How To Care For A Pressure Ulcer
|
|
- Richard Leonard
- 3 years ago
- Views:
Transcription
1 RCN Patient Safety & Quality Conference Pressure Ulcer Prevention Vanessa McDonagh Tissue Viability CNS
2 Fact 67,848 patient safety incident reports to the NRLS relating to pressure ulcers between 1 st September 2010 and 31 st August 2011
3 Some more facts Pressure ulcers are estimated to affect between 4 20% of patients admitted to acute care Pressure ulcers are estimated to affect 30% of people in the community Pressure ulcers are estimated to affect 20% of people in nursing and residential homes (Clarke, Bours, Defloor 24)
4 In summary Pressure ulcers are common Pressure ulcers are devastating Pressure ulcers are life threatening Pressure ulcers are expensive ( billion annually 4% of the NHS expenditure) Pressure ulcers are (mostly) avoidable!
5 Is this acceptable?
6 Avoidable?? Avoidable Pressure Ulcer: Avoidable means that the person receiving care developed a pressure ulcer and the provider of care did not do one of the following: evaluate the person's clinical condition and pressure ulcer risk factors; plan and implement interventions that are consistent with the persons needs and goals, and recognised standards of practice; monitor and evaluate the impact of the interventions; or revise the interventions as appropriate. DH 2010
7 Unavoidable??? Unavoidable Pressure Ulcer: Unavoidable means that the person receiving care developed a pressure ulcer even though the provider of the care had evaluated the person s clinical condition and pressure ulcer risk factors; planned and implemented interventions that are consistent with the persons needs and goals; and recognised standards of practice; monitored and evaluated the impact of the interventions; and revised the approaches as appropriate; or the individual person refused to adhere to prevention strategies in spite of education of the consequences of non-adherence DH 2010
8 Is there guidance?
9 So what s the problem?
10 Barriers to preventing pressure ulcers What nurses have told us Workload Dependency Poor staff motivation/ morale Inaccurate assessments Shortage of staff Lack of TVN s Poor reporting and follow up Skill mix Poor communication Poor leadership Lack of equipment Lack of knowledge
11 So what are you going to do?
12 Local Driver diagram
13 Things you might like to try Visualise pressure ulcer free days within the clinical area SKIN Surface keep moving incontinence nutrition A SKIN tool Intentional Rounding/ Comfort rounds
14 Patient identification label DATE: TIME: 06 ASK Is the call bell in reach? Do you need the toilet? Are you in pain? Do you need help? SURFACE to be completed every shift Mattress = risk score + patent Cushion = risk score + patent SKIN INTEGRITY Check skin and document changes on The Skin Assessment form KEEP MOVING Reposition 2-4 hourly as care plan(use 30 degree tilt & slide sheets) Left side Right side Back Sitting (max 2 hourly intervals) INCONTINENCE Is patient clean & dry? Ensure cleaned with a ph balanced cleanser Has the pad been changed? Catheter/Flexiseal patent & necessary? NUTRITION Is patient s drink within reach? Fluids taken/given: Ensure recorded on fluid balance chart Supplements/snacks offered/ given Nurse responsible for care: Initials Nurse in charge to check as a minimum Once in 24 hours Initials INTENTIONAL ROUNDING INCORPORATING A.S.S.K.I.N TOOL Nurse in charge to decide how often round is to be completed hourly 2 hourly 3 hourly 4 hourly Key: ASK: Ask patient questions SURFACE: Insert the name of the mattress, cushion and bed being used KEEP MOVING: Record position and when repositioned INCONTINENCE: Ensure skin is cleaned with ph balanced cleanser NUTRITION: Ensure referred to dietician if nutritionally at risk or category ¾ pressure ulcer N: Normal RB: Red & Blanching RNB: Red Non Blanching Grade 1 PU BL/SC: Blister or scuff mark Grade 2 PU PU: Pressure ulcer state ¾ M: Moisture/excoriation damage : Yes X: No N/A: Not applicable
