249 - Implementing a Perioperative Pressure Injury Prevention Bundle
Clinical Issue: Pressure Injuries developed during surgical procedures are detrimental to the health of the surgical patient. Extrinsic and Intrinsic factors can affect the development of pressure injuries during surgery. The majority of the patient population at the Richmond VA Medical Center are older adults suffering from multiple comorbidities placing them at a higher risk for the development of pressure injuries. Currently there is not an effective method of determining high risk individuals and standards of practice for the prevention of pressure injuries in these individuals. Description of team: A pressure injury prevention team was created which included operating room nurses, pre-operative nurses, recovery nurses, and anesthesia. Preparation and Planning: Through data research it was noted that there have been incidences of the development of pressure injuries in the perioperative environment. The creation of preventative measure is necessary to prevent these incidences.
Assessment: Current clinical practices are not effective in the prevention of pressure injuries. The creation of a bundle allows for improved nursing assessment and documentation leading to a decrease in the incidence of pressure injuries.Implementation:The creation of a perioperative bundle including the use of the Scott Triggers assessment tool for determining high risk in the perioperative phase, interventions to decrease risk of pressure injury development in the operating room, and vigilant skin assessment during recovery period and after if the patient has been admitted to the hospital. Education of nurses in the prevention of pressure injuries throughout the perioperative environment. Outcome:A reduction in the incidence of pressure injuries acquired in the perioperative setting at the Richmond VAMC. Working towards the goal of zero pressure injuries on surgical patients in 2019.Implications for Perioperative Nursing:Improved staff education and documentation on the prevention of perioperative pressure injuries. Understanding of the risk factors which place the patient at high risk for the development of pressure injuries. Reduction in the occurrence of pressure injuries in surgical patients.