017
Western Australian Strategic Plan for Safety and Quality in Health Care 2013 2017 Placing patients first health.wa.gov.au 1 This publication has been produced by the: Quality Improvement and Change Management
More informationTHE WESTERN AUSTRALIAN REVIEW OF DEATH POLICY 2013
THE WESTERN AUSTRALIAN REVIEW OF DEATH POLICY 2013 Department of Health, State of Western Australia (2013). Copyright to this material produced by the Western Australian Department of Health belongs to
More informationPressure Ulcer Prevention and Treatment Solutions
Pressure Ulcer Prevention and Treatment Solutions EPUAP- NPUAP - PPPIA CLINICAL PRACTICE GUIDELINE 2014: Considerations on Support Surfaces, Safe Patient Handling and Pressure Ulcer Prevention for Clinicians...with
More informationPressure Ulcers. Occupational Therapy. This leaflet is for both yourself and Carers
Pressure Ulcers Occupational Therapy This leaflet is for both yourself and Carers Contents What is a pressure ulcer? 3 Who is at risk of developing a pressure ulcer? 4 How can I avoid developing a pressure
More informationCommon Pathology Diagnoses: ICD-9 to ICD-10 Mapping
PERFORMANCE THAT MATTERS NUMBER OF CODES 14,000 69,000 ICD-9 DIAGNOSIS CODES ICD-10 DIAGNOSIS CODES CODE STRUCTURE ICD-9-CM CODE FORMAT ICD-10-CM CODE FORMAT X X X X X X X X X X X X CATEGORY ETIOLOGY,
More informationStandard 5. Patient Identification and Procedure Matching. Safety and Quality Improvement Guide
Standard 5 Patient Identification and Procedure Matching Safety and Quality Improvement Guide 5 5 5October 5 2012 ISBN: Print: 978-1-921983-35-1 Electronic: 978-1-921983-36-8 Suggested citation: Australian
More informationMistral, wellness in the air. Ovattificio Fortunato s.r.l. the soul of ideas
Mistral, wellness in the air. Ovattificio Fortunato s.r.l. the soul of ideas Ovattificio Fortunato s.r.l. Via dell Industria, n 109 84092 Bellizzi (SA) Italy ph.: (+39) 089 981146 (+39) 089 981646 Fax:
More informationAnyone who has difficulty moving can get a pressure sore. But you are more likely to get one if you:
Patient information from the BMJ Group Pressure sores Anyone can get a pressure sore if they sit or lie still for too long without moving. People who are old or very ill are most likely to get them. Careful
More informationTwo main classes: Epithelial Connective (synovial) Epithelial. Cutaneous Mucous Serous
Two main classes: Epithelial Connective (synovial) Epithelial Cutaneous Mucous Serous Epithelial Membranes = sheet of epithelia + connective tissue base 1. Cutaneous membrane: outer skin layer (stratified
More informationWound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates
C HAPTER 9 Wound Healing Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates As the above quote suggests, conduct regular and systematic wound assessments, and seize
More informationBeverlin Allen, PhD, RN, MSN, ARNP
Pressure Ulcers & Nutritional Deficits in Elderly Long-Term Care Patients: Effects of a Comprehensive Nutritional Protocol on Pressure Ulcer Healing, Length of Hospital Stay & Health Care Charges Beverlin
More informationWound Assessment. Michelle Moore RN, MSN, WCC Wound Care Education Institute
Michelle Moore RN, MSN, WCC Wound Care Education Institute WOUND ASSESSMENT Michelle Moore RN, MSN, WCC Wound Care Education Institute www.wcei.net Objectives: Upon completion of this program, the participant
More informationGuide to the National Safety and Quality Health Service Standards for health service organisation boards
Guide to the National Safety and Quality Health Service Standards for health service organisation boards April 2015 ISBN Print: 978-1-925224-10-8 Electronic: 978-1-925224-11-5 Suggested citation: Australian
More informationWHAT IS INCONTINENCE?
