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Hospital pledges zero tolerance on pressure ulcers


Nurses at Whipps Cross University Hospital, in North East London, have agreed to implement a zero tolerance policy for trust-acquired pressure ulcers.

This change, which will come into force on 1 August, will be driven by the implementation of monitoring tools - inlcuding the Skin Bundle - to increase compliance with pressure ulcer guidelines across the trust.

As part of the initiative, any occurrence of a hospital acquired pressure ulcer will be investigated to identify the ulcer’s root cause. These investigations will feedback in to the development of quality improvement action plans, which will be monitored by clinical improvement groups.

Sally Cooper, tissue viability specialist nurse and lead for the trust,said:  “This is a major national target and forms part of our continued commitment to the eradication of avoidable hospital acquired pressure ulcers. As part of our revolution, our zero tolerance to pressure ulcers and all tissue viability related issues is another factor helping to further improve our patient’s experience.”

The trust’s development of a new pressure therapy equipment service, which includes ward access to an increased quantity and range of specialist bed and mattress products, and a training program for nurses, is expected help support the plan.

Ms Cooper said: “Nurses at Whipps Cross are totally committed to this initiative and all will undertake specialist training to ensure we are able to meet our targets.”


Readers' comments (15)

  • theyre a bit behind the times . At the hospital where i work weve been doing itfor months.The paperwork is a nightmare and we are onlygetting the lights out about 12.30.If staff are doing their jobs properly and checking pressure areas properly, there should be no need for yet another lot of paperwork, or is this yet another way of lamin someone if they were the last person to sign the form. it doesnt necessarily mean that they havent done their job properly, but the powers that be need someone to e hld reponsible.Nursing has become a compete nightmare and i cant wait to get out!!!

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  • why is it that treatment differs from one hospital to another meaning that some patients are more privileged than others and some even get dangerously substandard or almost nil care? surely it is a NATIONAL health service which means equal accessibility and equal quality where every citizen should have an equal chance of getting their basic health, diagnostic, treatment and care needs met.

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  • Please let nurses nurse it is what we are trained to do, then patients will not develop pressure sores in the first place. We are not social workers/bed managers etc etc. I could quite happily throw the telephone out of the window sometimes.

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  • Well done to Whipps Cross - however we have been doing this in my very large East Midlands Trust for many months.
    Be careful what you wish for 'zero tolerance' I challenge you that this is for some patient groups maybe unachievable. What you must do is learn from the ones that are unavoidable and target & support the staff to do what they have been trained to do - nurse.

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  • Correction of my above message learn from the pressure ulcers that are avoidable!

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  • They are bringing this skin bundle in where I work, it is supposed to get rid of 4 other pieces of paper which we are supposed to fill in for each admission. The paper work now is just unbelievable and I feel that I spend too much time behind the computer and filling in forms and not enough time with my patients. I'm sure most other people feel the same. Isn't it a shame though when we all feel so much pressure and stress trying to do our job right. Why is it getting so hard for us? Everyone I talk to wants out but have no where to go.

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  • i have no idea about the details of different paperwork in different workplaces but assume in some that it includes a skin and pressure area assessment so there is a record of before and after. but this does not actually prevent any problems and may exacerbate them by cutting down the time available to staff to carry out adequate care!

    An accurate analysis nationwide and indeed Europe wide needs to be carried out on nurses time available for care and the relevance of and time spent their paper work.

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  • Why is it that, instead of initiating minimum staff/patient ratios to ensure that there are enough staff to actually care for the patients and prevent pressure sores, do they insist on creating more paperwork for us?

    There is absolutely no point in yet another monitoring tool, unless the structure exists which makes it achievable. As staffing levels continue to be reduced in all areas and money is being cut, I don't see how this will help. It seems to me that this is just a way to dump the blame for the development of pressure sores on nurses.

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  • Totally agree yet another load of paperwork taking yet more time away from patients.Will the powers that be never learn!!!!!!!!!

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  • this is the result of people attempting to run the nursing profession who are not qualified nurses!

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