Patsy Cho, Emelie Exconde, Virginia Sulit, Gillian Brunier, Shirley Drayton, recipients of the CANNT 2011 poster Award (1st place).
Article Type: Brief article
Subject: Medical publishing (Achievements and awards)
Nurses (Achievements and awards)
Author: Cho, Patsy
Pub Date: 01/01/2012
Publication: Name: CANNT Journal Publisher: Canadian Association of Nephrology Nurses & Technologists Audience: Trade Format: Magazine/Journal Subject: Health care industry Copyright: COPYRIGHT 2012 Canadian Association of Nephrology Nurses & Technologists ISSN: 1498-5136
Issue: Date: Jan-March, 2012 Source Volume: 22 Source Issue: 1
Product: Product Code: 8043100 Nurses NAICS Code: 621399 Offices of All Other Miscellaneous Health Practitioners
Persons: Named Person: Cho, Patsy
Geographic: Geographic Scope: Canada Geographic Code: 1CANA Canada
Accession Number: 283970457
Full Text: On behalf of myself, the project team, and the nursing staff of the In-Patient Nephrology Unit at Sunnybrook Health Sciences Centre, I would like to extend our appreciation and thanks for awarding our poster, "Redesigning peritoneal dialysis (PD) exit-site classification" first place at CANNT 2011. The impetus for redesigning Twardowski's exit-site classification arose from a goal to improve documentation of PD exit sites. A previous attempt to implement Twardowski's exit-site classification system on our unit was unsuccessful because it was perceived by nurses to be a time-consuming classification exercise that would be mentally cumbersome and too complicated to fit into everyday nursing practice. The idea to develop a risk assessment tool to monitor PD exit sites for infection risk came from the skin assessment tool used throughout our hospital to monitor pressure ulcer risk.


We created a template by rearranging five of Twardowski's external attributes (redness, crust, swelling, pain, discharge) into a five-parameter checklist, and condensed Twardowski's six-level risk scale to a three-level scale. This condensed checklist format enabled nurses to appreciate that exit-site classification was not a cumbersome task, but a meaningful process that enhances a PD nurse's assessment skills.

The success of this redesign project hinges on the passion, commitment and creativity of the nurses involved in this project. It is an honour to have won first place and a privilege to have led the development of an innovative tool that we believe can provide value for PD nurses everywhere. It is especially rewarding to know that the fruits of our labour are recognized and appreciated nationally and within the renal community.

By Patsy Cho, RN, MScN, Advanced Practice Nurse, In-Patient Nephrology, Sunnybrook Health Sciences Centre, North York, ON
Gale Copyright: Copyright 2012 Gale, Cengage Learning. All rights reserved.