Decreasing Hospital Acquired Pressure Injuries Through Photo Documentation

Update Item Information
Identifier 044_HAC-PI-IMRU_EBPF2017
Title Decreasing Hospital Acquired Pressure Injuries Through Photo Documentation
Creator Lynch, Nicole; D'Ausilio, Jamie
Subject Evidence-Based Practice; Pressure Ulcer; Inpatients; Rehabilitation Centers; Patient Compliance; Treatment Adherence and Compliance; Risk Adjustment; Photography; Documentation; Quality Improvement; Poster
Description Evidence shows that patients who are on ICU floors have several factors that also put them at high risk of developing PI's. In fact, they found that the "probability of developing a pressure injury for patients on ICU's was 1-5 (95% CI 1.2-1.7) times higher than it was for patients in wards." (Lahmann, Knottner, Dassen, Tannen, 2011, p.358) Because patients admitted to IMR have high risk factors and often come from ICU's, we decided, in corroboration with new CMS regulations, to have detailed photo documentation of skin upon admission and discharge for every patient. Our process heavily focuses on initial recognition of PI's upon admission to our unit and correctly identifying other wounds. Taking photo's of wounds/PI on admit allows for ready and immediate access for the whole team to see and therefore treat the wound effectively. We include a ruler in the photo for easier comparison of size and improvement of wounds. If there are PI's we utilize the app to take weekly photo's to easier visualize and compare the wounds. Also, it allows us to provide feedback to patients about how their wound looks initially and show them their progress overtime, which helps with compliance. It helps our patients be willing to turn and comply to interventions. For the population who are at a lifetime risk for PI's, this visualization helps them to see the consequences of noncompliance with preventative measures. The nursing staff have embraced this new process as they see it as something that has benefited our patient population.
Relation is Part of Evidence Based Practice Posters - 2017
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date Digital 2017
Date 2017
Type Text
Format application/pdf
Rights https://rightsstatements.org/page/InC/1.0/
Language eng
ARK ark:/87278/s6qr98kz
Setname ehsl_ebp
ID 1399413
Reference URL https://collections.lib.utah.edu/ark:/87278/s6qr98kz
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