Better Skin, Better Outcomes

Publication Date

2026

Presentation Length

Poster/Gallery presentation

College

Gordon E. Inman College of Nursing

Department

Nursing, School of

Student Level

Undergraduate

Faculty Mentor

Linda Wofford

Presentation Type

Gallery

Summary

This proposal aims to improve skin integrity outcomes for oncology patients at Ascension Hospitals by introducing a standardized report sheet to streamline delegation and strengthen nursing accountability. Oncology patients face a significant 10.1% pressure injury prevalence due to complex systemic vulnerabilities, including immobility, malnutrition, and treatment-induced tissue changes (Villela de Castro et al., 2022). Because these risks are often compounded by inconsistent documentation and communication gaps, a multidisciplinary approach utilizing standardized tools is vital for proactive prevention and patient safety (Roderman et al., 2024). Recognizing that significant deep-tissue damage often occurs before injuries are visible, consistent intervention is essential. Under this proposal, RNs will perform primary skin assessments, while Patient Care Technicians (PCTs) utilize a hard-copy report sheet to execute and track delegated tasks, such as RN-directed turning schedules and hygiene interventions. Following the selection of an evidence-based tool and one month of staff education, a three-month pilot will begin. Adherence will be monitored through weekly charge nurse audits of report sheets stored in a unit binder. This process allows the RN to verify that all delegated care was documented appropriately and completed according to the plan of care. Success will be measured by achieving ≥90% tool completion and a measurable reduction in new pressure injuries compared to eMAR and incident report baselines. Sustainability will be supported through ongoing audit feedback presented at monthly staff meetings and integration into the routine workflow. If successful, the project will expand to other medical-surgical units, further strengthening evidence-based nursing practice hospital-wide.

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