Document Type
Dissertation
Degree
Doctor of Nursing Practice
Major
Nursing
Date of Defense
7-9-1994
Graduate Advisor
Dr. Charity Galgani
Committee
Dr. Elizabeth Segura
Brittany Wilcutt
Abstract
Pronation is a low cost, high value intervention used in treating children and adults with Acute respiratory distress syndrome (ARDS). Hospital-acquired pressure injury is the most common complication of pronation. While the presence of PI bundles and protocols have been shown to reduce incidence of PI in the prone position there is no standard bundle or protocol found in the literature, and no bundle or protocol specific to pediatric patients. The purpose of this quality improvement project is to create and implement a prone position pressure injury prevention bundle, called “Prone Pack”. This QI project setting was a 40 bed PICU at a midsized children’s hospital in the Midwest region of the United States. A convenience sample of patients admitted to the PICU at the hospital during a two-month period was utilized. Pre and Post implementation data was obtained via retrospective medical record. Rates of new pressure injury (PI) development, location of PI, and bundle compliance for children in the prone position were analyzed. Potential for clinically significant reduction of PI in prone patients was noted. Creating a standardized pediatric PI bundle has the potential to reduce PI caused by pronation, which can improve patient outcomes and reduce healthcare costs.
Recommended Citation
Hacker, Lauren, "Implementation of a Prone Position Pressure Injury Prevention Bundle in the PICU" (1994). Dissertations. 1448.
https://irl.umsl.edu/dissertation/1448
Included in
Critical Care Nursing Commons, Pediatric Nursing Commons, Perioperative, Operating Room and Surgical Nursing Commons