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CALNOC Helped in Leading and Sustaining the Change for Prevention of Hospital

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					    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.kamboj@tenethealth.com

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.

				
DOCUMENT INFO
Description: Abstract from Fountain Valley Regional Hospital poster presentation at the CALNOC National Conference in June 2011.