The evolution of wound, ostomy and continence care in the 21st century was the focus of the second annual wound and vascular symposium sponsored by the Department of Nursing, School of Continuing Education for Nurses of NewYork-Presbyterian, The University Hospital of Columbia and Cornell, in collaboration with the NYP Wound Ostomy and Continence program, held March 21 at the Hilton Pearl River (N.Y.).
“Pressure ulcers are not just a nursing problem, but a multidisplinary problem, and the critical element is to prevent and treat the cause,” Elizabeth A. Ayello, RN, PhD, ACNS-BC, CWON, MAPWCA, FAAN, and wound, ostomy and continence care international guru and a conference keynote speaker, said to more than 300 conference attendees. “We have many clinical practice guidelines available in the U.S., but we now have to get everyone to use them in their practice,” Ayello said, who also is senior adviser to the John A. Hartford Institute for Geriatric Nursing in New York City.
Over the past five years Ayello, who also works as faculty at Excelsior College of Nursing in Albany, N.Y., has worked with the New Jersey Hospital Association in creating and implementing the NJHA pressure ulcer collaborative. One of its goals was to achieve 95% compliance with the pressure ulcer prevention bundle, which includes skin and risk assessment on admission, reassessment of skin and pressure ulcer risk and prevention strategies implemented within 24 hours. “We recognized that a pressure ulcer bundle helps staff to remember important care steps within a specific time frame. Accountability and focus are the power of any bundle,” Ayello said.Joshua Deal, RN, staff nurse on the burn unit at NewYork-Presbyterian, enjoys one of the 28 evidence-based posters presented by nursing staff at the conference.
Ten advanced practice nurses in wound, ostomy and continence care presented on 21st century practice topics, such as innovative pouching techniques for pediatric patients, the role of the nurse in hyperbaric medicine, peristomal complications and treating wound-related pain. Attendees came from NewYork-Presbyterian Hospital; Peconic Bay Medical Center, Riverhead, N.Y.; Columbia University School of Nursing, New York City; Robert Wesleyan College, Rochester, N.Y.; and the National Center for Nursing Quality at the American Nurses Association.
Another keynote speaker Mikel Gray, RN, PhD, FNP-BC, PNP, CUNP-BC, CCCN, FAANP, FAAN, professor and nurse practitioner of the Department of Urology and School of Nursing at the University of Virginia in Charlottesville, presented a bladder health perspective in the promotion and management of continence. Healthy bladder habits include consumption of adequate fluids; avoidance of bladder irritants; development of regular voiding habits; prevention or management of constipation; weight control; smoking cessation; and incorporation of pelvic floor muscle exercises, said Gray, an expert in evidence-based practice in continence nursing. After explaining methods of teaching patients how to perform Kegel exercises, he said, “Every nurse in this room needs to not only educate patients and their families about every aspect of proper bladder care but also to practice those measures themselves.”
Special awards for exemplary advancement and leadership in wound, ostomy and continence care were presented to keynote speakers Ayello and Gray and to conference coordinator Denise Robinson, RN, MPH, CHWOCN, orthopedics patient care director and wound ostomy care program manager, NYP.
Georgia Persky, RN, MBA, DNSc, vice president, patient care services, Milstein campus, received the outstanding executive leadership award, and Vinni Schek, RN, MPH, director of nursing, med/surg division, Milstein campus, received the leadership and service excellence award. Bernadette Melido, RN, BSN, CWOCN, wound ostomy care consultant, NYP/Milstein; Clara Collins, RN-BC, MA, CWOCN, NYP/Morgan Stanley Children’s Hospital; and Beatrice Forlizzi, RN-BC, BSN, CWOCN, NYP/Weill Cornell Medical Center, were recognized for nursing excellence in wound, ostomy and continence care.