15 Content area Drivers Risk identification Risk assessment Interventions Understand the risk factors for acquiring PU Understand the local context & analyse local data to assess patients on ward/unit most at risk Assess PU risk on admission for ALL patients Re assess skin as a minimum daily Initiate & maintain correct and suitable preventative measures Reduce the % of hospital acquired PU Reliable implementation of the ASSKIN Tool Identification, grading of PU existing on admission/transfer & appropriate intervention Address these areas: Surface Skin Integrity Keep Moving Incontinence Nutrition Initiate and maintain correect and suitable treatment measures Utilise the local Tissue Viability nursing expertise Education Educate staff regarding the assessment process, identification and cladssification of, and treatment of PU Educate patient's family Develop patient information pack
16 Preparation Staff Briefing and brainstorm with all members of MDT on ward. Be aware they are not acceptable. RCA and action plans when they occur Develop SKIN Bundle into care plans and rounding add to communication tool Ensure staff are educated with TVN support Ensure PU prevention is given high priority e.g. team briefing, posters, visual cues Develop patient information leaflets ensure they are visible and pressure ulcers are discussed with carers and patients. Patient involvement is essential
17 Outcome measures Document pressure sores of all grades (1-4) Count days since last pressure ulcer developed on this ward and display on Safety Cross Clinical Incident form for any sore grade 2 and above RCA and action plans for grade 3 and 4 Calculate rate per 10 bed days
18 In the words of a great man... A little less conversation and a lot more action... Elvis Presley
19 Thank you
20 Can you imagine what you would do if you could do all you can? Tse chu
Reducing 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 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 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 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 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 informationAneurin Bevan Health Board
Aneurin Bevan Health Board Wednesday 24 th November 1 Agenda Item: 2.4 Aneurin Bevan Health Board All Wales Fundamentals of Care Audit: Summary of the Health Board s compliance with the Standards 1 Introduction
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 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 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 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 informationRoot Cause Analysis following
Root Cause Analysis following MRSA Bacteraemia: Reviewing the Patient s Journey Sharren Pells Senior Infection Control Nurse NHS Swindon Helen Forrest Infection Control Nurse Specialist NHS Swindon Aims
More informationAssessment & Rehabilitation Unit BALFOUR HOSPITAL STUDENTS HANDOUT
Assessment & Rehabilitation Unit BALFOUR HOSPITAL STUDENTS HANDOUT WHAT WE OFFER We believe that the older patient is an individual and therefore promote individualised care. This entails: Patient centred
More informationDOCUMENTATION FOR CERTIFIED NURSING ASSISTANTS
DOCUMENTATION FOR CERTIFIED NURSING ASSISTANTS Introduction Documentation for CNAs in our Center is an important aspect of providing care to our residents. Medical records are not only used as an important
More informationHealthcare Support Worker Induction Book
Healthcare Support Worker Induction Book This book has been designed to give you information about your Healthcare Support Worker Induction Programme. This programme follows on from your Trust Induction
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety, experience
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 informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Safe staffing for nursing in adult inpatient wards in acute hospitals overview bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed
More informationInformation and advice following placement of seton for anal fistula
