C493 Task 1 - JLP TASK 1: LEADERSHIP EXPERIENCE

C493 Task 1 – JLP TASK 1: LEADERSHIP EXPERIENCE

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C493 Task 1 – JLP TASK 1: LEADERSHIP EXPERIENCE

University
Western Governors University
Course
Leadership (C493)
Uploaded by
Student
Academic year2022/2023

MP
Marietta26 days ago
thanks
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Thanks very informative
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Document was extremely helpful
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Preview text

Leadership Experience Meagan Mayes C493 Task 1 Western Governors University

Leadership Experience A. Proposal A1. Pressure injuries are a never-ending issue for my organization. Efforts by nurses, physicians, healthcare technicians, and nutritionists to prevent pressure injuries are admirable, but still not wholly effective in the critical care patient population. There is more we could be doing to promote patient outcomes and decrease the occurrence of pressure injuries. A1a. Pressure injuries occur more frequently in the critical care patient population due to immobility, critical illness, and malnutrition. Because hospital acquired pressure injuries are a Nursing Quality Indicator, it is important to track the development of injuries and use that data to promote preventative measures. A2. The Joint Commission (2016) identifies pressure injuries as “A significant health issue and one of the biggest challenges organizations face day-to-day.” The impact on patients’ lives, ability to provide appropriate care, and high treatment cost are just some of the reasons pressure injuries are a clinical practice problem (The Joint Commission, 2016). The cost of treating healthcare acquired pressure injuries (HAPI) is astronomical, in both monetary value and cost to the patient and their families. HAPI are the cause of up to 60,000 deaths annually (Padula & Delarmente, 2019). The Centers for Medicare and Medicaid (CMS) made changes to reimbursement for hospital-acquired conditions (HAC) in 2008. CMS recognizes stage three and four pressure injuries that are not present on admission as preventable conditions and will no longer reimburse the hospital for treatment costs related to those HAC (Fleck, 2009). As part of
A5.

Utilizing hospital funds to rent or purchase PRMs for the critical care division is the best option. The cost of one pressure redistribution bed for a hospital ranges from $15,000 to $20, dollars. The cost of patient care ranges from approximately $20,000 to $150,000 per pressure injury, and an added $43,000 in costs to the hospital (WSHA, n.). The benefits of renting or purchasing the pressure redistribution mattresses outweigh the costs due to the overall savings in treatment costs. A6. The timeline for transitioning the critical care division to a PRM bed would begin immediately, with every bed being a PRM by the end of 2021. A7. The hospital administration is important for implementation of the solution because it is the supplier of finances to purchase the PRMs. The transport team is important for delivering the beds to the units and removing the beds that will no longer be used. The nurses are important because they will be the ones utilizing the controls on the beds to adjust the PRMs according to individual patient needs. A7a. I discussed my proposal with the wound care team, who were in favor of escalating the proposal to hospital administration. The nurses on the unit I work on were also in favor of implementing the PRM beds, especially for patients unable to turn. The transport team was reluctant to add the extra work to their staff, as they are currently understaffed. My manager encouraged me to work with the wound care team to write a formal proposal.

A7b. I intend to coordinate a meeting with the clinical nurse specialist from the wound care team to develop a formal proposal to present to hospital administration. I intend to create a roll- out schedule for the transport team to prevent overburdening their staff. I intend to coordinate with a representative from the manufacturer to educate the nurses and healthcare techs on how to use the bed controls. A8. My solution could be implemented in each unit in the critical care division at the start of each month through the rest of 2021. Starting with the pulmonary ICU on August 1st, one bed could be exchanged each day for a new PRM bed. On September 1st, the medical ICU would start their exchange, and so on and so forth. At the end of 2021, every patient room in the division will have a PRM bed. B. I fulfill the role of a scientist by interpreting the pressure injury development data and researching the costs of PRM beds. I fulfill the role of a detective by investigating the research surrounding PRMs and the various ways to prevent pressure injuries in the critical care population. I fulfill the role of a manager of the healing environment by proposing new ways to promote healing and prevent HAPI development.

WSHA. (n.). Worldwide pressure injury prevention day is Nov. 19, 2020. Retrieved July 31, 2021, from wsha/articles/worldwide-pressure-injury-prevention-day-is- nov-19-2020/
Downlo

