Carmen Blasco on implementing the pressure ulcer prevention protocol

Carmen Blasco on implementing the pressure ulcer prevention protocol


Hello everyone, I’m Carmen Blasco
I’m a clinical nurse at the Germans Trías i Pujol Hospital in Badalona, in Barcelona. I have worked in the world of wound care
for the past 25, 26 years. So, the highest figures are always in the critical units The most recent study by GNEAUPP demonstrated
the higher prevalence in the critical units. In ICUs, resuscitation units, etc etc. In comparison to the in-patient units So, what do we need to do? Well, provide materials that relieve the pressure points, as bibliography determines us,
that they have a high risk of producing ulcers. These products might be special surfaces for managing pressure They might be dressings that reduce
the pressure on high risk areas And in a nutshell, we must
correctly apply an action protocol. Which all centres are obliged to have. The most relevant areas that we already know about, with the highest risk of ulcerisation. Such as protrusions on heels, sacrum,
trochanters, shoulder blades, etc etc. The appropriate postural changes
are applied to reposition the [patient] And also in the case of the sacrum, the heels, above all, dressings are applied that prevent
pressure and shear in that area. We tend towards ever-thinner dressings and
with greater capacity for retaining drainage. [Dressings] that are more adaptable and comfortable at the same time.
Reduction of shear. When a product is good, the result is always good. So far, in this first year the results have been excellent.
We have reduced the prevalence
of ulcers in the hospital by half. Getting to almost half is a major success, isn’t it? In the application of the protocol, the prevention part, our aim was to reduce the patient’s
rate of ulcering because [that way]
we also reduce costs when applying treatments,
and also nursing time. The scientific evidence showed us
that it was effective in reducing the risk. We saw that the dressing designed
for the sacrum wasn’t just easy to place,
it was also easy to maintain for the
necessary or the amount of time we felt was optimal. And that it relieved the pressure and shear.
That was what determined whether we opted for one dressing over another. You need to have patience and show that
investing in prevention is a financial saving
for the centre, for the institution. So, each time that a new product is tried
each time that the industry offers us a new product They might offer it to me at first because they know that I’m the nurse responsible for protocol and that issue within the hospital But I always ask [the industry] for the same thing.
I ask them for evidence-based studies I chose to work in the world of wound care
simply because I liked it I liked being a nurse, and what I liked most
of all was in surgery and healing. I would say to anyone who really enjoys it
to work in wound care, because it is very satisfying When you see that you can prevent [pressure sores] because you have applied preventive measures, that’s a fantastic feeling.

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