Oxford University Hospitals NHS Trust Information and advice following placement of seton for anal fistula page 2 What is a fistula? You can get an anal fistula as a result of an infection or a collection
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 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 informationSkin Care In Bladder And Bowel Dysfunction Wendy Ness Colorectal Nurse Specialist
Skin Care In Bladder And Bowel Dysfunction Wendy Ness Colorectal Nurse Specialist Function Of The Skin Healthy skin serves several purposes it protects the internal organs physically, chemically and biologically
More informationLeeds Teaching Hospital Ward Healthcheck Metrics Programme
Ward Healthcheck paper - Appendix 2 Appen Leeds Teaching Hospital Ward Healthcheck Metrics Programme Metrics Information Introduction The nursing care Metrics were initially developed in the north west
More informationAnnounced Follow-Up Inspection Dignity and Essential Care
Announced Follow-Up Inspection Dignity and Essential Care Cardiff and Vale University Health Board University Hospital of Wales Ward B7 Date of 29 th April 2014 1 HIW Follow-Up Inspection: Ward B7, University
More informationPolicy for the Prevention of Pressure Ulcers. Date Issued/Approved: 17/05/2013. Date Valid From: 17/05/2013. Date Valid To: 30/09/2016
POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department
More informationPATIENT INFORMATION. Patient Safety. Keeping you safe during your stay in hospital. For information only. do not photocopy
PATIENT INFORMATION Patient Safety Keeping you safe during your stay in hospital i Contents Topic Page Why is patient safety important 3 How you can help 3 Your Medicine 4-5 Recognising acute illness 6
More informationStroke Care at Princess Royal University Hospital
Networked Services Stroke Care at Princess Royal University Hospital Information for patients, relatives and carers This leaflet explains the care we provide in our stroke centre, which is one of eight
More informationOpen and Honest Care in your Local Hospital
Open and Honest Care in your Local Hospital The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent and consistent in publishing safety, experience
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 informationPatient Information Leaflet Anal Fistula operation
Patient Information Leaflet Anal Fistula operation SM07/04 Anal Fistula operation What is a fistula? An anal fistula is a track between the skin on the outside of the buttock/anal area and the anal canal
More informationNHS Continuing Healthcare
NHS Continuing Healthcare Questionnaire In association with Questionnaire 1. Full name of patient 2. Home address (prior to transfer into care home if applicable) 3. Patient s Date of Birth 4. Patient
More informationNHS North West Transparency Project
NHS rth West Transparency Project Reduction of Pressure Ulcers and Falls - How have we been doing? Patient and Staff Experience- What have they been saying? Liverpool Heart and Chest Hospital is one of
More informationMeasuring the Fundamentals of Nursing and Midwifery Care through Metrics. Ciara White NMPDU Metrics Project Officer 4 th March 2014
Measuring the Fundamentals of Nursing and Midwifery Care through Metrics Ciara White NMPDU Metrics Project Officer 4 th March 2014 Context Nursing and Midwifery is the largest workforce in Health Services
More informationSafety Improvement Plan. Phao Hewitson Head of Clinical Governance
Meeting Trust Board Date 29 th January 2015 ENC No 8 Title of Paper Lead Director Author Sign up to Safety Safety Improvement Plan Amir Khan Medical Director Phao Hewitson Head of Clinical Governance PURPOSE
More informationSummary of findings. The five questions we ask about hospitals and what we found. We always ask the following five questions of services.
Barts Health NHS Trust Mile End Hospital Quality report Bancroft Road London E1 4DG Telephone: 020 8880 6493 www.bartshealth.nhs.uk Date of inspection visit: 7 November 2013 Date of publication: January
More informationQUALITY ACCOUNT 2015-16
