Abstract
Hospital-acquired pressure injuries cause patient harm across the care continuum. A pressure injury acquired during an inpatient stay is considered a nursing-sensitive indicator. Such injuries are tracked by a number of bodies, including those determining quality of nursing care and accreditation. Nasal septal pressure injuries affect patients receiving RAM cannula therapy in a level IV neonatal intensive care unit in the southern United States. This quality improvement project sought to reduce the number of RAM cannula related nasal septal pressure injuries following the implementation of specific interventions, including education on a respiratory device related prevention bundle and utilization of a pressure injury prevention cart. The project, which applied an evidence-based approach to change, successfully reduced severe harm when compared to baseline data.