Face the Pressure: Reducing Device-Related Pressure Ulcers

Indiana University Health Methodist Hospital (Indianapolis, Indiana) - Adult Critical Care Unit

CSI Summary

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CSI Presentation

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Added to Collection

Project Topic

Preventing device-related pressure ulcers of the nose and mouth

CSI Participants

Jennifer Markowitz, RN, BSN, ATC, LAT
Holly Spurgeon, RN, BSN

Project Goals/Objectives

  1. To reduce the prevalence of device-related pressure ulcers caused by endotracheal tubes and nasogastric tubes among adult critical care patients
  2. To educate staff nurses and respiratory therapists regarding initiatives to protect patients' skin and improve outcomes
  3. To increase awareness hospital-wide about device-related pressure ulcers and potentially implement methods for pressure reduction on other units

Project Outcomes

  1. Reduced the number of device-related pressure ulcers 50 percent
  2. Introduced the nasogastric tube-taping method and endotracheal tube repositioning in other units
  3. These outcomes resulted in a projected annual fiscal impact of $129,540.

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The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.