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Thesis
Estimate If Double Wedge System Prevented Sacral Pressure Injuries in Critically Ill Patients
Master of Science (M.S.), Drexel University
31 May 2021
DOI:
https://doi.org/10.17918/00001512
Abstract
Hospital-acquired pressure injuries are a significant concern for microsystems. Critically ill patients are at higher risk of developing sacral pressure injuries due to immobility, treatment modalities, poor nutritional status, and disease processes. Turning and repositioning patients are interventions proven to prevent sacral pressure injuries. A double wedge repositioning system has been implemented in the MICU to aid in the prevention of sacral pressure injuries. The aim of this quality improvement project is to estimate if double wedge system prevented sacral pressure injuries in critically ill patients. A closed chart review was completed on charts identified as developing unit-acquired pressure injuries pre implementation of the double wedge system for November 2019 and January 2020 and was compared to charts identified post implementation in November 2020 and January 2021. Five sacral pressure injuries occurred in the microsystem for November 2019 and January 2020. The chart review identified admission Braden Scale scores, pressure injury present on admission, stage of acquired pressure injury and documentation of double wedge utilization. Following implementation of the double wedge system, zero pressure injuries occurred November 2020 and January 2021 suggesting the double wedges are an effective intervention. However, lack of documentation of double wedge use presents the need for further evaluation. Utilization of the double wedge system is encouraged. Updating the organization's policy requiring documentation of device utilized for repositioning is suggested in order to identify effective versus ineffective interventions. Keywords: pressure injury, Braden Scale, double wedge system, critically ill
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Details
- Title
- Estimate If Double Wedge System Prevented Sacral Pressure Injuries in Critically Ill Patients
- Creators
- Michelle Fiori
- Contributors
- Abigail Jane Eastwood (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 26 pages
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020220770704721