CNA Workbook WHAT IS INCONTINENCE? Incontinence is the inability to control the flow of urine or feces from your body. Approximately 26 million Americans are incontinent. Many people don t report it because
More informationCLINICAL PROTOCOL THE MALNUTRITION UNIVERSAL SCREENING TOOL (MUST)
CLINICAL PROTOCOL THE MALNUTRITION UNIVERSAL SCREENING TOOL (MUST) RATIONALE The Malnutrition Universal Screening Tool (MUST) is now recommended best practice within the Trust as a way to screen patients
More informationSummary of Recommendations
Summary of Recommendations *LEVEL OF EVIDENCE Practice Recommendations Assessment 1.1 Conduct a history and focused physical assessment. IV 1.2 Conduct a psychosocial assessment to determine the client
More informationOptimal 5zon. Product information - Optimal 5zon 06/11/13. Pressure redistributing foam mattress. Clinical and performance information
1. Pressure redistribution 2. Performance over time and durability 3. Microclimate 4. Weight limit testing 5. Hygiene 6. Flame retardancy 7. Customer evaluations Product information - Optimal 5zon 06/11/13
More informationChecklist and Communication Tool for Patients, Carers, Relatives and Healthcare Professionals
Checklist and Communication Tool for Patients, Carers, Relatives and Healthcare Professionals The checklist chart is provided separately. It helps you to keep the person you care for free from developing
More informationAn Overview of Skin and Pressure Area Management In Adults with Spinal Cord Injuries
Rural Spinal Cord Injury Project A collaborative project between: Prince Henry & Prince of Wales Hospital Royal North Shore Hospital Royal Rehabilitation Centre Sydney June 2005 Spinal Cord Injuries Australia
More informationIdentifying Hard to Detect Pressure Ulcers in Individuals
Identifying Hard to Detect Pressure Ulcers in Individuals with Dark Skin Tones Sheila Carter, MSN, RN FNP BC, CWON, CFCN Pam Damron, MSN, RN, CWON Patricia Moore, RN, ASN, CWCN Jennifer Vandiver, RN, BSN,
More informationOPERATIONAL DIRECTIVE
OPERATIONAL DIRECTIVE Enquiries to: Healthcare Associated Infection Unit OD number: OD0527/14 Phone number: 08 9388 4868 Date: 26 May 2014 Supersedes: OD 0197/09 (12/06/2009) File No: F-AA-28007 Subject:
More informationHow To Know What A Pressure Ulcer Is
Pressure Ulcers ecourse: Module 2 Quiz I 1. Blck, brown or tn tissue tht dheres firmly to the wound bed or ulcer edges nd my be either firmer or softer thn surrounding tissue is:. Eschr b. Slough c. Grnultion
More informationNURSING DOCUMENTATION
NURSING DOCUMENTATION OBJECTIVES 1. The learner will be able to state 2 components of documentation that meet the 2. The learner will be able to identify 4 characteristics of a complete skin assessment
More informationCOMPLIANCE WITH THIS DOCUMENT IS MANDATORY
COVER SHEET NAME OF DOCUMENT Wound Wound Assessment and Management TYPE OF DOCUMENT Procedure DOCUMENT NUMBER SESLHDPR/297 DATE OF PUBLICATION April 2014 RISK RATING Medium LEVEL OF EVIDENCE N/A REVIEW
More informationPatient and staff nurse s experiences of the 30 degree tilt reposition technique, for the prevention of pressure ulcers, in an elderly care unit.
