Sustained Reduction of Nasal Pressure Injuries with the Use of Bubble Continuous Positive Airway Pressure: A Quality Improvement Project

Sustained Reduction of Nasal Pressure Injuries with the Use of Bubble Continuous Positive Airway Pressure: A Quality Improvement Project

In this article, Lawrence et al, describe an inter-professional team–driven quality improvement project to implement a Skincare Protocol to prevent CPAP nasal device-related pressure injuries.
The setting was a level 3, 60-bed NICU. Prior to implanting this project, the NICU had documented 6 nasal pressure injuries over a 6-month period that were associated with nasal bubble CPAP use.
An evidence-based practice model provided the guiding framework for the development of this Protocol.
During the first 3 months post implementation, one stage 2 nasal injury was noted that was treated and healed. During the next 24-month, post-implementation, there were no nasal pressure injuries reported.
Authors conclude that using an interprofessional team approach in developing and implementing an evidence-based BCPAP Skincare Protocol reduced the incidence of nasal pressure injuries associated with BCPAP.

Read more … Lawrence C, Mohr LD, Geistkemper A, Murphy S, Fleming K. Sustained Reduction of Nasal Pressure Injuries in the Neonatal Intensive Care Unit With the Use of Bubble Continuous Positive Airway Pressure: A Quality Improvement Project. J Wound Ostomy Continence Nurs. 2021 Mar-Apr 01;48(2):101-107. doi: 10.1097/WON.0000000000000748. PMID: 33690243.