The goal at Parkview Community Hospital Medical Center is to give the best quality patient-centered care—everything Parkview does is for the safety of the patient. When Annelise Bergmann started as the wound care consultant in August 2017, she was surprised to find statistics showing high levels of HAPIs. After learning of these statistics, she had three simple goals—work with staff members and leadership to build a trusting relationship, educate patient care staff members, and achieve a zero percent rate for HAPI.
Prior to Ms. Bergmann’s arrival, Parkview had been without a designated wound care nurse (WCN) for about a year. The nursing team at Parkview was receptive to her new approach and welcomed her feedback. The team began to view wound care as a part of the quality care that Parkview gives, not an extra task. Ms. Bergmann said she enjoyed the teamwork she had with the nursing staff, and she mentioned that she works to encourage them with email, notes, and shout-outs in newsletters.
One of the first things Ms. Bergmann implemented at Parkview was rolling out a wound care class for all staff members. This class was offered not only to registered nurses, but also to licensed vocational nurses (LVNs), certified nursing assistants (CNAs), and respiratory therapists. She believes it is important that the whole care team is involved in the wound care process.
Ms. Bergmann was also concerned that nursing staff members were staging non-pressure wounds incorrectly. After consulting with nursing and quality leadership, the decision was made that only medical doctors or WCNs were to classify and stage wounds. This helped standardize the process and reduced confusion.
High-risk patients with a Braden score of 16 or less are now seen by a WCN so he or she can assist in wound prevention. In addition, Parkview developed pressure reducing devices, created a no diaper standard (except for transfers), and improved turning schedules and skin care products.
Parkview started a monthly newsletter to help educate staff members on wounds and proper care. The newsletter became very popular and many departments became involved with the wound care, including the dietary team.
Parkview now performs biannual prevalence studies of all in-house patients admitted in less than 24-hours. This is accomplished by working with the wound care staffing department. Parkview target days where nurses may be cancelled or flexed home and use extra nurses to help complete the study. There are five teams of two or three nurses working on assessments with each patient. The quality department is instrumental in assisting with audit collection to complete wound care report. Parkview used the prevalence report as a scorecard to see how well current wound processes are working. Staff members are congratulated on good outcomes and asked to participate on problem areas. It has been amazing to get so many staff members sharing their ideas.
As a department of one full-time and one per diem WCN, Parkview relies on the entire organization to educate, encourage, and brainstorm creative ideas to encourage quality care for its patients, believing that it takes a whole village to ensure patients receive evidence-based quality care.
For more information, please contact Annelise Bergmann, BSN, PHN, WCC, Wound Care Consultant, Parkview Community Hospital, at 951.688.2211 ext. 3574 or firstname.lastname@example.org.
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