Retrospective data collection and ongoing prospective reviews of trauma patients revealed that our institution experienced a significant number of occipital pressure ulcers related to the cervical collar used for immobilization. Objectives included the initiation of practice changes aimed at ulcer prevention, as well as the initiation of protocols to assure the consistency of care to patients with cervical collars and the timely treatment of ulcers, should they occur. To address this problem, a self-learning module, based on the SOHN Tracheostomy Guidelines, as well as annual competency testing was instituted. Our objective was providing optimal care to the tracheostomy patient population, by increasing the competency of their nurses, as well as developing a consistent standard for tracheostomy care between the I.C.U. and General Unit. Tool Providing a Latex Free Environment Reactions to latex occur in individuals with frequent exposure to latex proteins, e.g. OR personnel, pediatric patients with frequent catheterization or surgical procedures.
Serious reactions are more likely to occur with parenteral or mucous membrane contact.
Symptoms range from localized skin irritation to systemic reactions such as hives, wheezing, anaphylactic shock and death. Continued exposure to latex in an already sensitized person may increase the risk for a more severe reaction in the future. This protocol includes identifying all latex-containing hospital equipment, identifying staff and patients with latex sensitivity, classifying each case of sensitivity by severity and then adjusting the hospital environment based on sensitivity classification. A variation on this protocol addresses procedures specific to the operating room environment . Consider sharing it with other professionals by submitting it to the Best Practice Network for publication.