Implementing a Wound Care
Program
Jane Rodgers
Vascular Plastics Wound Management
Clinical Nurse Consultant
St Vincent's P...
Wound Care Review Objective
To develop a framework and subsequent
plan for the way forward to improve the
delivery and out...
Background
The review identified:
• Areas of excellence in wound care
• Areas of identified risks
• Areas in need of impro...
Gap Analysis Methodology
The gap analysis included:
A literature review
Interviews with key stakeholders in wound care
Wou...
• Variation in
models/settings
• Not
multidisciplinary
• Variation, no policy
or guidelines
• Don’t address the
continuum ...
Excellence
• All clinical areas
had procedure
for pressure
ulcer prevention
• Appointment of
Wound CNC
• Development of
WC...
Governance Established
SVH Wound Care Strategic Plan 2011 - 2015
Wound Care Committee (WCC) with 8 Working Parties
Executi...
Program Elements: Best Practice
Reviewed Pressure Injury Prevention Policy and
Procedure 2012
Aligns with:
Pan Pacific Gui...
Program Elements: Model of Care
Chronic and Complex Wound
Care Referral Protocol
established
Stages 3 & 4, Categories
deep...
Program Elements:
Care Management
Wound Care Assessment
& Management Plan
(WCAMP) reviewed
Includes PI stages &
Categories
Program Elements: Education
SVH Wound Care Series
developed
Fundamentals includes PI
Session with Case Studies
Standardize...
Page 12
Program Elements: Cost Effectiveness
Identified specific
PIP equipment
Reviewed
standard mattress
Standard mattress
audit ...
Program Elements:
Information Management
Day/Month/Year Footnote to go here Page 16
Monitoring PI Prevention
Best Practice
Program Elements: Incidence
Jan 2010 – Jun 2013 (data source: Riskman TM)
• SVH can expect 38 PI notifications per month
•...
Page 18
Outcomes so Far:
Prevalence Results 2013
The total population consented was 279 patients. The hospital-wide wound
prevalen...
Why is this is working?
Clinician leadership
Strong Executive Leadership
Clinician consultation – strategic planning
Stron...
Jane Rodgers, St Vincent's Health Network - The Implementation of a Hospital Wide Wound Care Program
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Jane Rodgers, St Vincent's Health Network - The Implementation of a Hospital Wide Wound Care Program

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Jane Rodgers, Clinical Nurse Consultant, Vascular Plastics Wound Management, St Vincent's Hospital, Sydney, St Vincent's Health Network delivered the presentation at 2013 Reducing Avoidable Pressure Injuries Conference.

The 2013 Reducing Avoidable Pressure Injuries Conference featured a comprehensive case study led program covering topics such as prevention of pressure injuries during the surgical patient journey and in people with Spinal Cord Injuries, meeting Standard 8, translating research into clinical practice and more.

For more information about the event, please visit: http://www.informa.com.au/pressureinjuries13

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Jane Rodgers, St Vincent's Health Network - The Implementation of a Hospital Wide Wound Care Program

  1. 1. Implementing a Wound Care Program Jane Rodgers Vascular Plastics Wound Management Clinical Nurse Consultant St Vincent's Public Hospital Sydney. September 2013.
  2. 2. Wound Care Review Objective To develop a framework and subsequent plan for the way forward to improve the delivery and outcomes of our patients with wound care needs Page 2
  3. 3. Background The review identified: • Areas of excellence in wound care • Areas of identified risks • Areas in need of improvement and support Page 3
  4. 4. Gap Analysis Methodology The gap analysis included: A literature review Interviews with key stakeholders in wound care Wound Prevalence Survey.
  5. 5. • Variation in models/settings • Not multidisciplinary • Variation, no policy or guidelines • Don’t address the continuum of care Little attention given to wound care prevention •Differences in knowledge skills between clinicians •Patient education material limited •Limited access to diagnostics • Little measurement of outcomes, Quality of Life Difficult to measure cost effectiveness of care/products •No coordinated approach to wound care research Lack of IT systems to support and measure outcomes of care Carers Gaps Identified Patient Centered Care Model of Care Cost Effectiveness Prevention Education Care Management Information Management Best Practice Research & Innovation
  6. 6. Excellence • All clinical areas had procedure for pressure ulcer prevention • Appointment of Wound CNC • Development of WCC • SVH Wound Assessment tools fulfils most standards • Peri operative Pressure Injury prevention Research underway • Interdisciplinary approach to PIP research • Inclusion in multi site / interstate studies. • Established Wound Care Education Program for all clinicians • Standardization of wound products • Review of usage throughout different services • Community Nursing have CHIME • Increased electronic documentation using Web deLacy Patient Centered Care Model of Care Cost Effectiveness Prevention Education Care Management Information Management Best Practice Research & Innovation Carer • High Risk Foot Service
  7. 7. Governance Established SVH Wound Care Strategic Plan 2011 - 2015 Wound Care Committee (WCC) with 8 Working Parties Executive Sponsor Medical engagement (Vascular Consultant x 1 and Registrars x 2) 16 Wound Care Clinical Leads (WCCL) identified from each clinical unit
  8. 8. Program Elements: Best Practice Reviewed Pressure Injury Prevention Policy and Procedure 2012 Aligns with: Pan Pacific Guidelines National Standard 8
  9. 9. Program Elements: Model of Care Chronic and Complex Wound Care Referral Protocol established Stages 3 & 4, Categories deep tissue and unstageable referred to CNC Established Nurse led Wound Care Clinic
  10. 10. Program Elements: Care Management Wound Care Assessment & Management Plan (WCAMP) reviewed Includes PI stages & Categories
  11. 11. Program Elements: Education SVH Wound Care Series developed Fundamentals includes PI Session with Case Studies Standardized PI Presentation & tools for WCCL Patient / Care Brochure
  12. 12. Page 12
  13. 13. Program Elements: Cost Effectiveness Identified specific PIP equipment Reviewed standard mattress Standard mattress audit planned Oct 2013
  14. 14. Program Elements: Information Management
  15. 15. Day/Month/Year Footnote to go here Page 16 Monitoring PI Prevention Best Practice
  16. 16. Program Elements: Incidence Jan 2010 – Jun 2013 (data source: Riskman TM) • SVH can expect 38 PI notifications per month • Significant increase in notifications with the implementation of the SVH PIP Prevention Policy April 2013
  17. 17. Page 18
  18. 18. Outcomes so Far: Prevalence Results 2013 The total population consented was 279 patients. The hospital-wide wound prevalence was 56.6% which was similar to the 2012 rate.
  19. 19. Why is this is working? Clinician leadership Strong Executive Leadership Clinician consultation – strategic planning Strong governance & communication structure Clinical Practice Improvement Processes used throughout System thinking and data driven decision making Teamwork and common vision for better patient care

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