Project 1: Hospital-acquired Pressure Ulcer

In this course, there are numerous resources; there are assigned weekly readings, valuable “Optional Audio and/or Visual Items” (button on L-hand side of the site), databases that may be new to you, and scholarly references located through your literature searches. As you save, bookmark, and/or reference any of these items for this course, you may consider placing them in the annotated bibliography. Further, consider what may be of use to you in the remainder of the program (e.g., Capstone course, 49800) and your professional career. For example, you will need to create a PICO question in this course. Any EBP resources you use now many be of use to you during your Capstone project as well, as the project is an EBP project and you will be required to create a PICO question then as well. Therefore, consider placing those resources in your annotated bibliography as well. This assignment is intended to create something for you to refer to during this course as you work on the assigned project as well as to take with you at the end of this course. As such, it should hold value to you.

Each of your annotations should summarize, assess, and reflect. Please see the Purdue OWL website for further information on how to create a summary and evaluation of each resource:  Annotated Bibliographies and Samples. Well-informed opinions are encouraged in each annotation; if you find a website that isn’t user-friendly, for example, state that in your evaluation of the resource. Including such evaluations in your annotated bibliography will ensure that your future self will be well-informed.

Prior to your list of annotations, write a brief paragraph at the beginning of your document that describes your rationale for selecting included annotations. There is no minimum or maximum number of annotations. There is no required content or resources that must be included. The intent is to have a repository of resources deemed useful by you and for you.

Present your Annotated Bibliography in a scholarly and professional manner (i.e., APA formatting and no errors in spelling or grammar).

These are 2 resources i used that need for bibliography:


Joanna Briggs institute. (2016). Pressure area care. Retrieved from|2|1#below-banner

Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit. American

 I need 3 more resources for my case study, case study is in attachment

Project 1: Hospital-acquired Pressure Ulcer

Our HAPU rates on Unit A have risen significantly over the past 6 months. We have a Wound and Skin Care Nurse (WSCN) who has training in wound care. This nurse does not have a Master’s degree or specialty certification in this area but does have a lot of experience. The Wound and Skin Care Nurse is scheduled to work from Monday through Friday, 8a-5p. The WSCN nurse visits every unit and asks about each of our patients. If we identify someone as having a red spot or a potential area of breakdown, we let her know during her rounds.

The WSCN visits patients daily if they are on a computer-generated list of patients at risk for skin breakdown. The list is created when a box is checked in the computerized charting skin assessment area that asks if the patient is on bed rest or is unable to move independently. If a ‘yes’ is checked then the patient’s name is automatically placed on the list. In addition, the computerized Braden Scale is added to the patient’s documentation. The WSCN downloads the list every morning. If someone is identified at risk during the day shift the WSCN does not know about it until the next day.

The WSCN spends a lot of time on our unit. We sometimes have a problem when a patient needs to be seen by the WSCN but do not appear on the list. The nurses do not see the list, only the WSCN nurse. Our current process is to perform the Braden Scale upon initial admission assessment, then once a day if the patient is noted to be at risk, usually during the midnight shifts. The information is entered into the electronic chart (documentation system). We can track the patients’ progress and see what treatments are given to the patient. For the most part, the WSCN does all the treatments unless we are given specific instructions about an individual patient. We are not aware of what evidence supports any of the treatments. Because we have a WSCN, the direct care nurses are not familiar with how to care for the patient with skin breakdown unless the WSCN provides specific directions. We need to know what the best practices are for caring for a patient with a HAPU, including nurse driven care versus what the WSCN does for the patient.

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