no needless skin breakdown tina chambers – project manager professor nigel davies - executive lead...
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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]
www.patientsafetyfederation.nhs.uk