In October of 2024, the ICU HAPI prevention workgroup conducted impactful training sessions titled “HAPI Hour 2.0.” These sessions, which built on the success of the previous year’s “HAPI Hour,” were a focused quality improvement project to reduce HAPIs in the ICU.
The primary aim of this group is to demonstrate a reduction of stage 2+ HAPI in the ICU. In the ICU, previous barriers focused on obtaining appropriate nutrition for our critically ill patients. With the help of the ICU clinical nurse specialist, Amber Glukhenkiy MSN, APRN-CNS, ACCNS-AG, and CCRN, a focused literature review was completed to examine the correlations between adequate nutrition and pressure ulcer development.

Using the evidence as our guide, we structured our training to review (6) key areas: moisture management, nutrition, patient turning, wound consults, documentation, and appropriate surface. The group set a goal to provide this training to 70% of the staff and were able to meet their goal. The ICU has not had any reportable pressure injuries since July 2024, a testament to the effectiveness of the training.
Pictured above: Sheila Kadel BSN, RN provides education to ICU peers Kevin Ho, BSN, RN, CCRN and Thien Tran , BSN, RN, CCRN