Leadership Experience
Meagan Mayes
C493 Task 1
Western Governors University
2
Leadership Experience
A. Proposal
A1.
Pressure injuries are a never-ending issue for my organization. Efforts by nurses,
physicians, healthcare technicians, and nutritionists to prevent pressure injuries are admirable,
but still not wholly effective in the critical care patient population. There is more we could be
doing to promote patient outcomes and decrease the occurrence of pressure injuries.
A1a.
Pressure injuries occur more frequently in the critical care patient population due to
immobility, critical illness, and malnutrition. Because hospital acquired pressure injuries are a
Nursing Quality Indicator, it is important to track the development of injuries and use that data to
promote preventative measures.
A2.
The Joint Commission (2016) identifies pressure injuries as “A significant health issue
and one of the biggest challenges organizations face day-to-day.” The impact on patients’ lives,
ability to provide appropriate care, and high treatment cost are just some of the reasons pressure
injuries are a clinical practice problem (The Joint Commission, 2016). The cost of treating
healthcare acquired pressure injuries (HAPI) is astronomical, in both monetary value and cost to
the patient and their families. HAPI are the cause of up to 60,000 deaths annually (Padula &
Delarmente, 2019). The Centers for Medicare and Medicaid (CMS) made changes to
reimbursement for hospital-acquired conditions (HAC) in 2008. CMS recognizes stage three and
four pressure injuries that are not present on admission as preventable conditions and will no
longer reimburse the hospital for treatment costs related to those HAC (Fleck, 2009). As part of
3
maintaining magnet status, my hospital tracks the development of pressure injuries using audit
tools.
A2a.
According to the quarterly audit of patients in the critical care division of my hospital
from February 2021, approximately 30% were found to have hospital acquired pressure injuries.
A3.
“Approximately 2.5 million individuals in the United States develop a pressure injury in
acute care facilities yearly” (Padula &Delarmente, 2019).
A3a.
Both intrinsic and extrinsic risk factors exist regarding the development of pressure
injuries. Some critically ill patients are not hemodynamically stable enough to be moved, while
others do not tolerate turning due to injuries or pain. There are not always adequate staffing
resources available to reposition patients at least every two hours. Patients may also refuse to be
repositioned.
A4.
I propose investing in pressure redistribution mattresses (PRMs) for the entire
critical care division to help prevent pressure injury development. “Pressure redistributing foam
mattress was associated with a significantly reduced incidence of pressure injuries and postponed
the occurrence of pressure injuries without compromising patients’ comfort” (Bai et al., 2020).
“This mattress and cushion evaluation, although quite small, has shown that together with a
regimen of regular repositioning of residents, a good diet, and performance of pressure-relieving
exercises, the support surfaces were an effective tool in preventing pressure ulceration”
(Chamanga & Butcher, 2016).
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4
A5.
Utilizing hospital funds to rent or purchase PRMs for the critical care division is the best
option. The cost of one pressure redistribution bed for a hospital ranges from $15,000 to $20,000
dollars. The cost of patient care ranges from approximately $20,000 to $150,000 per pressure
injury, and an added $43,000 in costs to the hospital (WSHA, n.d.). The benefits of renting or
purchasing the pressure redistribution mattresses outweigh the costs due to the overall savings in
treatment costs.
A6.
The timeline for transitioning the critical care division to a PRM bed would begin
immediately, with every bed being a PRM by the end of 2021.
A7.
The hospital administration is important for implementation of the solution because it is
the supplier of finances to purchase the PRMs. The transport team is important for delivering the
beds to the units and removing the beds that will no longer be used. The nurses are important
because they will be the ones utilizing the controls on the beds to adjust the PRMs according to
individual patient needs.
A7a.
I discussed my proposal with the wound care team, who were in favor of escalating the
proposal to hospital administration. The nurses on the unit I work on were also in favor of
implementing the PRM beds, especially for patients unable to turn. The transport team was
reluctant to add the extra work to their staff, as they are currently understaffed. My manager
encouraged me to work with the wound care team to write a formal proposal.
5
A7b.
I intend to coordinate a meeting with the clinical nurse specialist from the wound care
team to develop a formal proposal to present to hospital administration. I intend to create a roll-
out schedule for the transport team to prevent overburdening their staff. I intend to coordinate
with a representative from the manufacturer to educate the nurses and healthcare techs on how to
use the bed controls.
A8.
My solution could be implemented in each unit in the critical care division at the start of
each month through the rest of 2021. Starting with the pulmonary ICU on August 1st, one bed
could be exchanged each day for a new PRM bed. On September 1st, the medical ICU would
start their exchange, and so on and so forth. At the end of 2021, every patient room in the
division will have a PRM bed.
B.
I fulfill the role of a scientist by interpreting the pressure injury development data and
researching the costs of PRM beds. I fulfill the role of a detective by investigating the research
surrounding PRMs and the various ways to prevent pressure injuries in the critical care
population. I fulfill the role of a manager of the healing environment by proposing new ways to
promote healing and prevent HAPI development.
6
References
Bai, D. L., Liu, T., Chou, H., & Hsu, Y. (2020). Relationship between a pressure redistributing
foam mattress and pressure injuries: An observational prospective cohort study. Plos
One, 15(11). doi:10.1371/journal.pone.0241276
Chamanga, E., & Butcher, A. (2016). An evaluation of a novel alternating mattress and cushion
technology. Nursing and Residential Care, 18(4), 207-213.
doi:10.12968/nrec.2016.18.4.207
Fleck, C. A. (2009). Implications of the New Centers for Medicare & Medicaid Services Pressure
Ulcer Policy in Acute Care. The Journal of the American College of Certified Wound
Specialists, 1(2), 58-64. doi:10.1016/j.jcws.2009.01.001
Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital acquired pressure ‐
injuries in the United States. International Wound Journal, 16(3), 634-640.
doi:10.1111/iwj.13071
Sala, J. J., Mayampurath, A., Solmos, S., Vonderheid, S. C., Banas, M., Dsouza, A., & Lafond, C.
(2021). Predictors of pressure injury development in critically ill adults: A retrospective
cohort study. Intensive and Critical Care Nursing, 62, 102924.
doi:10.1016/j.iccn.2020.102924
The Joint Commission. (2016, July 20). Quick Safety Issue 25. Retrieved July 22, 2021, from
https://www.jointcommission.org/resources/news-and-
multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-25-preventing-
pressure-injuries/
Why is this page out of focus?
This is a Premium document. Become Premium to read the whole document.
7
WSHA. (n.d.). Worldwide pressure injury prevention day is Nov. 19, 2020. Retrieved July 31,
2021, from https://www.wsha.org/articles/worldwide-pressure-injury-prevention-day-is-
nov-19-2020/
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C493 Task 1 – JLP TASK 1: LEADERSHIP EXPERIENCE

C493 Task 1 – JLP TASK 1: LEADERSHIP EXPERIENCE

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