EHOB Newsletter
Happy spring!

Knock on wood, it seems that perhaps the dreadful winter is finally behind us. Hopefully we didn’t just jinx it by saying that out loud!

While luck often plays a role in what happens in life, I can tell you that luck has virtually nothing to do with the great care and knowledge our nurses provide. Their skill and commitment to their patients is remarkable. They are constantly staying on the forefront of what’s new in the pressure ulcer world, as evidenced by this month’s featured blog posts. You’ll also learn about the benefits of LEAN...and the importance of teamwork.

James G. Spahn, Founder and CEO
EHOB, Inc.
THE "UNAVOIDABLE" PRESSURE ULCER, ARE WE THERE YET WITH THE SCIENCE?
Science: Are we there yet?
March 3, 2014
Linda Lankenau, MSN, RN, CWON

We are certainly getting closer...and the implications will be significant.

I just returned from the National Pressure Ulcer Advisory Panel (NPUAP) conference held at Johns Hopkins School of Medicine in Baltimore on February 27, 2014. A panel of wound care researchers and nursing experts from the U.S., Canada, and England, and audience members of WOCNs, nurses from acute and home care arenas, physicians, and even a few lawyers gathered to review the current evidence. The goal of the conference was to move closer to completing a full consensus document regarding the definition of and science behind the unavoidable pressure ulcer.

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PRESSURE ULCER RISK ASSESSMENT TOOLS
March 13, 2014
Fran Demo, BSN, RN, CWON

I think it is fair to say that pressure ulcer risk assessments have become standard of care for patients across the continuum of care. Pressure ulcer risk assessments using a validated pressure ulcer risk assessment tool have been proven an effective indicator of pressure ulcer development. Despite our best efforts hospital acquired pressure ulcer incident rates continue to climb. In the January/February 2014 issue of the Journal of Wound, Ostomy and Continence Nursing there are two articles related to pressure ulcer risk assessment tools.

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WHAT'S LEAN GOT TO DO
WITH IT?
March 18, 2014
Shelley Lancaster, RN, MSN, ACNS-BC, CWOCN

One of the latest quality improvement tools to hit healthcare lately are LEAN process improvement techniques. Based on the Japanese industrial techniques of efficiency that created sweeping change in the automotive world a few decades ago, LEAN is now taking healthcare by storm, and we are ripe with opportunities for improvement. Although there are several “denominations” of LEAN training, the basic themes across all approaches involve identifying waste and removing it from the area that is being studied for improvement. Processes of patient flow are directly observed and every step is timed and analyzed in order to fully understand nuances and variations in existing processes. During the LEAN improvement processes teams are created that include caregivers directly involved in the process, caregivers or leaders a bit on the periphery of the process, and “wild card” participants that are not associated at all with the process. Intensive sessions of training, discussion and observations evolve into a plan for rapid improvement, which is carried out and evaluated all within a week!

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DO YOU HAVE A TEAM?
March 26, 2014
Linda Lankenau, MSN, RN, CWON

Does your acute care, long term, or rehab facility have staff wound care champions? They ride white horses, carry measuring sticks, and have lots of tricks in their saddle bags for preventing and treating skin injuries, mostly those bad ole pressure ulcer ones !! The WOC nurses (sheriffs) alone cannot fight the bad guys and win...but with his or her posse they can!

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