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Are we nearly there yet? My journey as a Tissue Viability Support Nurse.

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Are we nearly there yet?

My Journey as a Tissue Viability Support Nurse.

Emma Logan, BSc (Adult) Nursing & Ann Jakeman RGN, TV CNS   

 Introduction

I commenced my one year secondment as a Tissue Viability Support Nurse after being a Tissue Viability champion on a busy 50 bedded acute cardiology ward for three years. I took up this opportunity as I was aware there were knowledge and skill deficits surrounding tissue viability on the ward. After discussion with the Tissue Viability CNS and my ward managers, we came to the conclusion that the way forward in raising awareness of current issues was for me to be actively involved in tissue viability at a higher level.. This would then allow me to filter new skills and knowledge back to my colleagues with the aim to increase knowledge and as a result improve practice at all levels. 

Method

Initiatives introduced

A teaching tool to

 aid the calculation

of Waterlow Risk

Assessment Score

 

An E-learning

pressure ulcer

prevention

teaching module.

(I would like to

Acknowledge the

Input from F. Mahiout

And K. Farrow.)

 

A care plan for the

Management of

Incontinence

Associated dermatitis

 

Changes were made

to the checklist

documentation

between the ward

and Catheter Lab 

An example of a change in practice:

 There was an increase in incidence of skin tears on the ward, we responded positively by re-launching Appeel™ adhesive removal wipes. I organised training on Appeel™  adhesive removal wipes from the Company representative and the ward stock level was increased to meet the needs of the ward.

Results

•Teaching has been provided to all staff members
•There is a greater awareness of tissue viability matters
•Change has been implemented on the ward with the introduction of new care plans, equipment and products
•Staff are more confident in reporting and assessing pressure damage and IAD. There is a desire to know more and ask questions
•Most importantly, there has been a reduction in pressure damage, IAD, moisture lesion and skin tear incidences
 
Discussion
 

I feel this role played a big part in both personal and ward development. I have developed my own skills and knowledge in the management of complex wound management systems and as a whole  the ward feels more comfortable in providing care for patients with tissue viability concerns. I have enjoyed being able to filter down new information to my colleagues at ward level and feedback any issues to our senior nursing and multi-disciplinary teams at the Trust’s Skin Integrity Steer group meetings.  


Conclusion

I feel my knowledge, confidence and skills have developed and as a result I have been able to provide the awareness, knowledge and tools to implement good practice. It is my belief that I have been given the opportunity to bridge the gap between senior management and colleagues at ward level which has resulted in a positive way.

So, in answer to the question ‘Are we nearly there yet?’ the answer is no, there is still room for improvement, but I feel my journey has played a large part in bringing us closer to our final destination!



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