JUMP START: Pressure Ulcer and Injury

This rapid-cycle improvement pre-recorded webinar course will JUMP START hospital wound care teams or aid in development of pressure injury prevention tactics for newly forming teams. This series will provide hospitals with standardized approaches to pressure injury prevention, identification of wounds, wound management and utilization of data to track and trend pressure injuries. This course, in its entirety, will take an estimated 5 hours and 43 minutes to complete, but is set up in sessions and does not have to be completed all at once.

This pre-recorded webinar course was developed in support of the Hospital Improvement Innovation Network (HIIN) in 2018.

Transcripts are available upon request. 

The Compass Hospital Improvement Innovation Network (HIIN) is supported by contract number HHSM 500 2016 00070C from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.

Target Audience

Chief nursing officers, directors of nursing, quality directors, providers, clinical nurses, wound care nurses, care coordinators, health coaches and quality improvement specialists

Course summary
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This course will engage hospital teams to JUMP START a QI sprint focused on reducing pressure ulcers through a structured rapid-cycle improvement initiative.



  • Identify and document hospital’s goals around pressure ulcers and injury
  • Identify opportunities for improvement
  • Propose and implement processes that will drive improvement



Topics to be Covered


Understanding Pressure Ulcer Data and Measures

  • Organizational Goal for Pressure Ulcers
  • Wound Data and Surveillance
  • HIIN Pressure Ulcer Measures
  • PSI 03


Nursing Assessment

  • Nursing Assessment Best Practices
  • Risk Assessment Tools
  • Assessment How To and Frequency
  • Pressure Ulcer vs Arterial and Vascular


Care Planning

  • Evidence Based Care Planning
  • Care Plan Strategies
  • Wound Prevention Strategies
  • Engaging Patient and Family


Wound Management

  • Identified Wound Referral
  • Wound Documentation
  • Wound Infection Prevention
  • Wound Evaluation


Educational Assessment and Competency

  • Key case study and Braden Scale
  • Participant review of case study which was emailed one week prior to webinar


Hospital Resources and Outcomes

  • Hospital resources and outcomes
  • Engaging employees
  • Engaging patients and families
  • Successful programs for pressure ulcer prevention and management

Lana Comstock, MSN, RN, CPHQ, Clinical Improvement Consultant, Iowa Healthcare Collaborative

Lana Comstock is a clinical improvement consultant for the hospital quality initiatives team at Iowa Healthcare Collaborative. She received her master’s degree in science of nursing education and has primary nursing experience in home care, long-term care and paralegal nursing. Comstock is an experienced nurse administrator with focus in nursing management, nursing education and organizational quality in various clinical settings. Her responsibilities within the HIIN included facilitation of the Falls Prevention Community of Practice and the Opioid Guardianship Project, as well as serving as a consultant to hospitals in Iowa, Illinois and South Dakota promoting all quality measures to improve safety across the board.


Kelli Buresh, MSN, RN, CWON, Unity Point Health/Healogics Wound Healing Center, Marshalltown

Kelli Buresh is a certified wound, ostomy and continence nurse. She received a bachelor’s degree in nursing from Grandview University and a master’s degree in nursing from the University of Iowa. She is completing a doctor of nursing practice, adult gerontology nurse practitioner degree at the University of Iowa. She has been a registered nurse for 38 years working in a variety of healthcare settings. Her career experience includes state and federal VA services, long-term acute care and long-term care as well as inpatient and outpatient services. She has specialized in wound and ostomy care for the past 25 years. Buresh is employed at UnityPoint Health/Healogics Wound Healing Center in Marshalltown, Iowa.

No continuing education is provided for this course. The user will receive a certificate of completion upon completing the course.

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Please register to take this pre-recorded webinar course. There is no registration fee.