Stop them at the door: should a pressure ulcer prevention protocol be implemented in the emergency department?

J Wound Ostomy Continence Nurs. 2010 Jan-Feb;37(1):35-8. doi: 10.1097/WON.0b013e3181c68b4b.

Abstract

Purpose: The purpose of this descriptive study was to determine the feasibility of implementing a Pressure Ulcer Prevention Protocol in the emergency department (ED).

Methodology: Using data abstraction, a descriptive analysis was conducted to examine the relationship between ED length of stay and hospital-acquired pressure ulcers for those patients who were directly admitted to the hospital from the ED.

Results: During 2006, 32,664 patients sought medical attention through the ED. Seventy-five percent of the total patient population admitted was admitted from the ED. One hundred twenty-five of those patients developed hospital-acquired pressure ulcers, 99.2% of which had an ED length of stay greater than 2 hours prior to hospital admission.

Conclusion: Findings of this study suggest early nursing interventions are needed to prevent hospital-acquired pressure ulcers.

MeSH terms

  • Clinical Protocols
  • Cross-Sectional Studies
  • Emergency Service, Hospital / organization & administration*
  • Feasibility Studies
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Pressure Ulcer / epidemiology*
  • Pressure Ulcer / pathology
  • Pressure Ulcer / prevention & control*
  • Retrospective Studies
  • Risk Factors