Working Together to Achieve Excellence in Wound Management

Cedarvale Terrace 218 bed Long Term Care Home nestled in the heart of Forest Hill

Managed by Responsive Health Management Inc.

Certified with the Kashruth Council of Canada

Interdisciplinary approach to all aspects of resident care

Pressure ulcers are…• Painful for the resident

• Can result in depression

• Time consuming to care for

• Costly

What is WoundRounds?

Why did we choose WoundRounds?

• Innovative system that provides the ability to conduct thorough and accurate wound assessments at the bedside

• The system provides multiple reports to monitor trends and analyze healing of wounds using PUSH scores

• User friendly program

Implementation of WoundRounds

• 3 day on-site training session for Registered staff oConsent obtained for photographyoClassroom sessionoSupervised bedside assessmentsoTrain the trainer model with follow up training materials left on

site

•Comprehensive training of Report generation and utilization to Registered and Administrative staff

•Reports provided valuable information at the Home and corporate level

How Cedarvale Terrace uses WoundRounds

• Individual assessments are completed weekly by nursing and uploaded into the resident’s medical record

• Weekly reports are reviewed at the unit level to review wound status and highlight areas for improvement

• Reports reviewed at various levels within the Home and organization

• Interdisciplinary Skin and Wound Assessment and Treatment team (S.W.A.T.) was implemented

Benefits of WoundRounds• Real time photographs of all wound types• Standardized comprehensive wound assessment format• Report capabilities include:

o Drill down reportso Wound activity& exception reportso Corporate wound reporto PUSH score trending

• Online WoundRounds University • Opportunities for education • Support Team available (via phone or email)

Our CIHI statistics Indicator Category Indicator

2012 Q3

2012 Q4

2013 Q1

2013 Q2

2013 Q3

Ontario 2013 Q3

Safety Has a stage 2 to 4 pressure ulcer 8.20% 8.60% 8.00% 8.70% 7.50% 6.50%

Safety Worsened stage 2 to 4 pressure ulcer 2.80% 2.90% 2.90% 3.80% 3.00% 2.90%

Safety Has a new stage 2 to 4 pressure ulcer 2.20% 2.50% 2.30% 3.00% 2.20% 2.60%

Displayed by Percentage of Wounds

Displayed by Numbers

Drill down August 01, 2013 - May 29, 2014

498 total number impaired skin integrity (Pressure, vascular, skin tears, surgical, etc. )

◦ Healing rate of 73%

Drill down August 01, 2013 - May 29, 2014

PUSH score• Pressure Ulcer Scale of Healing (PUSH score)

o Ranges from 0-17o Includes several variables (Length X Width, Exudate

amount, Tissue Type :slough, necrotic tissue)o Monitors healing over time

• Of the 498 sites of all impaired skin integrity from August 2013 – present only 3% showed worsening PUSH scores

Pressure Ulcer Reports

Disclaimer

Sample wound assessment ahead…

Wound Assessment

Staff Testimonials

Thank You

Brie Munshaw: bamunshaw@cedarvaleterrace.ca