Protect the Heels with Evidence Based Interventions

Monday, November 2, 2020 12:30:06 PM America/New_York

The supine position is the most common surgical position with the patient lying on their back with the head, neck and spine in a neutral position.   This position is not without pressure injury risk as there is increased pressure and shear forces to the scapula, occiput, elbows, sacrum, coccyx, and heels. Today we are going to look at ways to mitigate the risk for pressure injuries (PI) to the heel, related to the supine position. When a patient lies supine, all the pressure of their lower legs and feet rest on the heel.  Heel PI represents approximately one third of pressure injuries acquired, and can result in increased morbidity and mortality. In some cases, heel pressure injuries can lead to amputation of the affected limb.

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Foam or Gel for Patient Position: What Does the Evidence Say?

Monday, May 18, 2020 1:17:49 PM America/New_York

One of the biggest responsibilities of the operating room (OR) team is to ensure patient safety. There are many facets to patient safety in the OR. Safe patient positioning is a critical facet since the patient is unable to tell you if they are in pain or uncomfortable.  The first step to improved outcomes related to patient positioning is to look to the evidence for guidance when choosing your positioning device.  There are extrinsic and intrinsic factors that contribute to the development of pressure injuries (PI) in the OR, one of the extrinsic factors is prolonged surface interface pressure. In this week’s blog we will look at a scientific comparison between foam and gel used as positioning devices in order to determine best practice. 

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Proning The ICU Patient

Thursday, May 7, 2020 2:52:26 PM America/New_York

Proning the ICU patient isn’t for the faint of heart, it takes planning, communication, collaboration and coordination and an OR nurse. It takes a team of 6-8 depending on the size of the patient to safely transfer that patient into the prone position. The key word in the sentence above is safety.

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Pressure Injury Prevention Takes Prior Assessment - Plus a Pause

Tuesday, September 24, 2019 9:31:19 AM America/New_York

With pressure injury on the rise, it’s going to take collaboration among leadership, the front line, and industry to tackle the problem on several fronts, Cassendra Munro, PhDc, MSN, RN, RNFA, CNOR asserts.

Preoperative risk assessment

Pressure injury prevention begins with a focus on preoperative risk assessment, Munro points out, with the results of this assessment documented and clearly communicated throughout the continuum of care. Munro, care experience manager at the Saint John’s Health Center in Santa Monica, California, is the creator of the Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients©.   Preoperative risk factors measured by Munro include mobility, nutritional state, Body Mass Index, weight loss, and age. Some of the warning signs include smoking, hypertension, renal failure, cardiovascular disease, pulmonary /respiratory disease, diabetes, and prior history of pressure ulcers.

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