Eliminating Heel Pressure Ulcers
News and presentations from today’s conference chaired by Tina Chambers, Vice Chair of the Tissue Viability Society.
Reducing avoidable heel pressure ulcers through real time monitoring
Mark Collier Lead Nurse Consultant, Tissue Viability United Lincolnshire Hospitals NHS Foundation Trust
In an extended presentation looking a reducing heel pressure ulcers through education and real-time monitoring Mark made the following remarks;
“In many respects a lot of the stuff you hear today won’t necessarily be new, but it will hopefully put it into context and make it real so you can put it into practice.”
“Reducing avoidable heel pressure ulcers through education and active monitoring ...what we try to do is have a whole range of education, you're all involved in education, every single member of the team is an educator. It's really important we give people information that is relevant….
We do formal training sessions like everyone else, but as you can imagine, in a multi sited rural trust, formal things are very difficult, to get people to have time, to get a location everyone has access to….
It's getting more or more difficult to get away, to find the time, to get the funding.
We still offer five formal training days, but the reality is the numbers for that are going down all the time.”
“We can't be there 24 yours, a day,we can't be there all the time, but if a patient has a pressure ulcer on their heel, what are they not going to do? Walk around.”
“I developed an electronic tool called PUnT in 2003 when I moved to Liconlcnshire ... Pressure Ulcer Notification Tool ... I didn't want someone in IT to call me up and ask me what our incidents of pressure ulcers was and have to guess…It fits in all the clinical areas, so you can record it in A&E, outpatients anyway ever ... It allows us to transmit the patient record wherever they go. It means we can track a pressure ulcer wherever the patient goes.”
“Even in your own areas, when someone has to score, whichever tool you use, do just occasionally check it and ensure it is accurate and it really is reflective of that patients score.”
“Guidelines don't change practice, practice is changed by the people who read the guidelines and implement them.”
“Every single one of us wants to eliminate all avoidable pressure ulcers, the reality is, we don't know definitively what a causes pressure ulcers. There will be a percentage of pressure ulcers that will always be around.”
“Root cause analysis, shouldn't be punitive, it's there to be educational.”
Reducing Avoidable Heel Pressure Ulcers: through education and active 'on-going' monitoring
This presentation with briefly highlight some of the clinically based educational initiatives that have been employed across all sites of the United Lincolnshire Hospitals Trust (ULHT) to support the drive to minimise / eradicate the incidence of all avoidable hospital acquired heel pressure ulcers in the last five years. A couple of the main educational 'Pick and Mix' subject areas will be highlighted (for revision) - such as Anatomy of the Skin and Lower Limb Circulation and the Pathophysiology of Heel Pressure Ulcer Development - before the effects of the development of Pressure Ulcers are discussed, both for the NHS and on a patients Health Related Quality of Life (HRQoL).
Factors increasing a patient's risk of Pressure Ulcer Development will then be briefly highlighted before the Incidence / Prevalence and Mortality associated with the same is reintroduced.
Finally a unique electronic data gathering / monitoring tool will be introduced - the Pressure Ulcer Notification Tool (PUNT) and the positive effects of the introduction of the same since 2003 pan-trust, will be illustrated through a case study in which the effects of the introduction of a preventative Standard Operating Procedure (SOP) and specific preventative flowchart for Heel prevention were able to be monitored via PUNT and positively reported.
Tina Chambers followed with an update on the national campaign ‘stop the pressure’ crediting Susan Bowler previously at NHS England.
Tina Chambers PowerPoint presentation
Future events of interest:
Pressure Ulcers Summit
Wednesday 7 December, Manchester
5 October 2016