QUALITY ACCOUNT 2015-16 CONTENTS Part 1 Chief Executive s statement on quality... 3 Vision, purpose, values and strategic aims... 4 Part 2 Priorities for improvement and statement of assurance... 5 2.1
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 informationUse of a Soft Silicone Bordered Sacrum Dressing to Reduce Pressure Ulcer Formation in Critically Ill Patients: A Randomized Clinical Trial
Use of a Soft Silicone Bordered Sacrum Dressing to Reduce Pressure Ulcer Formation in Critically Ill Patients: A Randomized Clinical Trial Peggy Kalowes RN, PhD, CNS, FAHA Principal Investigator Director,
More informationON THEJOB LEARNING OUTLINE Certified Nursing Assistant, Advanced O*NET Code: 31 1012.00 RAIS Code: 0824 A
ON THEJOB LEARNING OUTLINE Certified Nursing Assistant, Advanced O*NET Code: 31 1012.00 RAIS Code: 0824 A Occupational Description: Performs any combination of following duties: care of residents/patients
More informationUnannounced Inspection Report care for older people in acute hospitals
Unannounced Inspection Report care for older people in acute hospitals University Hospital Ayr NHS Ayrshire & Arran 27 29 Healthcare Improvement Scotland is committed to equality. We have assessed the
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 informationCONTINUOUS IMPROVEMENT EXERCISE L. Leslie Gardner, Ph.D., Assistant Professor School of Business University of Indianapolis
CONTINUOUS IMPROVEMENT EXERCISE L. Leslie Gardner, Ph.D., Assistant Professor School of Business University of Indianapolis To try out the continuous improvement skills you have learned over the last few
More informationNLG(13)347 DATE OF BOARD MEETING 24/09/2013 REPORT FOR. Trust Board of Directors REPORT FROM. Dr Karen Dunderdale, Chief Nurse SUBJECT
DATE OF BOARD MEETING 24/09/2013 REPORT FOR Trust Board of Directors REPORT FROM Dr Karen Dunderdale, Chief Nurse SUBJECT Nursing Quarterly Report CONTACT OFFICER Karen Dunderdale BACKGROUND DOCUMENT (IF
More informationStandard for Documentation: Inpatient Care Units DRAFT 8/28/2012 #2
Standard for Documentation: Inpatient Care Units DRAFT 8/28/2012 #2 POLICY: The patient record is the legal document which captures care provided and the patient s response to that care. The documentary
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 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 informationQuality & Safety Committee Date: 25 th June 2015
SUMMARY REPORT ABM University Health Board Quality & Safety Committee Date: 25 th June 2015 Agenda item: 3.10 Subject Health Acquired Pressure Ulcer Reporting Prepared by Approved & Presented by Purpose
More informationThe prevention and management of slips, trips and falls
The prevention and management of slips, trips and falls Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationPersonal Protective Equipment PPE
Trainer notes for personal protection equipment (PPE) presentation Personal Protective Equipment PPE A short presentation on the principles of infection control in social care 1 P a g e Different types
More informationTRUST BOARD MEETING 5 February 2014
TRUST BOARD MEETING 5 February 2014 Title of the Paper: The Fundamentals of Nursing Care. Test Your Care Update. Agenda item: TB 113/14 Author: Executive Lead: Maxine McVey, Deputy Director of Nursing
More informationRoot Cause Analysis Investigation Tools. Concise RCA investigation report examples
Root Cause Analysis Investigation Tools Concise RCA investigation report examples www.npsa.nhs.uk/nrls Acute service example Mental health example Ambulance service example Primary care example Acute service
More informationPercutaneous Nephrostomy. Care of your Nephrostomy. Department of Urology
Percutaneous Nephrostomy Care of your Nephrostomy Department of Urology You may encounter some problems at home but these are usually easily overcome. Listed below are some questions patients commonly
More informationQuality Improvement Process Using Plan, Do, Study, Act (PDSA) Planning for Action
