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This document details a research study conducted over a year to promote best practices in maintaining skin integrity in hospitals. The study focused on preventing skin breakdown through maintaining mobility, skin condition, diet and hydration, hygiene, and elimination. It also analyzed current policies and practices, conducted a quality improvement trial, and implemented best practices. The document emphasizes the importance of contextualized knowledge in documentation and the use of risk assessment tools.
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Leonie Gardiner RN Clinical Nurse Specialist Private Hospital 1
Sharron Lampshire RN Clinical Nurse Specialist Surgical 1
Ann Biggins RN AFAAQHC Quality/Risk Management Coordinator 1
**Anne McMurray *** AM RN PhD Peel Health Campus Chair in Nursing 2
Norah Noake RN Wound/Continence Specialist 1
Margaret van Zyl RN Executive Sponsor 1
Janice Vickery BScN Manger, Education and Development 1
Thomas Woodage RN Registered Nurse 1
Julie Lodge EN Clinical Practice Technician 2
Michele Edgar RN Registered Nurse 1
Organisations:
Roles: Project management: LG, MV, AB, SL, NN Research, writing: LG, AM, AB Audit and analysis: AB, NN, ME, TW, JL Staff development: JV
Chart audit data
Equipment trial
Chart audit findings
0.0%
70.0%
Percentage
Pressure Risk Assess Tool Subsequent Assessment Risks Identified
60.0% 50.0% 40.0% 30.0%
2006 2007 70.0% 43.9% 44.6%
50.4% 1.3% 16.5%
20.0% 10.0%
2006 2007
2006 2007
0.0%
70.0%
90.0% 80.0%
Percentage
60.0% 50.0% 40.0% 30.0% 20.0% 10.0%
2006 2007
Transparent filmdressings 17.6%85.6%
Heel Raisers Repositioning Specialistoverlays Specialisedmattresses 82.4%11.0% 23.7%20.3% 62.9%21.2% 28.6%0.8%
UNIQUE EXCEPTIONAL CLIENT OUTCOMES
Reliance Medical is a specialist wound care company. It is Australian owned and caters specifically for growing clinical and economical health needs in a broad range of disciplines across the health care sectors. All the Reliance Medical wound dressings are fully TGA approved, they are all CE marked, Latex free and supported by new clinical papers.
PO Box 2350 Chermside Centre QLD 4032
“People and Solutions you can rely on”
Assessment Complete head-to-toe on admission and daily afterwards for those at risk:
Planning
Interventions The care provider should:
balance, stability, support of feet and pressure reduction when positioning individuals in chairs or wheelchairs.
Organisation and policy
Support surfaces