Yu Pei-Ling

Taipei Hospital, Ministry of Health and Welfare, Taiwan

Abstract Title: Using the Skincare Bundle to Reduce the Incidence of BiPAP- Related Pressure Injuries

Biography:

Yu Pei-ling graduated from the Department of Nursing at Yuanpei University of Medical Technology with a Bachelor's degree. She is currently the Head Nurse of the Medical Ward at Taipei Hospital, Ministry of Health and Welfare, and has 25 years of extensive nursing experience.

Research Interest:

Purpose: BiPAP provides effective gas exchange; however, prolonged mask use can lead to medical device–related pressure injuries. This project aimed to apply evidence-based practice to develop a standardized SOP and education program. The motivation arose from the unit’s BiPAP-related pressure injury incidence of 0.34%.
Methods: Problems identified included the absence of physician orders, inadequate instruction from respiratory therapists, inconsistent and low nursing accuracy, limited understanding of pressure injury staging, and insufficient caregiving knowledge among foreign caregivers. Additional issues were the lack of training programs, reliance on verbal education, unclear foam replacement intervals, no audit system, limited educational tools, and foam materials that did not fit facial contours or were of poor quality. Interventions included developing the SKINCARE SOP, providing education and training, creating a pressure injury staging reference card and English teaching materials, establishing audit standards, offering individualized material selection, and increasing foam types and designs.
Results: Staff accuracy in BiPAP care improved to 96.6%, and the pressure injury incidence decreased to 0%, achieving the project goals.
Conclusion: Implementing evidence-based care effectively reduced BiPAP-related pressure injuries, prevented secondary harm, and enhanced patient safety and overall care quality.