Pressure ulcer prevention
Kelli Baldwin, RN
Florence Holmes, RN
Sandra Keenan, RN
Kristin Maguire, RN
- To decrease the occurrence of ICU-acquired pressure ulcers by 30 percent
- To develop a structure and process for bedside nurses to describe the pressure ulcer (PU), as opposed to staging the ulcer
- To develop a comprehensive skin assessment form to capture existing pressure ulcers present on admission
- To identify devices causing pressure and replace them and/or reeducate clinicians
- Educated staff on and generated greater awareness of the importance of off-loading every two hours, proper pillow positioning and waffle boot positioning
- Tested new waffle boots with unsatisfactory outcomes; trials continue until a satisfactory product is identified
- Implemented use of an absorbent, atraumatic dressing on bridge of the nose for all patients with a biPap mask
- Decreased the number of pressure ulcers 50 percent
- These outcomes resulted in a savings of $129,540, with a projected annual fiscal impact of $518,160.
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.