Quality Improvement Process Using Plan, Do, Study, Act (PDSA) Planning for Action Kathy Hybarger, RN, MSN Connie Steigmeyer, RN, MSN Betsy Lee, RN, MSPH Linda Woolley, RN, MSM Quality Improvement is not
More informationRemoval of Haemorrhoids (Haemorrhoidectomy) Information for patients
Removal of Haemorrhoids (Haemorrhoidectomy) Information for patients What are Haemorrhoids? Haemorrhoids (piles) are enlarged blood vessels around the anus (back passage). There are two types of haemorrhoids:
More informationBed Cleaning Procedure
This is an official Northern Trust policy and should not be edited in any way Bed Cleaning Procedure Reference Number: NHSCT/10/308 Target audience: Nursing and Midwifery Staff Sources of advice in relation
More informationThe Role of The Consultant, The Doctor and The Nurse. Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director
The Role of The Consultant, The Doctor and The Nurse. Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director Objective To provide an overview of your role as a junior
More informationAnnexe A. Senior Charge Nurse/Team Leader. Performance Objectives
Annexe A Senior Charge Nurse/Team Leader Performance Objectives 2008 1 Performance Objectives 1. Therapeutic Relationships Performance Objective: The Senior Charge Nurse/Team Leader will provide evidence
More informationRESTORATIVE. Yvonne Russell RN Long Term Care Nursing Coalition of Mississippi-1 st Teleconference Restorative Nursing
RESTORATIVE Yvonne Russell RN Long Term Care Nursing Coalition of Mississippi-1 st Teleconference Restorative Nursing OVERVIEW Restorative Nursing is not a new concept Techniques have been taught in nursing
More informationDescribe the deviation and the cause
St. Cloud Hospital Attachment D Root Cause Analysis (RCA) Worksheet Adapted from a template utilized by Good Samaritan Hospital, Dayton, Ohio RCA #: Date of the Event: Day of the Week Time Was a Critical
More informationCDDFT - Health Call INR Monitoring Service. Health Call INR Monitoring Service. Patient Training
Health Call INR Monitoring Service Patient Training Training - Day One CDDFT - Health Call INR Monitoring Service Familiarisation of the CoaguChek XS machine and cleaning Meter Set up CoaguChek XS Test
More informationNHS. Percutaneous endoscopic colostomy. National Institute for Health and Clinical Excellence. Issue date: March 2006
NHS National Institute for Health and Clinical Excellence Issue date: March 2006 Percutaneous endoscopic colostomy Understanding NICE guidance information for people considering the procedure, and for
More informationNATIONAL STROKE NURSING FORUM NURSE STAFFING OF STROKE SERVICES POSITION STATEMENT FOR NATIONAL STROKE STRATEGY
NATIONAL STROKE NURSING FORUM NURSE STAFFING OF STROKE SERVICES POSITION STATEMENT FOR NATIONAL STROKE STRATEGY Preamble The National Stroke Nursing Forum is pleased to be able to contribute to the development
More informationEffective Use of Your Wound Care Nurse Setting Up and Implementing a Wound Care Program
This transcript is intended to provide webinar content in an alternate format to aid accessibility. We apologize for any inaudible or unclear content as a result of audio quality. Effective Use of Your
More informationCommunity home-based prevention of disability due to lymphatic filariasis
Community home-based prevention of disability due to lymphatic filariasis World Health Organization Geneva WHO/CDS/CPE/CEE/2003.35 Part 3 Figure 1 Wash your leg, or other part of the body affected by lymphoedema,
More informationManaging your bladder with a suprapubic catheter at home
Managing your bladder with a suprapubic catheter at home Gateshead Primary Care Trust South Tyneside Primary Care Trust Sunderland Teaching Primary Care Trust What is a suprapubic catheter? A suprapubic
More informationAseptic Technique Policy and Procedure
Aseptic Technique Policy and Procedure Authorising Officer Tom Cahill, Deputy Chief Executive Signature of Authorising Officer: Version: V2 Ratified By: Risk Management and Patient Safety Group Date Ratified:
More informationElectric profiling beds
