Outpatient Surgery Magazine - Subscribers

Running on Empty - Outpatient Surgery Magazine - August 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1153559

Contents of this Issue


Page 41 of 116

4 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 9 Not our problem The general belief at Metro Health Hospital in Wyoming, Mich., was that PIs were an inpatient prob- lem, not a surgical one. But the more they studied it, they uncovered significant statistical links between surgical patients and PIs — name- ly, a large number of patients who presented with PIs during or after inpatient stays had been operated on in the hospital, says Heather Kooiker, MSN, RN, CNL, CRNFA, clinical nurse leader of surgical services, who last year rolled out an evidence-based PI bundle for the surgical department. It was, she says, a culture-changer for the 205 pre-op, perioperative and post-op nurses. "They hadn't been expected to perform full head-to-toe skin assess- ments. They reported it wasn't part of their workflow and there wasn't time for it," says Ms. Kooiker. "That led to many at-risk patients not being identified upon admission or during surgery. We needed to efficiently work skin assessment into their routine." Metro Health decided the Braden Scale, while great for inpatient skin assessments, isn't as effective for pre-op, perioperative and PACU skin risk assessments. Instead, they implemented the CMunro Scale (osmag.net/RjwK4V). How it works: Pre-operatively, a nurse uses this easy-to-remember acronym to quickly gather information on 6 risk factors: comorbidities and current health status, mobility, age (over 60 • AT A GLANCE This handy badge card reminds Metro Health Hospital clinicians of the CMunro Scale and comorbidities.

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Subscribers - Running on Empty - Outpatient Surgery Magazine - August 2019