Download Full Text (178 KB)


From October 2015 to April 2016, there were five Stage II or higher inner nares hospital acquired pressure injuries (HAPIs) caused by nasogastric (NG) tubes, with one being unstageable. These occurred despite previously implemented evidence- based prevention strategies, which included:

• Two-person skin assessments on admission and return from surgery

• Two-person skin assessment upon transfer from unit to unit

• Daily skin assessments including under devices

• Access to the Wound Ostomy Continence (WOC) team

Publication Date



HAPI's, Hospital Acquired Pressure Injuries, Skin assessment, Naso-gastric tube injuries


Other Nursing


Nursing Poster 2019

Team Members:

Curt DeVos, BSN, RN, CNRN Director, Surgical Care Units

Kathy Collins, BSN, RN, CMSRN Educator, Surgical Care Units

Mallory Mondloch, BSN, RN, CMSRN Nurse Clinician, Surgical Care Units

Katie Meyer, RN, CMSRN Skin Champion, Clinical Nurse, Surgical Care Unit 2

Sue Omann, MS, APRN, CWOCN Wound Ostomy Continence Nurse, St. Cloud Hospital

Jennifer Burris, APRN, CNS Director of Nursing Practice, St. Cloud Hospital

Melissa Fradette, MSN, RN, CCRN Magnet Program Director, St. Cloud Hospital

Journey to Zero NG-related HAPI's

Included in

Other Nursing Commons