This week’s Behind the Rituals is from Liz Charalambous, staff nurse at Nottingham University Hospital
We have had a discussion on our ward about how two-hourly pressure area care affects sleep. The tissue viability team has introduced a skin bundle, which prescribes care for patients depending on whether they are classed as red, amber or green.
The latest meta-analysis from the Cochrane Collaboration finds no difference in pressure ulcer prevention when a risk assessment tool is used compared with clinical judgement. However, the current scheme does not allow for clinical judgement to supersede the tool.
What do you think?
I am doing a research study into prevention of delirium, and part of the criteria for preventing delirium is sleep hygiene. This involves ensuring patients get enough sleep.
- Should clinical judgement override policies in this situation?
- Is there any evidence to support a decision to do this?