Nurses Day! - Birmingham Children's Hospital

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Providing Even Better Nursing Care: Pressure Ulcers
Improving Health Outcomes: Health Promotion
Some of our patients - in particular the sickest
patients on PICU - are at risk of developing
pressure ulcers which, if left untreated, can become
very serious. We are working toward the complete
eradication of pressure ulcers, in line with the
ambition of the whole NHS.
We have an important role to play in improving
general health outcomes and reducing health
inequalities for children and young people. Good
general health for the whole family is even more
important when a child becomes ill or has a longterm
condition.
GOAL:
improve health
outcomes in the
long-term
and reduce
health
inequalities
Figure 16: Pressure Ulcer rates 2012/13
GOAL:
zero
pressure ulcers
of
grade 2
or above
2.5
2
Ask 25% of
children aged
over 12 if they smoke
Offer advice to
90% of children
who say they smoke
MEASURE:
number of avoidable
grade 2 or above
pressure ulcers
1.5
1
0.5
0
M A M J J A S O N D J F M
Measures
Ask 25% of
parents/carers
if they smoke
Offer advice to
50% of parents/carers
who say they smoke
How have we done?
We have done really well in 2012/13.
l Whenever a pressure ulcer is identified the
patient’s care is reviewed by a clinical expert.
So far in 2012/13, the care provided in all
cases has been appropriate.
Pressure Ulcers Grades Explained
1: Reddening skin
Ask 25% of
children aged
over 12 if they drink
or take drugs
Offer advice to
70% of children
who say they drink
or take drugs
l There have been no grade 3 or 4 pressure
ulcers.
2: Skin loss to one or two layers of skin
l Zero Grade 2 pressure ulcers have been
categorised as avoidable.
l The number of Grade 2 pressure ulcers has
decreased over the year.
What are we doing to improve?
We have been asked to contribute to the
development of NICE guidance on paediatric
pressure ulcers so that the improvements that
we have achieved will benefit children and young
people in hospitals across the NHS.
3. Full thickness skin loss involving
damage to the underlying tissue
4. Extensive damage to muscle, bone
or supporting structures.
How have we done?
We have done really well in 2012/13.
l We have met all of our goals.
l Referrals to Stop Smoking services have
significantly increased.
l We have achieved status as a World Health
Organisation (WHO) Health Promoting
Hospital so we now part of an international
network of hospitals that aim to improve health
by developing structures, cultures, decisions
and processes.
104 105
What are we doing to improve?
l We are providing training and awareness
sessions for staff.
l We have established a smoking referral
pathway.
l We have new data recording systems so that
we can monitor the impact of our work.
l We are displaying information about alcohol on
screens in the main Outpatients department.