Pressure-Injury-Prevention-and-Management-Policy-Implementation-Guide.pdf

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PRESSURE INJURY PREVENTION AND MANAGEMENTPOLICY IMPLEMENTATION GUIDERELEASED JUNE 2014
INTRODUCTIONThe NSW Health Pressure Injury Prevention and Management Policy (PD2014_007) is based on best practicein alignment with thePan Pacific Clinical Practice Guideline for the Prevention and Management of PressureInjury 2012.This document outlines the resources developed to assist with implementation of the revisedpolicy. Care planning and delivery should be consistent with this policy and best-practice guidelines and beappropriate for the patient population.It supports elements of the NSQHSS, Standard 8Preventing and Managing Pressure Injurieswhich describesevidence-based systems to prevent pressure injuries and manage them when they do occur. This includes:Health service organisations have governance structures and systems in place for the prevention andmanagement of pressure injuries.Patients are screened on presentation and pressure injury prevention strategies are when clinicallyindicated.Patients who have pressure injuries are managed according to best-practice guidelines.Patients and/or carers are informed of the risks, prevention strategies and management of pressureinjuries.The objective of the policy is to improve patient safety and the quality of clinical care. The underlying principlesof pressure injury prevention and management are aligned with NSQHSS - Standard 8 Preventing andManaging Pressure Injuries.
GOVERNANCEA senior manager and/or a governance group/committee is responsible for monitoring compliance with thehealth service pressure injury policies, procedures and protocols, and ensuring there are systems in place tomonitor and analyse pressure injury data, and conducting relevant quality improvement activities.The steps outlined below will assist:Step 1: Establish a strong case for changePolicy requirementGather baseline pressure injury dataStep 2: Establish governance arrangements and a program teamIdentify executive sponsor and program stakeholdersConsider creating an engagement and communication planStep 3: Recruit respected and influential leaders and championsSeek advice from others who have led organisational change programsStep 4: Identify barriers and enablers of pressure injury preventionBrainstorm causes of inadequate or delayed recognition and treatmentConsider actions to address barriersWhat are the enablers that will support the implementation?A template for developing a local Pressure Injury Prevention Facility Implementation plan is included in theappendices of this guide.An action plan template has also been developed for local use.
CLINICAL PRACTICE:PREVENTING AND MANAGING PRESSURE INJURYRisk assessmentAs a minimum, all patients must undergo initial risk screening to inform the clinical risk assessment decisionmaking process. Risk assessment of patients using a validated tool is recommended and does not require aseparate screening process.

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Health care provider, Pressure Injury Prevention Project, Pressure Injury Assessment and Staging

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