no needless skin breakdown tina chambers – project manager professor nigel davies - executive lead...

No Needless Skin Breakdown

Tina Chambers – Project ManagerProfessor Nigel Davies - Executive lead

No Needless Skin Breakdown

No Needless Skin Breakdown Work Stream

Vision

‘To eliminate needless skin breakdown amongst the population of South Central’

Caution

• This is not all our own work.

Aim• To increase reporting of all pressure ulcers

year on year• To reduce the % of grade 3 and 4 ulcers year

on year• To reduce the number of pressure ulcers

across the SHA by 30% by 2012

• To raise awareness of Prevention of leg ulceration services and encourage the spread of these.

• Development of an active network for sharing experience and agreeing consensus.

Actions undertaken and …

Raising the Profile• Protect your Birthday Suit Awareness campaign• Awareness week 26th September – 30th September• Information / workshop for Commissioners – re

CQUIN process, SUI process, Avoidable/unavoidable.

• Healthcare economies linking up to work together

http://www.nes.scot.nhs.uk/initiatives/healthcare-associated-infection/educational-programmes/tissue-viability---an-

overview/pressure-ulcers-workbook

Protect Your Birthday Suit

Awareness week 26th

September – 30th

September 2011

No Needless Skin Breakdown

No Needless Skin Breakdown

Protect Your Birthday Suit Awareness Week

No Needless Skin Breakdown

No Needless Skin Breakdown

No Needless Skin Breakdown

What have we achieved

• A Tissue Viability competency framework for Registered Nurses and Clinical Support Workers

.

We are currently working on:

• A brief Guide to differentiate between pressure ulcers and moisture lesion

• Education and training materials to implement the Texas Scoring System for the Diabetic Foot

Actions currently underway…

“Getting to Zero” – Safer Care Improvement Programme

• Series of learning events across SHA Safety Cross

4 eyed skin check

Safety Huddle

Visual reminder

intentional rounding / skin Bundle.

Alpha SitesCommunity Hospital, Acute Trusts, Nursing homes

Intentional Rounding – What is it?Structured process where frontline staff regularly

round on patients and reliably perform scheduled/required tasks

Rounding with purpose- linked to an aim8 key behaviors

1. Opening key words – managing up2. Perform scheduled tasks3. Address the 3 p’s of pain, potty? position (SKIN

Bundle)(toileting), and4. Assess comfort needs5. Environmental assessment6. Closing key words7. Explain when you or others will return8. Document the round on the log

• A pilot project to apply the rounding  methodology in the community patient in their own homes.

• A pilot project to develop a multi agency patient "Passport" for the prevention and management of pressure ulcers 

Issues and Concerns.

• We are struggling to do our day jobs• Pressure Ulcers very high profile• SHA /Commissioners - Misunderstandings

about grading of ulcer and the severity of ulcers.

• Issues in relation to skin failure• Avoidable Pressure ulcers• Safeguarding

Questions

• Thank you for listening

“Working together to get the job done”

[Bob the builder]

tina.chambers@nhs.net

www.patientsafetyfederation.nhs.uk