QI Report of Project: Audio-Visual Presentation Paper

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QI Report of Project: Audio-Visual Presentation Paper

In this forum, your initial post will be made as a group (using the same group you self-selected and self-enrolled to earlier in the course). This means there should be one initial post/group. This discussion is an opportunity to share your final QI Report project as a whole and receive peer feedback.

Instructions:

This is a group assignment. You will develop a professional audio-visual presentation approximately 10-12 slides in length. The presentation should have bullets summarizing the sections of your QI Report of Project. Prepare the presentation as if you were presenting it at your agency and/or a professional conference. QI Report of Project: Audio-Visual Presentation Paper

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You should include the following:

  • Submit audio-visual presentation, including the following slides:
    • Title (1 slide)
    • Background of Problem (2 slides)
    • Analysis of Problem (3-4 slides)
    • Action Plan (3-4 slides)
    • List of References (1)

The presentation should be professional in nature; minimize or eliminate “filler” words (e.g., “uh,” “like,” “you know”), slang, and disorganized thoughts. Be sure you speak clearly and at an appropriate pace. Slide should contain plenty of white space and be readable to the audience.

Please clearly indicate using printed text (i.e., not audio) all group members’ names involved in this assignment.

title:  Hospital Acquired Pressure Ulcers (HAPU)

background of the problem(2 slides):  Over the years, hospital acquired pressure ulcers (HAPU) have been a major concern in hospitalized patients.“More than 2.5 million patients in the United States suffer from pressure ulcers in acute care facilities annually; sixty thousand of those patients die related to the complications of pressure ulcers” (Paul, Hanson, Hasenau & Dunn, 2013, p. 32).HAPU’s are more prevalent amongst patients with restricted/impaired mobility.Because patients are often very ill once admitted to an acute care setting, skin assessments and prevention measures are often delayed after admission.It is stated that “pressure ulcers contribute to extended length of hospital stay, infections, amputations, increased need for specialty consults, increased nursing time, and to the potential for hospital readmission” QI Report of Project: Audio-Visual Presentation Paper

Analysis of Problem (3-4 slides):  According to the case study, HAPU rates on Unit B have risen significantly over the past 6 months.There is one Wound and Skin Care Nurse (WSCN), servicing the entire facility Monday-Friday from 8a-5p.The WSCN visits patients based on a computer generated list of patients at risk for skin breakdown.A problem arises when patients that need to be seen do not populate onto the daily list.The WSCN provides all the treatments due to the fact that direct care nurses state that they are not familiar with how to care for the patient with skin breakdown unless the WSCN provides specific directions.Missed OpportunitiesFloor nurses don’t know the best available evidence for prevention of skin breakdown.Patients are only assessed once during the midnight shift.In order for patients to be seen by the WSCN they must appear on a computer-generated list.

Action Plan (3-4 slides):  Frequent position changes (at least every two hours)Avoid friction and shear when repositioning.

When repositioning, use proper technique.

Implement pressure relieving mattresses or surfaces.

Avoid turning patient on an area that is already reddened related to pressure.

For pressure ulcer prevention, do not rub or massage area.

Emollients can be used to hydrate the skin.

Barrier creams to protect skin from increased moisture.

Frequent skin assessments per protocol.

Nutritional risk assessments with interventions.

Additional protein supplements in additional to their regular diet

List of references: based on bibliography

Project 1: Hospital-acquired Pressure Ulcer

Our HAPU rates on Unit A have risen significantly over the past 6 months. We have a Wound and Skin Care Nurse (WSCN) who has training in wound care. This nurse does not have a Master’s degree or specialty certification in this area but does have a lot of experience. The Wound and Skin Care Nurse is scheduled to work from Monday through Friday, 8a-5p. The WSCN nurse visits every unit and asks about each of our patients. If we identify someone as having a red spot or a potential area of breakdown, we let her know during her rounds. QI Report of Project: Audio-Visual Presentation Paper

The WSCN visits patients daily if they are on a computer-generated list of patients at risk for skin breakdown. The list is created when a box is checked in the computerized charting skin assessment area that asks if the patient is on bed rest or is unable to move independently. If a ‘yes’ is checked then the patient’s name is automatically placed on the list. In addition, the computerized Braden Scale is added to the patient’s documentation. The WSCN downloads the list every morning. If someone is identified at risk during the day shift the WSCN does not know about it until the next day.

