College of Nursing
Problem: Patients developing pressure injuries while admitted to the hospital has become a nationwide problem. The national annual cost of treating pressure injuries is $11 billion dollars, with up to $70,000 dollars for stage four pressure injuries (Cooper et al., 2020).
Purpose: The purpose of this project was to implement the use of a silicone foam dressing under respiratory devices, monitored using kamishibai cards (k-cards) to decrease pressure injuries. K-cards are a rounding tool that staff can use to identify barriers that prevent the standard of care.
Intervention: A pre-study, three-month period, was compared to the implementation period in the pediatric intensive care unit at a major hospital system in South Carolina. During this time, thirty-eight k-cards were completed on patients needing respiratory devices.
Results: The PICU saw a thirty-three percent decrease in the number of pressure injuries in 2022 related to respiratory devices after the rounding tool and foam dressing was implemented compared to 2021.
Conclusion: The results of this project confirmed that proactive use of the silicone foam dressing and a rounding tool to educate staff and identify barriers on skin protection can reduce the risk of skin breakdown to our vulnerable patients.
Elliott, Samantha Nicole, "Decreasing Pressure Injuries From Respiratory Devices in the Pediatric Intensive Care Unit" (2022). Doctor of Nursing Practice Scholarly Projects. 32.