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Poster EBP-001

“WAMM” Wounds Across the Ministry

Audrey K Moyer-Harris, BSN RN MBA CWS

Agnes Cadena, BSN, RN, WCC; Asresash Admassie, BSN, RN, WCC; Lynda Narvaez, MSN-Ed, RN, CWON; Jeffrey Framnes, BSN, RN

Symposium on Advanced Wound Care Spring Spring 2022

OBJECTIVE/PURPOSE: Skin care injuries, also known as wounds, “pressure injuries”, “decubitus”, or “ulcers” are a growing silent epidemic impacting over 6.5 million people in the US alone. This is largely related to the multiple comorbidities and linked to the increase risk of cardiovascular complications. These complications might include stroke, heart-attack, lower extremity amputations and death. Subject matter experts throughout the hospital system joined forces to form the “Wounds Across the Ministry Committee” and organized a collaborative event, designed to focus on prevention and treatment modalities and to streamline best practices across the ministry. In April of 2019, the event, the “Wound Care Specialty Council (WCSC) / Skin Care Team Symposium: WAMM – “Wounds Across the Ministry” was held at one of the Ministry Hospital’s.

This was the first combined event offering CME & CNE hours which focused on strategizing and streamlining care to our patients across the continuum from prevention through treatment modalities to improving healing outcomes. This “Best Practice” Initiative WAMM continues with all of our streamlining from protocols (pathways), products, to processes across the Ministry.

METHODS The overall goal of the event was to create stronger synergies across the ministry regarding the management of wounds and incorporate the value of uniting the inpatient skin care program with the outpatient wound & hyperbaric program. RESULTS Over 100 Health Care Professionals involved with wound care from across the ministry attended. In turn, our HAPI’s have decreased and we have improved our skin injury identifications to occur at earlier stages allowing us the opportunity to prevent them from progressing to clinically worse stages.

CONCLUSION The key take-away from this event was to stress the importance of working collaboratively across the ministry. We have strengthened the relationships amongst the Wound Care Specialty Council, outpatient providers and nursing clinicians, and the (SWOT Skin Wound Ostomy Care Team (inpatient nurses) to provide higher quality, improved safety, cost/efficacy, community outreach, and most importantly improved coworker/provider & patient experiences.

References

1.www.npuap.org

2. Brem H, Maggi J, Nierman D et al. High cost of stage III and stage IV pressure ulcers. Am J Surg. 2010; 200 (4): 473-73. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Inquiry Alliance. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines. Emily Haesler (Ed.). Cambridge Media: Perth, Australia; 20144. Stryker, K, & Farnitano, C.(2015). California's DSRIP Results from Contra Costa Regional Medical Center. Available at http://essentialhospitals.org/wp-content/uploads/2015/06/0603_WebinarSpeakerSlides_Stryker.pdf5. Syversen, M, & Philips, C.(2015) Four Eyes Skin Assessment and Initiative. Wisconsin Association of Clinical Nurse Specialists. Available at http://www.wiacns.org/resources/6. Cawood AL, Elia M, Stratton RJ. Systematic review and meta‐analysis of the effects of high protein oral nutritional supplements. Ageing Research Reviews, Volume 11, Issue 2, April 2012, Pages 278–296. Accessed 8/22/13 at http://www.sciencedirect.com/science/article/pii/S1568163711000900.7. Jensen GL. Oral nutritional supplementation. Am J ManagCare. 2013:19:119‐120. Accessed 8‐22 13 http://www.ajmc.com/8.NPUAP -https://www.npuap.org/ansiresna-ss-1-2019-resna-for-support-surfaces-revision-of-ansiresna-ss-1-2014/9.AHRQNational Scorecard on Hospital Acquired Conditions Updated Baselines Rates and Preliminary Results 2014-2017. 10. Doughty, D. B., CWOCN (Ed.). (2016). Wound Management: Core Curriculum. Philadelphia, PA: Wolters Kluwer. Wound Ostomy and Continence Nurses Society11. Bryant, R. A., & Nix, D. P. (2012). Acute & Chronic Wounds: Current management Concepts (4th ed.). St. Louis, Mo.: Elsevier Mosby.

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