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Is there a way to ensure everyone presenting to Redland Hospital’s Emergency Department has a skin inspection?
That was the question that inspired Redland Hospital nurse graduates Michelle Jory and Lilly Syzmanski to develop their two-step systematic approach to prevent and manage pressure injuries and it’s already making a difference.
Michelle said the DISCOVER and R.E.A.C.T tool had been implemented in the ED alongside a Pressure Injury Management Trolley to assist nursing staff in appropriately dressing pressure injuries depending on their stage and type of wound.
She said DISCOVER involved a head-to-toe skin inspection and grading tool while R.E.A.C.T prompted staff to Risk Man, Educate, Advocate, Care and Turn.
“The aim of this quality initiative is to raise awareness, educate and reinforce to nursing staff the significance of early detection and management of pressure injuries in the Emergency Department,” Michelle said.
“We wondered if there was a way we could ensure everyone who presented to ED had a skin inspection whether this would decrease the number and severity of pressure injuries in the hospital.”
She said she and Lilly had also worked on implementing a tool in the Renal Dialysis Unit named E.D.U.C.A.T.E that was aimed at empowering patients to maintain healthy skin and alert staff of changes to their skin integrity.
“E.D.U.C.A.T.E is designed to get patients thinking about Exercise, Diet, Underlying risks, Self care, Assess skin, Treat appropriately and Evaluate.
“Patients and staff will be introduced to this initiative over the next few months and will receive group and individual education sessions on skin integrity management in Chronic Kidney Disease.
“We are looking forward to the next few months collecting vital data that will determine whether our initiative has answered these questions.”
Featured: Redland Hospital Nurse Graduates Lilly Szymanski and Michelle Jory.