The Skin Care Committee, under the leadership of Trudy Huey, MSN, RN, WOCN, is a long-standing committee at CVMC. Skin is one of the body’s most important natural defenses against disease and providing optimal skin care has been a nursing issue since the days of Florence Nightingale. Catawba Valley Medical Center has always recognized the importance of skin care, but with the new regulations in place that now connects financial reimbursement to the prevention of hospital acquired pressure ulcers, the significance of providing excellent skin care is on everyone’s radar.
CVMC is fortunate to have excellent resources for staff when faced with the challenge of skin care issues. These resources include the nurses that are part of the Wound and Ostomy Care Department, Trudy Huey, MSN, RN, WOCN and Nancy Hammer, BSN, RN, WOCN, as well as the unit representatives on the Skin Care Committee.
Skin Care Committee Members, who are also known as “CSIs” (Champions of Skin Integrity) are: Bo Homsomobath, Geri-Psych and Secure Care; Terrill Coulter, Oncology; Holly Schneeman, Surgical; Kellie Hodges and Brenda Moretz, Critical Care Unit; Abby Lutz, Telemetry; Kelly Yang, Ortho/Neuro and Inpatient Rehab; Sandra McCallum, Medical; Christy Greene, Women and Children’s Center; Julie Carrigan, Emergency Department; Amy Rollins, OR/PACU/Day Surgery; Christy Hoke, Surgical; Susan Strickland, Clinical Dietician; and Brian Badders, Physical Therapy.
Since the “CSIs” can’t be at work 24/7, in 2009 the committee developed another valuable source of information for the staff caring for patients with wounds and ostomies. The resource has become known as the W.O.R.M., which stands for the Wound and Ostomy Resource Manual.
The book is intended to be a dynamic process with items being added and/or deleted as necessary. Items in the WORM include guides for:
· choosing the appropriate therapeutic bed for a patient;
· pressure ulcer management;
· ostomy information;
· moisture management;
· fistula and complex wound management; and
· wound management.
In addition to the WORM, resources for pressure ulcer staging and choosing the correct therapeutic bed are also located on the CVMC Nursing intranet page.
The members of the Skin Care Committee are indeed a valuable resource at CVMC. CVMC participates in the National Database for Nursing Quality Indicators (NDNQI) and uses this data to benchmark our pressure ulcer prevalence rates. Prevalence Rates for Hospital Acquired Pressure Ulcers Stage II or greater for 2009 were overall excellent, with just a few units having increased pressure ulcer occurrences.
The benchmark used for this comparison is the mean for Magnet hospitals that report to NDNQI:
Thanks to the efforts of the Skin Care Committee and the nursing staff at CVMC, skin care remains a priority.