RT Journal Article SR Electronic T1 P-137 How a nursing task force has focused on remodelling pressure ulcer management on a hospice in-patient unit JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP A58 OP A59 DO 10.1136/bmjspcare-2018-hospiceabs.162 VO 8 IS Suppl 2 A1 Davis, Rose A1 Ashley, Rebekah A1 Carby, Jo A1 Ward, Natalie A1 Tague, Yvonne YR 2018 UL http://spcare.bmj.com/content/8/Suppl_2/A58.3.abstract AB Drivers for changeThe investigative process into a significant event highlighted inaccuracies in the nursing documentationData capture for clinical governance meetings were inconsistentNICE pressure ulcer guidelines not fully implemented.Aim To improve the nursing management and prevention of pressure ulcers on the in-patient unit (IPU) in accordance with best practice and evidence. To debunk the myth that pressure ulcers are unavoidable at end of life.Method Initial audit (Hospice UK) in 2016 highlighted a required review of the hospice policy and nursing documentation on admission and discharge. A task group commenced May 2016 comprising of the clinical director, IPU manager, H@H manager and IPU nurses with expertise and special interests in tissue viability.Action planDevelop and adopt a policy and guidelines for the prevention and management of pressure ulcers on the IPUCollaborative working with the local NHS Trust to ensure we are working cohesively and consistentlyTo provide training for IPU staff to develop their knowledge of pressure ulcers, risk assessments, management and preventionRaise awareness of the importance of skin care with patients, families and carersImprove the nursing documentation and reporting procedures, data collection and root cause analysis of pressure ulcers.Results Audit results View this table: Pressure ulcers 2017 View this table: Pressure ulcers 2016 View this table:Conclusion Pressure ulcers are one of the most common occurring harms in healthcare. This task force has been the catalyst for the IPU nurses to challenge the myth of inevitable skin damage at end of life, underlining the importance of general nursing care interventions within a specialist palliative care unit.