Royal College of Surgeons in Ireland e-publications@rcsi Masters theses/dissertations - taught courses Theses and Dissertations 11-14-2013 Patient and staff nurse s experiences of the 30 degree tilt reposition
More informationAge-friendly principles and practices
Age-friendly principles and practices Managing older people in the health service environment Developed on behalf of the Australian Health Ministers Advisory Council (AHMAC) by the AHMAC Care of Older
More informationDigging Deeper: Impact of falls occurring inside & outside our dialysis clinics
Digging Deeper: Impact of falls occurring inside & outside our dialysis clinics RSA Conference June 2015 Lorraine Jackson, Spearwood Dialysis Clinic Manager, Fresenius Medical Care Matthew Wiltshire, Falls
More informationEPIDEMIOLOGY COMPLICATIONS FROM PRESSURE ULCERS
CHAPTER 30 PRESSURE ULCERS EPIDEMIOLOGY COMPLICATIONS FROM PRESSURE ULCERS RISK FACTORS AND RISK-ASSESSMENT SCALES PREVENTION MANAGEMENT ANNOTATED REFERENCES Pressure ulcers are a serious and common problem
More informationHospital ID: SS ID: NHS No: NI No: Surname: Forename: D.O.B:
FUNDED NURSING CARE ASSESSMENT Overview Assessment Please attach demographic information form Hospital ID: SS ID: NHS No: NI No: Surname: Forename: : Date of Assessment Location of Assessment: When assessing
More informationAustralian Safety and Quality Framework for Health Care
Activities for the HEALTHCARE TEAM Australian Safety and Quality Framework for Health Care Putting the Framework into action: Getting started Contents Principle: Consumer centred Areas for action: 1.2
More informationFalls and falls injury prevention activity audit for residential aged care facilities
Falls and falls injury prevention activity audit for residential aged care facilities National Ageing Research Institute October 2009 www.nari.unimelb.edu.au This tool is based on a tool that was originally
More informationSubmission to Department of Health and Ageing regarding the Commonwealth Home and Community Care (HACC) Program
Dietitians Association of Australia Submission to Department of Health and Ageing regarding the Commonwealth Home and Community Care (HACC) Program April 2013 Contact Person: Annette Byron Position: Senior
More informationPROCEDURE FOR PRESSURE ULCER PREVENTION AND MANAGEMENT
Multidisciplinary PROCEDURE FOR PRESSURE ULCER PREVENTION AND MANAGEMENT Issue History July 2012 Issue Version Three Purpose of Issue/Description of Change Planned Review Date To outline evidence based
More informationStandard 1. Governance for Safety and Quality in Health Service Organisations. Safety and Quality Improvement Guide
Standard 1 Governance for Safety and Quality in Health Service Organisations Safety and Quality Improvement Guide 1 1 1October 1 2012 ISBN: Print: 978-1-921983-27-6 Electronic: 978-1-921983-28-3 Suggested
More informationPatient Safety Call to Action. Road Map to a Comprehensive Skin Safety Program
Road Map to a Comprehensive Program Road Map to a Comprehensive Program S A F E S K I N based on the ICSI Protocol, Adverse Health Event Learnings I n f r a s t ru c t u r e S Coordination and Team Approach
More informationNSQHS Standard 1 Governance
NSQHS Standard 1 Governance Definitions sheet Governance Audit Tools Definitions Contents 1. Open Disclosure Program Page 1 2. ACUTE Clinical Record Audit Tools Page 2 -----------------------------------------------------------------------------------
More informationManaging cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner
Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner It has been seen in recent years, that an increasing number of patients are being discharged early into the community,
More informationBest Practice Statement
WUK BPS Best Practice Statement Care of the Older Person s Skin 2 0 1 2 SECOND EDITION Dry, vulnerable skin Pressure ulcers Moisture-related skin damage Skin tears Skin changes at life s end BEST PRACTICE
More informationTunnelled indwelling pleural catheter (TIPC)
Tunnelled indwelling pleural catheter (TIPC) A patient s guide 1 What is a tunnelled indwelling pleural catheter? A tunnelled indwelling pleural catheter is a specially designed small tube to drain fluid
More informationAustralian Safety and Quality Framework for Health Care
Activities for MANAGERS Australian Safety and Quality Framework for Health Care Putting the Framework into action: Getting started Contents Principle: Consumer centred Area for action: 1.1 Develop methods
More information2013 HSC Human Services Marking Guidelines
2013 HSC Human Services Marking Guidelines Section I Multiple-choice Answer Key Question Answer 1 A 2 C 3 D 4 A 5 B and D 6 C 7 B 8 C 9 A 10 B 11 D 12 B 13 C 14 D 15 A 1 Section II Question 16 (a) Correctly
More informationManagement of Burns. The burns patient has the same priorities as all other trauma patients.
Management of Burns The burns patient has the same priorities as all other trauma patients. Assess: - Airway - Breathing: beware of inhalation and rapid airway compromise - Circulation: fluid replacement
More information