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Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
Published on: December 4, 2021
Creating a Comprehensive Hospital-Based Skin and Wound Care Program to Improve Outcomes and Decrease Pressure
1Kathleen Leask Capitulo, PhD, RN, FAAN, FNYAM, IIWCC, FACCE, C-CNS, is Professor, the Icahn School of Medicine at Mount Sinai and Rory Myers College of Nursing at New York University, New York, and Guest Editor of this special joint issue of Advances in Skin & Wound Care and Nursing Management . Acknowledgment: The author thanks her family, Ron Capitulo; Valerie Capitulo Saide; Melissa Capitulo BSN, RN, CPN; Andrew Capitulo; and Margaret Leask, RN, for their lifelong support of her nursing career; Dr Elizabeth Ayello and Dr R. Gary Sibbald for their mentorship in wound and skin care; and Dr Joyce Fitzpatrick, Dr Margaret Comerford Freda, and Dr Elizabeth Ayello for their mentorship in professional publishing. The author has disclosed no financial relationships related to this article. Submitted to Advances in Skin & Wound Care March 29, 2022; accepted in revised form June 18, 2022. This article is jointly published in Nursing Management as Capitulo KL. Creating a comprehensive hospital-based skin and wound care program to improve outcomes and decrease pressure injuries. Nurs Manage 2022;53(9).
Abstract:
The author describes implementing a comprehensive skin and wound care program during her tenure as chief nurse executive to address challenges related to a lack of expert resources and knowledge of pressure injury (PI) prevention and treatment. This multifaceted program included the creation of a comprehensive, interprofessional, evidence-based skin and wound care committee; establishing a "Wound Board" for case presentations and expert consultation; providing educational programs; streamlining the processes for product evaluation, procurement, and use; decreasing costs; and hiring additional wound, ostomy, and continence nurse specialists. As a result, hospital-acquired PI incidence dropped significantly.
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