| How to reduce hospital-acquired pressure ulcers on a neuroscience unit with a skin and wound assessment team. | |
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MedLine Citation:
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PMID: 23230519 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In 2008, the incidence of hospital acquired pressure ulcers (HAPUs) continued to increase on a neuroscience unit that included both neurosurgical and neurological patients in a 14-bed intensive care unit, and in a 18-bed floor unit. METHODS: To reduce HAPUs, several changes were instituted in 2008; (1) turning patients every 1-2 h/repositioning, (2) specialty beds, and (3) a "skin and wound assessment team (SWAT)" that included one (or two) "expert" nurses/nursing assistants who made rounds on all the patients in the unit at least once a week. They would examine patients from "head to toe", document/measure all pressure ulcers, and educate primary nurses/nurse assistants on the plan/products needed for the patients wound care based on their assessments. In 2010, further measures included: (1) adding eight Stryker beds, (2) adding pressure relieving heel protector boots, and (3) requiring that all new hospital orientees work one shift (7.5 h) shadowing the SWAT team. RESULTS: The SWAT team initially decreased HAPUs by 48% in 2009; this reduction was further increased in 2010 (57%), and 2011 (61%). Additionally, in 2010, the SWAT team was required to educate nurses in all other units. By 2011, all nurses had to complete the hospital acquired pressure ulcer prevention tutorial. CONCLUSIONS: Since instituting a specialized SWAT team for our neuroscience unit, the incidence of HAPUs (cost estimated for grade IV, US $129,248) was decreased by 48% in 2009, by 57% in 2010, and by 61% in 2011. The SWAT program is now hospital-wide. |
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Authors:
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Janice McGuinness; Sherry Persaud-Roberts; Susan Marra; Jeannine Ramos; Diane Toscano; Linda Policastro; Nancy E Epstein |
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Publication Detail:
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Type: Journal Article Date: 2012-11-20 |
Journal Detail:
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Title: Surgical neurology international Volume: 3 ISSN: 2152-7806 ISO Abbreviation: Surg Neurol Int Publication Date: 2012 |
Date Detail:
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Created Date: 2012-12-11 Completed Date: 2012-12-12 Revised Date: 2013-04-03 |
Medline Journal Info:
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Nlm Unique ID: 101535836 Medline TA: Surg Neurol Int Country: India |
Other Details:
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Languages: eng Pagination: 138 Citation Subset: - |
Affiliation:
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Neuroscience Unit, Winthrop University Hospital, Mineola, NY, USA. |
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