Electric profiling beds in health care The wrong bed will waste scarce human resources and put them at risk Rabbi Julia Neuberger, former CE,The King s Fund. 1 A bed is the one piece of equipment nearly
More informationEnhanced recovery programme (ERP) for patients undergoing bowel surgery
Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare
More informationAids and Appliances for Urinary Incontinence
Aids and Appliances for Urinary Incontinence Alison Stubbs, RGN, Clinical Specialist for WyMedical Ltd Tel. 01404 44088 e-mail: alison.stubbs@wymedical.com Abstract Functional incontinence, where toileting
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 informationURN: Part B - Comfort Care Chart To be completed by attending Nursing and Care Staff A new chart is to be commenced daily
M F I The Brisbane South Palliative Care Collaborative (BSPCC) RAC EoLCP was developed as part of a project funded by the Department of Health and Ageing. The RAC EoLCP is adapted from the Liverpool Care
More informationDeputy Sister/Charge Nurse. Staff Nurse. Nursing Assistant
JOB DESCRIPTION Job Title: Nursing Assistant Job Reference No. 2622 Department: Band: 3 Location/Base: Adult Mental Health, Inpatient Units Hours: 37.5 JOB SUMMARY The staff nurse role is designed to meet
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 informationEVIDENCING CARE: IMPROVING RECORD KEEPING PRACTICE A GUIDE ON CARE PLANNING SECTION 2
EVIDENCING CARE: IMPROVING RECORD KEEPING PRACTICE A GUIDE ON CARE PLANNING SECTION 2 Acknowledgements Northern Ireland Practice and Education Council (NIPEC) would like to thank all the nursing and midwifery
More informationIndividualized Care Plans Fully Developed
Appendix Individualized Care Plans Fully Developed A Refer to Chapter 1 The Nursing Process: A Synopsis, p. 32: Two Individualized Care Plans Fully Developed; Care Plan 1 for Mr. John Walters, Care Plan
More informationInformation for patients who require Foam Sclerotherapy for Varicose Veins
Information for patients who require Foam Sclerotherapy for Varicose Veins Why do I need treatment for varicose veins? Deep veins Everybody has 2 sets of veins in their legs. These are called the superficial
More informationPolicy Document Control Page. Title: Protocol for Mental Health Inpatient Service Users who require care in the Pennine Acute Hospital
Policy Document Control Page Title: Protocol for Mental Health Inpatient Service Users who require care in the Pennine Acute Hospital Version: 5 Reference Number: CL25 Supersedes Supersedes: Protocol for
More informationThe third report from the Patient Safety Observatory. Slips, trips and falls in hospital PSO/3 SUMMARY
The third report from the Patient Safety Observatory Slips, trips and falls in hospital PSO/3 Patient falls have both human and financial costs. For individual patients, the consequences can range from
More informationA pilot study examining nutrition and cancer patients: factors influencing oncology patients receiving nutrition in an acute cancer unit.
A pilot study examining nutrition and cancer patients: factors influencing oncology patients receiving nutrition in an acute cancer unit. WARNOCK, C., TOD, A., KIRSHBAUM, M., POWELL, C. and SHARMAN, D.
More informationRISK ASSESSMENT FOR THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTION (HCAI) GUIDANCE
RISK ASSESSMENT FOR THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTION (HCAI) GUIDANCE First Issued by/date Wirral PCT 10/2008 Issue Version Purpose of Issue/Description of Change Planned Review
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 informationInsights into Quality Improvement. Key Observations 2014-15 Quality Improvement Plans Long-Term Care Homes
Insights into Quality Improvement Key Observations 2014-15 Quality Improvement Plans Long-Term Care Homes Introduction Ontario has now had close to four years of experience with Quality Improvement Plans
More informationThese competences are designed to reflect what you are doing in your current practice and to help you identify any learning needs you may have.
