Outpatient Surgery Magazine

There's An App For That - July 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1004048

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Page 59 of 118

zero patient harm. Here's what you can do to help make that happen. 1. Identify opportunities for improvement How do your positioning protocols compare with evidence-based practices? Note your facility's pressure injury rate, the percentage of patients who are considered high risk for pressure injuries and observe your staff in action. Develop an evidence-based checklist for patient positioning and make sure all staff follow the steps consistently. Set aside time to edu- cate your staff about preventing pressure injuries based on proven standards of care that are comprehensive, current and clear — your staff should have documented annual competencies for pressure injury prevention. Gather a team of representatives from each perioperative care area to discuss how your team can collaborate to protect patients. Here's a neat idea: Ask every person at the meeting to jot down her one great idea for preventing pressure injuries on a sticky note. Stick the notes on a whiteboard or wall, and then discuss the merits and practicality of each one. You'll get some great ideas. 2. Perform skin assessments Efforts to prevent pressure injuries in the OR begin in pre-op, where nurses should perform skin assessments on every patient (see "Look for These 3 Pressure Injury Risk Factors"). Some nurses wonder why they have to examine patients who aren't high risk or who are sched- uled for relatively brief procedures, but all anesthetized patients can suffer skin injuries as they lie on the OR table. Keep in mind that patients are lying down during pre-op assessments, anesthesia induc- tion and recovery in the PACU, so the potential for harm is not limited to the time it takes to perform the actual surgery. 6 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J u l y 2 0 1 8

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