Discussion will be available to help ensure

research and new protocol to the nursing staff on the medical-surgical unit at the hospital.
Discussion will be available to help ensure understanding of the change. The projected change
will include the need to minimize bed-linen layers and the most effective process for
repositioning patient. Patients that are able to make substantial movements on their own and
reposition themselves do not need more than a fitted sheet as a bottom layer. The patients that
require assistance with repositioning and turning will have the fitted sheet and one other layer to
help staff reposition and turn. Making sure to utilize three turning surfaces when appropriate, the
staff with be educated on turning on a cycle of “side-back-side” and at least 30 degrees when
turned on either side (Lyder & Ayello, 2008). Initial and annual education will also be provided
on the adequate turning and repositioning of patients.
Evaluation plan/how/when- Documentation for HAPI’s will be monitored monthly with
an anticipated goal of decreased PI within three months of implementation of nursing
interventions. Face to face follow up with nursing staff, within the three months, will also be
conducted to ensure full understanding of new practice changes. Additional education will be
done at this time if necessary. Annual education will be provided to encourage continued
compliance and recognition of practice changes.