C.A.R.E to Prevent Medical Device-Related Pressure Injuries

C. Preston Lewis, DNP, MSN, RN, CCRN-K; Kristene E. Colcord, MSN, RN, CWOCN; Ashley Peterson, BSN, RN, ONC; Charmaine Pfister, MSN, APRN, FNP-BC, CWOCN; Mary Ellen Robertson, MSN, RN; Aaron Slyh, BSN, RN, CWOCN; Brittany Smoot, MSN, RN; Kathy Tussey, MSN, RN, NEA-BC; Heather Whalen, MSN, APRN, FNP-BC, CWOCN, CFCN


Am Nurs Journal. 2021;16(6) 

In This Article

Implementing the Innovation

From March to May 2017, WOC nurses and the Magnet program coordinator collaborated with SWAT Force and the Magnet Nurse Champions (a nurse-led shared-governance council) to launch this innovation education. Over 3 months, clinical nurse super-users used a blended-learning methodology involving an online learning management system to provide an interactive 30-minute professional development activity for unit peers on qualifying inpatient units. Magnet Nurse Champions and SWAT Force members reinforced the activity with a four-page educational flyer during scheduled shifts and staff meetings. The flyer defined the four key actions illustrated by C.A.R.E., identified low- and high-volume medical devices used across patient care units, recommended timeframes for assessment and reassessment, and suggested protective barriers for each device. To validate competency, nurses completed a 20-item knowledge assessment administered via an online learning management system. Full protocol implementation began in late May 2017.