Machine Associated Strain Ulcers Pre and Submit Identification and Intervention.
J Pediatr Nurs. 2018 Jan 31;:
Authors: Clay P, Cruz C, Ayotte Ok, Jones J, Fowler SB
PROBLEM: From 2014 to 2016, gadget associated strain accidents accounted for 62-81% of all hospital acquired strain accidents. From January to June 2014, there have been 5 BiPAP/CPAP strain accidents famous, accounting for three.579 accidents per 1000 ventilator days. In 2015, hospital knowledge revealed that 26.5% of all hospital acquired strain accidents occurred to susceptible surgical backbone sufferers.
METHODS: Collaborative groups together with respiratory therapists and working room employees had been convened and crafted new methods.
INTERVENTIONS: Adhesive foam dressings on affected person faces with BiPAP/CPAP masks and previous to orthopedic spinal surgical procedure had been used to forestall gadget and working room positioning strain accidents.
RESULTS: From July to December 2014 there have been zero BiPAP/CPAP strain accidents. After interventions in March of 2016 by way of the rest of 2016, zero strain accidents occurred when the adhesive foam dressings had been utilized to the potential strain damage areas pre-operatively.
CONCLUSIONS: We used actual time affected person knowledge to drive efforts and create a brand new tradition within the pediatric setting that honors crucial airway upkeep, operative room positioning, and preventative pores and skin safety.
PMID: 29397270 [PubMed – as supplied by publisher]