TAKING ON THE CHALLENGE: DEVELOPING A MULTIDISCIPLINARY DECISION TREE FOR HEEL PROTECTION IN THE ICU

References Multidisciplinary team work, regular rounding with focused skin assessments, and implementation of a heel protection boot decision tree are components of the success of our standardized heel pressure ulcer prevention. Ongoing attention to staff education by implementing just-in-time teaching at the bedside, has been an added benefit of weekly rounds by the CWON and Skin Champions. Case review of any negative outcome occurs at the unit and service level. Collaborating with physical therapy and orthotics, has helped to strengthen the bonds between disciplines, and ensure consistent implementation of the decision tree. Patients benefit from a consistent prevention protocol. Nosocomial heel ulcer rates continue to fall. Introduction Results