DIABETES COMPETENCES FOR COMMUNITY NURSES This document has been developed in conjunction with the Diabetes Link Nurses and Diabetes Nurse Specialists working in, and for, Lothian Health Board. These competences
More informationPROTOCOL FOR ASSESSMENT AND MANAGEMENT OF PATIENTS REQUIRING HARD CERVICAL COLLARS DUE TO UNSTABLE CERVICAL SPINE / OR AT RISK OF
PROTOCOL FOR ASSESSMENT AND MANAGEMENT OF PATIENTS REQUIRING HARD CERVICAL COLLARS DUE TO UNSTABLE CERVICAL SPINE / OR AT RISK OF THE CHRISTIE, GREATER MANCHESTER & CHESHIRE Procedure Reference: Document
More informationBoard of Directors. 28 January 2015
Executive Summary Purpose: Board of Directors 28 January 2015 Briefing on the requirements for the Trust to comply with Hard Truths Commitments Regarding the Publishing of Staffing Data Director of Nursing
More informationExcision or Open Biopsy of a Breast Lump Your Operation Explained
Excision or Open Biopsy of a Breast Lump Your Operation Explained Patient Information Introduction This leaflet tells you about the procedure known as excision or open biopsy of a breast lump. It explains
More informationFrequently Asked Questions: REDEFINE ACUTE CARE Skincare for Expression Lines
Frequently Asked Questions: REDEFINE ACUTE CARE Skincare for Expression Lines 1. How does REDEFINE ACUTE CARE work? REDEFINE ACUTE CARE quickly and comfortably smoothes targeted lines and wrinkles using
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Sunrise Operations of Westbourne 16-18 Poole Road, Westbourne,
More informationFeaturing Blue Seal TM HANDLING WITH CARE. Safe Patient Handling Transfer and Turning
R Featuring Blue Seal TM HANDLING WITH CARE Safe Patient Handling Transfer and Turning HANDLING WITH CARE Featuring Blue Seal TM At last a One Way Slide that really works! Blue Seal TM All SlideAssist
More informationPolicy & Procedure. Safe Patient Handling (No Lift Policy)
Effective date signifies approval of this MHS policy by the Performance Improvement Leadership Oversight Team (PILOT) (see minutes). Policy. Policy & Procedure Safe Patient Handling ( Lift Policy) Effective
More informationDental public health intelligence programme North West oral health survey of services for dependant older people, 2012 to 2013
Dental public health intelligence programme rth West oral health survey of services for dependant older people, 2012 to 2013 Report 2: adult residential care, nursing homes and hospices About Public Health
More informationAcute services with overnight beds Rehabilitation services Date of Publication: October 2012
Review of compliance East Sussex Healthcare NHS Trust Irvine Unit Bexhill Hospital Region: Location address: Type of service: South East Holliers Hill Bexhill-on-Sea East Sussex TN40 2DZ Acute services
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 informationa patient s guide Physiotherapy advice and exercises from four weeks after neck dissection surgery
Physiotherapy advice and exercises from four weeks after neck dissection surgery Patient Information Series PI 47 East and North Hertfordshire NHS Trust 2 This leaflet has been produced by professionals,
More informationMove and position individuals in accordance with their plan of care
Move and position individuals in accordance with their plan of care Page 1 of 21 Level 2 Diploma in Health and Social Care Unit HSC 2028 Tutor Name: Akua Quao Thursday 12 th September 2013 Release Date:
More informationDeborah L. Downey MN, CNRN, ANP-BC Heidi Maloni, PhD, ANP-BC Cassandra Miller-Hardwick, MSN, RN, CRRN
Deborah L. Downey MN, CNRN, ANP-BC Heidi Maloni, PhD, ANP-BC Cassandra Miller-Hardwick, MSN, RN, CRRN Disclosures Deborah Downey Has no financial interest or relationships to disclose Heidi Maloni Has
More informationStatus: Standard Procedure: specifies the procedures to be followed, only in exceptional circumstances should these not be followed
Page 1 of 6 Status: Standard Procedure: specifies the procedures to be followed, only in exceptional circumstances should these not be followed Title: Standard Procedure for the Irrigating (flushing) of
More informationThe Role of the MDT Coordinator. Laura Throssell
The Role of the MDT Coordinator Laura Throssell NHS Cancer Plan (2000) the care of all patients with cancer should be formally reviewed by a specialist team. all patients have the benefit of the range
More informationPROJECT DUE: Name: Date: Water Filtration Portfolio Eligible Project
Name: Date: Water Filtration Portfolio Eligible Project PROJECT DUE: Now that you have explored the process of water filtration you are going to use your expertise to individually design and build your
More informationRGN JOY LAUDE WATFORD GENERAL HOSPITAL, ENGLAND
RGN JOY LAUDE WATFORD GENERAL HOSPITAL, ENGLAND Monitor patient on the ward to detect trends in vital signs and to manage accordingly To recognise deteriorating trends and request relevant medical/out
More information