IDOH Pressure Ulcer Toolkit

The Indiana Pressure Ulcer Initiative began in June 2008. As part of the Initiative, participants were provided with resources and tools to assist in improving their pressure ulcer prevention system. The following are resources and tools provided to participants as part of the Indiana Pressure Ulcer Initiative.

Definitions

• Terms and Definitions Related to Support Surfaces [Source:  National Pressure Ulcer Advisory Panel, 2007]

Assessment

Assessments

• Blank Care Plan Template
• Braden Scale and Comprehensive Evaluation of Skin Risk Factors: Policy and Procedure
• Braden Scale Form [Reprinted with permission from Barbara Braden and Nancy Bergstrom; see http://www.bradenscale.com/]
• Comprehensive Evaluation of Skin Risk Factors [from Pathway Health Services]
• Nursing Assistant Communication Checklist

Classification of Ulcer Type

• Classification of Pressure Ulcer (color version) [Source: National Pressure Ulcer Advisory Panel, 2007]
• Clinical Fact Sheet:  Quick Assessment of Leg Ulcers
• Is it a Pressure Ulcer? [Source:  National Pressure Ulcer Advisory Panel, NDNQI and Royal College of Surgeons of Edinburgh, 2007]

Staging of Pressure Ulcers

• Pressure Ulcer Stages Revised by NPUAP [Source: National Pressure Ulcer Advisory Panel, 2007]
• Pressure Ulcer Staging Guide [Source: National Pressure Ulcer Advisory Panel, 2007]
• Wound Documentation Guidelines

Assignments

Consistent Assignment

• Consistent Assignment Change Ideas [Created by Quality Partners of Rhode Island; Provided by Health Care Excel]
• Consistent Assignment Poster [Created by Quality Partners of Rhode Island; Provided by Health Care Excel]
• Implementation Guide to Improving Consistent Assignment [Source:  Advancing Excellence in America’s Nursing Homes]
• Improving Consistent Assignment Fact Sheet [Source:  Advancing Excellence in America’s Nursing Homes]

Data Collection Tools

• Home Health and Hospice Data Collection Tool and Instructions
• Hospital Data Collection Tool and Instructions
• Long Term Care Data Collection Tool and Instructions
• Sample Run Charts for Process Measures

Introduction to Pressure Ulcer Prevention

Components of a Pressure Ulcer Prevention System

• Components Checklist for Pressure Ulcer Prevention System
• Hospital Pressure Ulcer Prevention Change Package
• Institute for Healthcare Improvement, Improvement Map Web Page for Pressure Ulcer Prevention
• Nursing Home Pressure Ulcer Prevention Change Package
• Pressure Ulcer System Prevention Points [Source:  National Pressure Ulcer Advisory Panel, 2007]

Pressure Ulcer Prevention System:  Improvement Programs

• Institute for Healthcare Improvement:  Getting Started Kit - Bibliography
• Institute for Healthcare Improvement:  Getting Started Kit - Campaign Intervention Fact Sheet
• Institute for Healthcare Improvement:  Getting Started Kit - Preventing Pressure Ulcers
• Preventing Pressure Ulcers:  The Goal is Zero, Kathy Duncan, JCAHO, October 2007, Vol. 33, No. 10
• Road Map to a Comprehensive Skin Safety Program [Source: Minnesota Hospital Association]

Pressure Ulcer Prevention System:  Home Health Agencies and Hospice Agencies

• Factors Associated with Pressure Ulcers in Palliative Home Care, Peter Brink, M.A., Ph.D. (Cand.), Trevor Fries Smith, Ph.D., And Barbara Linkewich, R.N., HBSCN (C), IBCLC, Journal of Palliative Medicine, Vol. 9, No. 6, 2006.
• Pressure Ulcer Prediction in Older Adults Receiving Home Health Care:  Implications for Use with the OASIS [Source:  Wound, Ostomy and Continence Nurses Society, 2006]
• The prevalence and incidence of pressure ulcers in home care: Are patients at risk?, Darlene Hanson, Diane Langemo, Bette Olson, Susan Hunter, Christine Burd and Tressa Cathcart-Silberberg, Home Health Care Management Practice, 1993; 5; 25.  The online version of this article can be found at: http://hhc.sagepub.com/cgi/content/abstract/5/3/25.

Pressure Ulcer Prevention System:  Hospitals

• Institute for Healthcare Improvement:  Preventing Pressure Ulcers, Supplement for Rural Hospitals
• Institute for Healthcare Improvement:  Preventing Pressure Ulcers, Pediatric Supplement

Pressure Ulcer Prevention System:  Long Term Care Facilities

• Implementation Guide: Goal 1 – Reducing High Risk Pressure Ulcers [Source:  Advancing Excellence in America’s Nursing Homes]

Presentations

Phase 1 presentations from the Indiana Pressure Ulcer Initiative (June 2008 - August 2010).

• Learning Session I:
  • Educating and Involving Patients, Residents, and Families by Robyn Grant
  • Meet Me at the Skin Fair by Jeri Lungren
  • Skin Care Fair Instruction Guide
  • Quality Improvement Process Using PDSA Cycles
  • Pressure Ulcer Prevention by Jeri Lungren
  • Pressure Ulcer Prevention Implementation Strategies by Jeri Lungren

• Outcomes Congress - August 26, 2009

Phase 2 presentations from the Indiana Pressure Ulcer Initiative (July 2009 - October 2010).

• Learning Session I:
  • Initiative Update and Data Analysis

Resident/Patient and Family

• Consumer Resources List
• Getting to Know You
• JAMA Patient Education on Pressure Ulcer [Source:  Patient Page, Journal of the American Medical Association]
• Partnering with Caregivers
• Resident/Patient Teaching Protocol for Pressure Ulcer Prevention and Management [Source:  Juven]
• Resident/Patient Preference Worksheet

System Implementation Strategies

Facility / Agency Self-Assessment

• Home Health Agency and Hospice Agency Self-Assessment Form
• Hospital Self-Assessment Form
• Long Term Care Self-Assessment Form

Process Improvement

• Plan, Do, Study, Act (PDSA) Worksheet
• Possible PDSA Test Cycles

Skin Integrity Checklist and Guidelines

• Care Planning for Skin Integrity Process Chart
• Skin Integrity Guidelines
• Skin Integrity Program Checklist

Wound Care Checklist

• Wound Process Checklist
• Wound Process Checklist Guidance