The WSCN spends a lot of time on our unit. We sometimes have a problem when a patient needs to be seen by the WSCN but do not appear on the list. The nurses do not see the list, only the WSCN nurse. Our current process is to perform the Braden Scale upon initial admission assessment, then once a day if the patient is noted to be at risk, usually during the midnight shifts. The information is entered into the electronic chart (documentation system). We can track the patients’ progress and see what treatments are given to the patient. For the most part, the WSCN does all the treatments unless we are given specific instructions about an individual patient. We are not aware of what evidence supports any of the treatments. Because we have a WSCN, the direct care nurses are not familiar with how to care for the patient with skin breakdown unless the WSCN provides specific directions. We need to know what the best practices are for caring for a patient with a HAPU, including nurse driven care versus what the WSCN does for the patient. QI Report of Project: Audio-Visual Presentation Paper

Annotated Bibliography

Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit. American

This book is instrumental in explaining the cost of pressure ulcers acquired in the hospitals and how such ulcers can be prevented in such acute settings of care. It enlightens the reader on how hospital-acquired pressure-based ulcers are being taken or considered as preventable. It gives measures through which HAPU prevention programs can be effective even when it is a year-long in adults who are in the intensive care unit. As such, the book is pivotal in explaining how HAPU can be reduced by 50 percent. In addition to this, the book further explains how people can be sensitized of the ways through which they can avoid HAPU in risk areas. It also gives some guidelines on how the staff can also be educated about the same and how they can be encouraged to be proactive in terms of how they can easily detect patients at risk. In general, the book will help me explain how nurses can take care of patients even when Wound and Skin Care Nurse is out.

Sussman, C., & Bates-Jensen, B. (2006). Wound care. Philadelphia: Lippincott Williams and Wilkins.

In this book, the author is giving a number of ways and programs that are important in ensuring that the incidences of HAPU are greatly reduced in the intensive care units in America. It is a practice manual that is meant to help nurses and other healthcare practitioners to decrease chances of increasing HAPU as it were. As such, this manual will help me explain the documentation of patients that are supposed to be attended to in the stipulated times throughout the day as opposed to the restricted times that WSCN visits patients. This will further help me explain how other nurses can participate in helping the victims of HAPU with or without WSCN.

Bader, D. L. (2005). Pressure ulcer research: Current and future perspectives. (Springer e-books.) Berlin: Springer.

This research has been done by a number of researchers, who are trying to shed light on the current situation of pressure ulcer and give the future perspective of the same. It elaborates on patients that could be at high risk for contracting pressure ulcers, with a number of evidences supporting their claims. It further explains ways in which pressure ulcers can be prevented as well as its treatment among many other issues that are related to pressure ulcer that are important for my intended work.

European Pressure Ulcer Advisory Panel,, National Pressure Ulcer Advisory Panel (U.S.),, & Pan Pacific Pressure Injury Alliance,. (2014). Prevention and treatment of pressure ulcers: Quick reference guide.

This book is key for HAPU research since it gives a summary of a number of recommendations that are important in ensuring that pressure ulcer is preventable and treatable. It is more comprehensive as far as clinical practice guideline in relation to pressure ulcer, is concerned. It contains a discussion and analysis that are detailed with evidence from several available evidences and research. It is a reference guide for professionals in the healthcare sector that are sometimes very busy, but require the guide to carry on with their duties that more often than not are related to HAPU. This reference is important for my study since it is going to help explain ways to treat and prevent pressure ulcers through its comprehensive recommendations on the same.

Joanna Briggs institute. (2016). Pressure area care. Retrieved from http://ovidsp.tx.ovid.com/sp3.19.0a/ovidweb.cgi?&S=GJJCFPJOKFDDGOPENCIKMCGCBHLNAA00&Complete Reference=S.sh.21|2|1#below-banner

The book is crucial in my work since it particularly deals with ways through which nurses can take good care of pressure areas. It gives a number of ways in which nurses can do this. As such, it is more important in my work because it will help explain ways in which nurses can take care of pressure ulcers whether WSCN is present or not.

References

Bader, D. L. (2005). Pressure ulcer research: Current and future perspectives. (Springer e-books.) Berlin: Springer.

European Pressure Ulcer Advisory Panel,, National Pressure Ulcer Advisory Panel (U.S.),, & Pan Pacific Pressure Injury Alliance,. (2014). Prevention and treatment of pressure ulcers: Quick reference guide.

Joanna Briggs institute. (2016). Pressure area care. Retrieved from http://ovidsp.tx.ovid.com/sp3.19.0a/ovidweb.cgi?&S=GJJCFPJOKFDDGOPENCIKMCGCBHLNAA00&Complete Reference=S.sh.21|2|1#below-banner

Sussman, C., & Bates-Jensen, B. (2006). Wound care. Philadelphia: Lippincott Williams and Wilkins.

Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit. American

QI Report of Project: Audio-Visual Presentation Paper