The Greater New York Nassau Suffolk Organization of Nurse Executives and Leaders kicked off its first fall networking and educational meeting Sept. 30 at the Phillips Ambulatory Care Center-Mount Sinai Beth Israel in Manhattan.
Sponsored by GNYNSONEL and Mount Sinai Beth Israel, the program included a best practice presentation by Martha Kent, MSN, RN, CPAN, NEA-BC, director of quality, periop services, NYU Langone Medical Center, on Excellence in Periop Services: A Journey of Driving Change by Translating Knowledge into Practice.
To increase awareness of perioperative risk for pressure ulcer formation, the NYULMC periop services and skin care committee put together a comprehensive educational program bound for success, Kent said.
The program worked because we obtained buy in from frontline staff, she said. We collaborated with them to ensure their understanding and ability to incorporate best practices into their workflow.
The program earned a 2014 best practice award from the New York Organization of New Executives and Leaders.
Education and engagement are key
The periop services and skin care committee created a poster presenting the five stages of developing a pressure ulcer prevention mindset in the OR, engaging the team in pressure ulcer assessment, prevention and treatment. It also included the use of the Braden Scale, which was incorporated into staff practice during the periop process. Using iDevelop, the hospitals online learning management system, staff was educated on skin care for the surgical patient related to positioning.
A key initiative, the wristband alert program identifies patients at high risk for developing pressure ulcers. Wristbands are placed on patients who are positioned in the OR for four hours or longer or if a pressure-related skin injury is detected.
Because of the initiative, a mechanism is now in place to promote coordination of care from the periop to the postop care units, Kent said. The team also evaluated and purchased OR support services and chose to apply Cavilon on patients foreheads and chins when they are in the prone position during surgery.
The committee organizes a yearly skin care competency fair to assist staff throughout the facility in identifying, preventing and treating pressure-related skin injuries.
A periop skin care integrity newsletter, available through the internal skin and wound care website, communicates issues, trends and skin care strategies.
The combination of these initiatives engages staff in risk assessment, staging, treatment and prevention of OR-related hospital-acquired pressure ulcers, said Kent. We dont hear staff saying: What are they talking about? Pressure ulcers happen on the floors, not in an OR.
The hospital-acquired pressure ulcer rate decreased from 2.2% in the third quarter of 2012 to 0.9% in the same quarter one year later.
Kent dedicated the best practice presentation to Philip Baldock, RN, former quality specialist for periop services, who died unexpectedly last summer.
Phils enthusiasm for quality was addicting, and he engaged everyone in ensuring that our patients had the best quality care, Kent said. He is missed by all, but we are carrying on his enthusiasm and dedication to quality care.
The Nov. 24 GNYNSONEL meeting will feature speaker Patrick R. Coonan, EdD, RN, NEA-BC, FACHE, dean and professor, Adelphi University College of Nursing and Public Health, who will discuss: Public Health, Nursing and Mental Health: Achieving the Triple Aim for the Improvement of Population Health.
Janice Petrella Lynch, MSN, RN, is nurse editor/nurse executive.