working together to achieve excellence in wound management
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Working Together to Achieve Excellence in Wound Management. 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 - PowerPoint PPT PresentationTRANSCRIPT
Working Together to Achieve Excellence in Wound Management
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
Pressure ulcers are…• Painful for the resident
• Can result in depression
• Time consuming to care for
• Costly
What is WoundRounds?
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
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
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
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)
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%
Displayed by Percentage of Wounds
Displayed by Numbers
Drill down August 01, 2013 - May 29, 2014
498 total number impaired skin integrity (Pressure, vascular, skin tears, surgical, etc. )
◦ Healing rate of 73%
Drill down August 01, 2013 - May 29, 2014
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
Pressure Ulcer Reports
Disclaimer
Sample wound assessment ahead…
Wound Assessment
Staff Testimonials
