{"id":2608,"date":"2025-02-24T11:40:48","date_gmt":"2025-02-24T19:40:48","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=2608"},"modified":"2025-03-03T22:44:29","modified_gmt":"2025-03-04T06:44:29","slug":"nasogastric-tube-and-bipap-mask-related-pressure-injury-in-adult-care-services","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/new-knowledge-innovation-improvements\/nasogastric-tube-and-bipap-mask-related-pressure-injury-in-adult-care-services\/","title":{"rendered":"Nasogastric tube and BIPAP mask-related pressure injury in adult care services\u00a0"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_column_text]<span data-contrast=\"auto\">The Adult Services tackled the rising issue of medical device-related pressure injuries with a targeted project focusing on nasogastric tubes and BiPAP masks. Despite a reduction in nasogastric tube injuries from 2022 to 2023, BiPAP-related injuries doubled, signaling the urgent need for standardized guidelines and collaborative interventions. The initiative is spearheaded by the Inpatient Wound\/Ostomy Department team \u2014 Raisa Pangilinan, BSN, RN CWON, Lindsay Fletcher BSN, RN CWON, Dawn Davis Clinical Wound Associate under the leadership of Charity Shelton DNP, RN, NE-BC.\u00a0<\/span><span data-ccp-props=\"{&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Led by wound-certified nurses, the initiative united nursing leadership, respiratory therapists, and shared governance councils. For nasogastric tubes, the team introduced the &#8220;CLEAN&#8221; framework: correct tube positioning, stabilize tube, evaluate area under\/tube, alleviate pressure, and note date and time. This evidence-based approach became the cornerstone of updated workflows. Medical-surgical staff received hands-on training to ensure adherence during annual skill days.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In BiPAP care, challenges like opaque foam padding that obscured skin assessments were addressed with a clear gel barrier, selected after collaborative trials with respiratory therapy. This change allowed for real-time skin evaluations while maintaining patient comfort. A new standardized workflow defined the roles of respiratory therapists and nurses, ensuring seamless communication and accountability.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">By mid-2024, the project achieved zero pressure injuries for both devices, highlighting the success of interdisciplinary collaboration and evidence-based interventions. With plans to expand regionally, this initiative demonstrates how targeted strategies, teamwork, and frontline engagement can drive sustainable improvements in patient safety and care quality, setting a higher standard for device-related injury prevention.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_single_image image=&#8221;2525&#8243; css=&#8221;&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>The Adult Services tackled the rising issue of medical device-related pressure injuries with a targeted project focusing on nasogastric tubes and BiPAP masks.<\/p>\n","protected":false},"author":2,"featured_media":2842,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[57],"tags":[],"ncal_area":[101],"site_only":[],"report_year":[58],"class_list":["post-2608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-new-knowledge-innovation-improvements","ncal_area-vallejo","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nasogastric tube and BIPAP mask-related pressure injury in adult care services\u00a0 - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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