Evans, Amy E, BSN, RN

Verba, Megan N, BSN,RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingEffects of an Audio Reminder on TurningComplianceAmy E. Evans BSN, RNLehigh Valley Health Network, amy_e.evans@lvhn.orgMegan N. Verba BSN,RNLehigh Valley Health Network, megan_n.verba@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtEvans, A. Verba, M. (2016, Oct). Effects of an Audio Reminder on Turning Compliance. Poster Presented at: LVHN Vizient/ AACHNurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA.© 2016 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaEffects of an Audio Reminder on Turning Compliance • Hospital Acquired Pressure Ulcers (HAPUs) are a preventable complication which directly impact patient care and outcomes (Padula, Mishra, Makic & Sullivan, 2011).• Extensive financial implications for hospitals when pressure ulcers are acquired during the hospital stay (Bar, 2016).• Estimates of the annual cost for treatment of hospital-acquired HAPUs in the U.S. range from $2.2 to $3.6 billion (Tashman & Low, 2016). • It is more cost effective to prevent an ulcer than to treat it. Approximately, 95% of these ulcers are thought be preventable (Kim & Jeong, 2012).• Patients with HAPUs are at an increased risk for nosocomial infections, prolonged length of stay and greater risk of mortality (Padula, Mishra, Makic & Sullivan, 2011).Amy Evans, BSN, RN  and  Megan Verba, BSN, RNBACKGROUND / INTRODUCTIONPURPOSEBARRIERS / LIMITATIONSCONCLUSIONS-Bar, S.H. (2016). The Centers for Medicare & Medicaid Service Reimbursement Policy & Nursing-Sensitive Adverse Patient Outcomes. Nursing Economics. 34 (4):161-181-Kim, H. J., & Jeong, I. S. (2012). Optimal time interval for position change for ICU patients using foam mattress against pressure ulcer risk. Journal of Korean Academy of Nursing, 42(5), 730-737.-Padula, W. V., Mishra, M. K., Makic, M. B. F., & Sullivan, P. W. (2011). Improving the quality of pressure ulcer care with prevention: a cost--effectiveness analysis. Medical care, 9(4), 385-392.-Tashman, N., and Low, S. Improving Hospital-Aquried Pressure Ulcer Prevention on Orthopedic Unit. MEDSURG Nursing. Jul/Aug 2016. PROCESS / IMPLEMENTATIONIn the adult population, does the use of an audio reminder to turn patients every two hours, compared to no use of an audio reminder, increase compliance with turning patients.P: adult populationI:  audio reminder every 2 hoursC: no audio reminder O: reduction of skin breakdownInitial Skin Integrity and Pressure Ulcer Unit Data for LVHN Fiscal year 2014/2015 revealed 24 pressure ulcers were acquired on Progressive Coronary Care Unit (PCCU).• This included ten sacral and four buttock acquired pressure ulcers. The study utilized 10 second audio clips played over the unit intercom system  every two hours as cues to registered nurses and technical partners to reposition patients.Current unit turning and repositioning practices are self-initiated and rely on the nursing staff to remember to turn patients every two hours.Staff education and audio clip input initiated through staffemail in mid-July at PCCU unit staff meeting.Unit leadership facilitated compliance of turning with theaudio reminder.Audio reminders  played every 2 hours from 0800 to 1800. Turning and repositioning remains a vital nursing practice to reduce hospital acquired pressure ulcers.Further research could explore. • Identify barriers and potential solutions.  For example: more education regarding the purpose of the audio reminder for physicians and patients. • Research audio reminder that is non-disruptive but also recognizable and effective. This study encountered unexpected barriers which affected study completion. Study barriers include:• Patient rest disturbance• Physician rounding  interrupted• Audio reminder volume• Audio reminder song choice• Patient and family perception on audio reminders• Lack of research on the use of turn remindersEVIDENCE

Effects of an Audio Reminder on Turning Compliance

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1721&context=patient-care-services-nursing

Effects of an Audio Reminder on Turning Compliance

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