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NCD Pacing Event: Pressure Injuries

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Thursday, September 19, 2019, 10:00 a.m. to 11:00 a.m. PT.

This HIIN and hospital Pacing Event will revisit the HIIN Program’s ongoing need to address pressure injuries. Joyce Black, PhD, RN, CWCN, FAAN, University of Nebraska Medical Center, will review the important role of conducting root cause analysis (RCA) to identify and address gaps. In addition, the session will explore work at Natchitoches Regional Medical Center to address its identified gap: a lack of focus on nutrition in wound care. The hospital’s champion for this work, Frank Aviles, Jr., PT, CWS, FACCWS, CLT, will discuss the identified need, the steps taken to address it, the outcomes achieved, and observed keys to success.

Summary from 9/19 Pacing Event: “Revisiting Pressure Injuries:  Knowing Your Root Causes and A Look at the Impact of Nutrition on Outcomes”

Within the HIIN Program, successful efforts to address pressure injuries have focused on the ongoing review and analysis of root causes and data, and the development of targeted interventions to address identified gaps. Following this process, hospitals are identifying various causes and patient populations contributing to their pressure injury rates. Although each facility will identity its own unique contributors, common themes in opportunities exist.

This Pacing Event reviewed the important role of conducting RCA to continuously identify gaps in pressure injury efforts, as well as the appropriate steps involved to ensure the RCA is effective in the work to drive change. Further, the session explored one hospital’s work to address its identified gap: a lack of focus on nutrition in wound care. The hospital’s champion for this work discussed the identified need, the steps taken to address it, the outcomes achieved, and observed keys to success.

The guest presenters for this event were:

Joyce M. Black, PhD, RN, CWCN, FAAN, Associate Professor in the College of Nursing at the University of Nebraska Medical Center, and a member of the Board of Directors for the National Pressure Ulcer Advisory Panel (NPUAP), who reviewed best practices in conducting RCAs to drive pressure injury improvement efforts; key practices around skin assessment, including those for darkly-pigmented skin; and considerations around the roles of nursing staff in identifying, staging, and treating pressure injuries.

Frank Aviles Jr., PT, CWS, FACCWS, CLT, Wound Care Service Line Director, Natchitoches Regional Medical Center (NRMC; HRET HIIN), who discussed how he leveraged his successes at championing efforts to improve wound care in other hospitals to impact NRMC’s outcomes, such as pressure injury rates and length of stay, through a focus on nutrition. In addition, Mr. Aviles shared with the audience:
a diabetic foot ulcer assessment flowchart he developed for his organization’s use.

A recommended article that discusses the characteristics recommended for the identification and documentation of adult malnutrition.

The session was moderated by Bruce Spurlock, MD (NCD).

Audience/State: