228 - Reducing Injuries in Orthopedic Hip Surgeries
The purpose of this project is to reduce the number of operating room injuries acquired while using the peg board positioner during orthopedic hip surgeries.
Description of the team
Our OR Prevention Team includes inpatient and outpatient operating room staff, the Wound Care Manager, Operating Room Management, Quality Management, and Clinical Education Staff. We meet monthly to evaluate operating room pressure injuries and to improve practice and patient outcomes.
Preparation and Planning
A internet search was done exploring possible improvements available to the peg board positioner, along with contacting other orthopedic hospitals using the pegboard.
The team decided to test the gel pads available from the manufacture coving the entire peg. 15 orthopedic hip patients were included with in a trial with the pegs of the peg board being completely covered along with a bottom gel covering the board itself. The peg gel failed to allow the pegs to stay seated in the peg board platform. No problems were found with gel covering the board. The team decided to test a second gel that only provides gel to the patients side of the peg allowing for a tighter fit around the peg. There were no difficulties placing the gel covered pegs into the peg board or having the pegs slip out of the pegboard during procedures. No other complications were noted.
Skin assessments are performed on all patients every shift during a patients hospital stay.
A lead scrub tech was chosen to oversee the availability of the equipment for all hip cases. All staff working with the pegboard attended an in-service instructing them about the use of the gels over the pegs.
Effective to date, all procedures requiring the use of the pegboard are to have the pegs covered with gel. Since implementing the gel covered pegs to the pegboard there have been zero patient injuries identified in the orthopedic hip population requiring the use of the peg board.
Implications for Preoperative Nursing
The results provide a positive relationship between implementing gel covered pegs on the orthopedic pegboard and decreasing the number of patient injuries during hip procedures requiring the use of the pegboard during surgery.