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Purpose of this project is to demonstrate and reinforce the important role that skin care champions play in a successful pressure ulcer prevention program.
Significance:
Penn Presbyterian Medical Center is a 300 bed teaching hospital with a full- time Wound,Ostomy,Continence Nurse. Skin care championa are an extension of the WOC nurse. The utilization of skin champions have been shown to improve outcomes of pressure ulcer programs (Cooper, Yoon, Blair, 2008).
Strategy and Implementation:
Using clinical evidence, and clinican expertise we arrived at the following role definition for the unit based skin champions:
1. participate in NDNQI point prevalence studies (after completing NDNQI modules and working with CWOCN)
2. Serve as a resource for staff on prevention of Pressure Ulcers and reinforce the Skin bundle protocols developed by the skin committee.
3. Increase staff awareness and conduct unit based education.
4. Review monthly prevalence data and develop action plans to address unit specific issues
5. Develop special projects to address the areas identified during root cause analysis of each HAPU.
The unit based skin champions receive the following training:
1. Attend 4 hour class taught by CWOCN
2. complete NDNQI PU modules
3. Shadow the WOCN for 4-8 hours
4. ongoing mentoring provided by WOCN and CNS'
This has resulted in many successful project that will be outlined on the poster.
Evaluation:
Hospital-acquired pressure ulcer prevalence monitoring on all in- patient nursing units in calendar year 2007 yielded a 5.4% baseline. Data collected post implementation of the skin champion module demonstrates a 67-77% reduction from baseline and this has been maintained for 4 years.
Implications for Practice:
Investment in growth and development of skin care champions decreases HAPU's, The results achieved can potentially be generalized to other organizations. At Penn Presbyterian it resulted in a 67-77% decrease in HAPU's.