The turn team: A novel strategy for reducing pressure ulcers in the surgical intensive care unit

Mary D. Still, Linda C. Cross, Martha Dunlap, Rugenia Rencher, Elizabeth R. Larkins, David L. Carpenter, Timothy G. Buchman, Craig M. Coopersmith*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

Background: Pressure ulcers cause significant morbidity and mortality in the surgical intensive care unit (SICU). The purpose of this study was to determine if a dedicated team tasked with turning and repositioning all hemodynamically stable SICU patients could decrease the formation of pressure ulcers. Study Design: A total of 507 patients in a 20-bed SICU in a university hospital were assessed for pressure ulcers using a point prevalence strategy, between December 2008 and September 2010, before and after implementation of a team tasked with turning and repositioning all hemodynamically stable patients every 2 hours around the clock. Results: At baseline, when frequent turning was encouraged but not required, a total of 42 pressure ulcers were identified in 278 patients. After implementation of the turn team, a total of 12 pressure ulcers were identified in 229 patients (p < 0.0001). The preintervention group included 34 stage I and II ulcers and 8 higher stage ulcers. After implementation of the turn team, there were 7 stage I and II ulcers and 5 higher stage ulcers. The average Braden score was 16.5 in the preintervention group and 13.4 in the postintervention group (p = 0.04), suggesting that pressure ulcers were occurring in higher risk patients after implementation of the turn team. Conclusions: A team dedicated to turning SICU patients every 2 hours dramatically decreased the incidence of pressure ulcers. The majority of stage I and stage II ulcers appear to be preventable with an aggressive intervention aimed at pressure ulcer prevention.

Original languageEnglish
Pages (from-to)373-379
Number of pages7
JournalJournal of the American College of Surgeons
Volume216
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Fingerprint

Dive into the research topics of 'The turn team: A novel strategy for reducing pressure ulcers in the surgical intensive care unit'. Together they form a unique fingerprint.

Cite this