WOCNext 2019

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(506B) Management of Incontinence Associated Dermatitis in a Surgical Intensive Care Unit: Quality Improvement Results (Room Grand Ballroom A1)

This session will provide an overview of the use of an algorithm for incontinence management in the critical care setting that was utilized in a surgical intensive care unit to reduce the incidence of hospital acquired incontinence associated dermatitis (IAD). The algorithm included evidence based products for the management of fecal and urinary incontinence and utilized the Bristol Stool Scale to further drive product selection for incontinence management for the intensive care clinical registered nurse. The algorithm also utilized the GLOBIAD tool for the identification of IAD. Results of this quality improvement project yielded a 24% reduction in the incidence of hospital acquired IAD over a period of four months. Utilization of the GLOBIAD tool also allowed for intensive care registered nurses to identify IAD in 24% of incontinent patients on admission to the surgical intensive care unit.