Authors (including presenting author) :
Chow NY(4), Cheung WS(1), Chiu LS(3), Chu SP(1), Hau WY(5), Kwok CY(6), Lam SW(2)
Affiliation :
(1) Central Nursing Division, Alice Ho Miu Ling Nethersole Hospital, (2) Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, (3) Surgery, Alice Ho Miu Ling Nethersole Hospital, (4) Medicine, Alice Ho Miu Ling Nethersole Hospital, (5) Department of Orthopaedic Rehabilitation, Tai Po Hospital, (6) Psychiatry, Tai Po Hospital
Introduction :
Pressure injury (PI) is a global health issue with significant healthcare complications and consequences such as increased healthcare workload, cost and length of stay. The MDRPI has significantly raised the total PI rate in AHNH during the COVID-19 pandemic in 2020-2021. It was proven that the increased use of respirators and fragility among inpatients have led to this unforeseeable rise during the pandemic period. Instant rectification and proactive MDRPI prevention have become our first priority nursing direction. The modified PI reporting mechanism for all PI stages including stage I and the establishment of a PI Dashboard in AHNH and TPH have provided concurrent PI situation and information for nurses’ early PI identification and prevention. Moreover, a series of PI training workshops, seminar and the education video have equipped nurses to tackle with the concurrent situation and effectively minimize the MDRPI rate during COVID-19 pandemic.
Objectives :
To prevent patients with increased fragility and clinical complexity from MDRPI development during COVID-19 pandemic and to raise staff’s awareness on early PI/MDRPI management and prevention by modifying the PI reporting mechanism, the use of dashboard and a series of PI training workshops and video.
Methodology :
All PI stages including Stage 1 were reported to the modified reporting system and all PI data were updated in the dashboard to alert nurses on a rising PI/ MDRPI trend during COVID-19 period. In addition, a series of advanced PI/MDRPI management and prevention workshops with an aid of training video for prevention of respirators and surgical masks-related MDRPI were conducted.
Result & Outcome :
Total 78 participants have joined the training workshops and their awareness on MDRPI were enhanced. Cases with oxygen device-related MDRPI has significantly decreased afterwards. The HAPI rate has successfully dropped from 2.73 (March 2022) to 0.08 (Dec 2022), whereas, monthly MDRPI has dropped 86% from May 2021 to September 2022. In conclusion, a modified PI reporting system from Stage 1 with an aid of PI dashboard has shown beneficence in minimizing higher grade PI development. A proactive approach diverts our nursing care on PI from management to primary prevention especially during the pandemic crisis. Nevertheless, staff education by means of training workshops and video also play crucial roles on enhancing knowledge and skills on PI management and prevention.
