New practices help prevent pressure injuries
Over the past couple years Asante’s pressure injury work group has been developing strategies to lower Asante’s pressure injury rates.
Much of this work — including more robust education — is the result of your feedback from surveys. In fact, after posting ALEC training modules we saw an improvement in pressure injury prevention.
We’ve also made the following improvements:
- Chair cushions now available in MedSurg and Critical Care clean utility rooms for easier access.
- Admission order sets now include a prechecked item for nonsurgical skin and wound care protocol (adult).
- The Pressure Injury Prevention/Interventions, Guidelines, and Documentation; Braden Scale policy has been updated.
- Asante-wide education initiative was rolled out through assignment of ALEC modules, annual skills days and new-hire onboarding.
- The group created a pressure injury dashboard, investigation tool and rounding tool for leaders.
Hospital-acquired pressure injuries (HAPIs) should be reported in Midas+, our incident reporting system, to ensure events are reviewed and opportunities for improvement identified. Pressure injury data and trends continue to be reviewed monthly at the system-level health-care-acquired conditions and Patient Safety Council meetings with a focus on reducing pressure injury rates.
We’re finalizing the nurse-driven therapeutic support surface protocol, which will ease bedside staff’s ability to order specialty beds.
Pressure injury will be a continuing Clinical Elements topic in 2023. For nurses, the education topics will focus on staging. CNAs and techs will learn about offloading and repositioning. Education also is offered for non-nursing roles.
Clean utility rooms will have quick references to help guide selection of pressure injury dressing and preventive skin care products.
If you have a question, please contact the author or relevant department directly.