Huntsville Hospital nursing led an education-focused approach to reducing hospital acquired PUs and DTIs in their high risk populations through implementation of new products, new policies and on-the-unit in-services. These efforts decreased the incident rate of hospital acquired PUs and DTIs to 0% on all patients included in a 45-day initial trial on the Cardiovascular units (CVOR and CVICU) and the Surgical Trauma ICU (STICU) and remain at 0% today