Working Together to Achieve Excellence in Wound Management.
-
Upload
esmond-jayson-dean -
Category
Documents
-
view
219 -
download
3
Transcript of Working Together to Achieve Excellence in Wound Management.
![Page 1: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/1.jpg)
Working Together to Achieve Excellence in Wound Management
![Page 2: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/2.jpg)
Cedarvale Terrace 218 bed Long Term Care Home nestled in the heart of Forest Hill
Managed by Responsive Health Management Inc.
Certified with the Kashruth Council of Canada
Interdisciplinary approach to all aspects of resident care
![Page 3: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/3.jpg)
Pressure ulcers are…• Painful for the resident
• Can result in depression
• Time consuming to care for
• Costly
![Page 4: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/4.jpg)
What is WoundRounds?
![Page 5: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/5.jpg)
Why did we choose WoundRounds?
• Innovative system that provides the ability to conduct thorough and accurate wound assessments at the bedside
• The system provides multiple reports to monitor trends and analyze healing of wounds using PUSH scores
• User friendly program
![Page 6: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/6.jpg)
Implementation of WoundRounds
• 3 day on-site training session for Registered staff oConsent obtained for photographyoClassroom sessionoSupervised bedside assessmentsoTrain the trainer model with follow up training materials left on
site
•Comprehensive training of Report generation and utilization to Registered and Administrative staff
•Reports provided valuable information at the Home and corporate level
![Page 7: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/7.jpg)
How Cedarvale Terrace uses WoundRounds
• Individual assessments are completed weekly by nursing and uploaded into the resident’s medical record
• Weekly reports are reviewed at the unit level to review wound status and highlight areas for improvement
• Reports reviewed at various levels within the Home and organization
• Interdisciplinary Skin and Wound Assessment and Treatment team (S.W.A.T.) was implemented
![Page 8: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/8.jpg)
Benefits of WoundRounds• Real time photographs of all wound types• Standardized comprehensive wound assessment format• Report capabilities include:
o Drill down reportso Wound activity& exception reportso Corporate wound reporto PUSH score trending
• Online WoundRounds University • Opportunities for education • Support Team available (via phone or email)
![Page 9: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/9.jpg)
Our CIHI statistics Indicator Category Indicator
2012 Q3
2012 Q4
2013 Q1
2013 Q2
2013 Q3
Ontario 2013 Q3
Safety Has a stage 2 to 4 pressure ulcer 8.20% 8.60% 8.00% 8.70% 7.50% 6.50%
Safety Worsened stage 2 to 4 pressure ulcer 2.80% 2.90% 2.90% 3.80% 3.00% 2.90%
Safety Has a new stage 2 to 4 pressure ulcer 2.20% 2.50% 2.30% 3.00% 2.20% 2.60%
![Page 10: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/10.jpg)
Displayed by Percentage of Wounds
Displayed by Numbers
Drill down August 01, 2013 - May 29, 2014
![Page 11: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/11.jpg)
498 total number impaired skin integrity (Pressure, vascular, skin tears, surgical, etc. )
◦ Healing rate of 73%
Drill down August 01, 2013 - May 29, 2014
![Page 12: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/12.jpg)
PUSH score• Pressure Ulcer Scale of Healing (PUSH score)
o Ranges from 0-17o Includes several variables (Length X Width, Exudate
amount, Tissue Type :slough, necrotic tissue)o Monitors healing over time
• Of the 498 sites of all impaired skin integrity from August 2013 – present only 3% showed worsening PUSH scores
![Page 13: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/13.jpg)
Pressure Ulcer Reports
![Page 14: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/14.jpg)
Disclaimer
Sample wound assessment ahead…
![Page 15: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/15.jpg)
Wound Assessment
![Page 16: Working Together to Achieve Excellence in Wound Management.](https://reader036.fdocuments.us/reader036/viewer/2022062421/56649cda5503460f949a4d50/html5/thumbnails/16.jpg)
Staff Testimonials