VIEWS: 58 PAGES: 1 CATEGORY: Healthcare Management POSTED ON: 12/1/2012
Abstract from Fountain Valley Regional Hospital poster presentation at the CALNOC National Conference in June 2011.
CALNOC Helped in Leading and Sustaining the Change for Prevention of Hospital Acquired Pressure Ulcers Amritpal Kamboj, RN, MSN/FNP-BC Fountain Valley Regional Hospital and Medical Center 17100 Euclid Street Fountain Valley, CA 92708 Amritpal.firstname.lastname@example.org Purpose Program and data review of Pressure Ulcer Prevalence studies performed using Collaborative Alliance for Nursing Outcomes (CALNOC) reports from third quarter of 2007 to first quarter of 2011 revealed pressure ulcer prevalence rate reduction from 17.3% to 3% and further decrease to less than 1% for the study conducted in the first quarter of 2011. CALNOC pressure ulcer prevalence studies has helped to guide the facility's current practices in a direction that focuses on preventative interventions and increased awareness of risk factors associated with pressure ulcer formation. Scope Fountain Valley Regional Hospital & Medical Center (FVRHMC), a 400 bed facility in the heart of Orange County, has been using CALNOC guidelines for pressure ulcer prevalence studies. CALNOC's development of a database with comparative, analytical, and research-based standards-of-care provide its participants an opportunity to compare themselves to the community standards, and same size facilities. This comparison has helped us to simplify our efforts as we journey toward a zero target for Hospital Acquired Pressure Ulcers (HAPU). Methods A prospective use of CALNOC high-quality data is done to determine the improvement needs in our facility's pressure ulcer prevention program, and helps to consistently evaluate our current systems and intervention practices. Data tested and designed by CALNOC also provides correlation and evaluation of nurse staffing, skill mix, hours of care, work load, and use of restraint and gives us opportunity to develop strategies to improve patient outcomes. Results FVRHMC lead and sustained a change in practice, by identifying an opportunity for growth in both the patient care service area and quality performance improvement. The data that has been obtained through consistent CALNOC pressure ulcer prevalence studies has helped to guide the facility's current practices in a direction that focuses on preventative interventions and increased awareness of risk factors associated with pressure ulcer formation. It provided opportunity for staff education and participation (using CALNOC educational modules). It helped us to motivate (by sharing the data and evidence based practices with them) the prevalence study participant, to be Champions for Wound Care on their units. Using the CALNOC data , Champion Model , and after careful review of numerous sources and pressure ulcer prevention protocols recommended by the National Pressure Ulcer Advisory Panel (NPUAP), the Institute for Healthcare Improvement (IHI), The Centers for Medicare and Medicaid (CMS), and the Wound, Ostomy, and Continence Nurses Society (WOCN society), we began our new wound care program in July 2009. Our facility promoted seven-day wound care nurse coverage, revision and institution of a new wound and skin care policy, and forged onward with a goal to decrease the rate of HAPUs. Current prevalence study rate of 1% and Zero HAPUs for last two months is evidence of this successful journey.
"CALNOC Helped in Leading and Sustaining the Change for Prevention of Hospital"