Authors (including presenting author) :
HUI SS(1), CHOW TY(1), WONG KL(1), HO WF(2), LAM WC(2), FUNG A (3), YUEN FCG(3)
Affiliation :
(1)Occupational Therapy Department, Cheshire Home, Chung Hom Kok, (2)Nursing Department, Cheshire Home, Chung Hom Kok (CCH), (3)Occupation Therapy Department, Ruttonjee and Tang Shiu Kin Hospitals (RTSKH)
Introduction :
High pressure injury rate of patients remains one of the top three clinical risks in CCH. The problems of remote location and limited staff number in CCH pose greater challenge in pressure injury management. Since June 2018, the Occupational Therapy department (OTD) and Nursing Department of CCH have initiated an inter-hospital pressure injury management program in collaboration with the OTD of RTSKH in Hong Kong East Cluster.
Objectives :
1. To lower the pressure injury rate in CCH; 2. To develop guidelines (i.e. early risk stratified intervention guide) for improving service safety and quality; 3. To empower CCH staff to provide good quality pressure injury management.
Methodology :
Project was conducted from June to December 2018. With expertise sharing between OT staff of CCH and RTSKH, newly designed heel protectors were developed. They were fabricated and supplied by OTD of RTSKH for use by CCH patients. A risk-stratified intervention guide providing therapist with guidelines for heel protector prescription was also developed. Pressure injury link-nurse of CCH monitored the pressure injury rate and educated ward staff on proper procedures to apply heel protectors.
Result & Outcome :
1. Pressure injury rate of heel dropped markedly by 67% (from 0.0896 to 0.0298 per 1000 bed day occupied) in CCH. 2. Patient/carer satisfaction survey on the newly designed heel protector was good; the mean of overall score is 5.5 out of 6. Survey areas covered pressure relieving effect, skin protection, ease of application and comfort level. 3. Satisfaction survey for CCH nursing staff was also good; the mean of overall score is 5.2 out of 6. Staff agreed that the program helped to (i)cope with growing service demand, (ii)reduce heel ulcer rate, (iii)lower the ulcer severity and (iv)improve pressure injury management quality. 4. Marked increase in satisfaction level of OT staff of CCH, areas included: -Saving of storing space: 44% -Availability of pressure relieving device for use: 50% -Sense of competency and expertise: 80% -Sense of teamwork: 133% -Sense of engagement to cluster: 86% Conclusion: The three objectives were satisfactorily achieved.
Co-location with:
