Pressure Injuries in the Neonatal Population

Thursday, March 18, 2021 1:17:58 PM America/New_York

Typically, when we think of skin injury prevention in the acute care setting, we think of that immobile, post trauma, geriatric or surgical patient.  There is a plethora of literature and research around the subject yet each year, more than 2.5 million people in the United States develop pressure injuries.  That 2.5 million people represent many different populations from geriatric to neonate. Risk identification and the implementation of pressure injury prevention interventions are well known in the adult population but what about the neonate? When it comes to pressure injuries, we rarely think of the neonatal population.

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Safe Lateral Positioning for Improved Team and Patient Outcomes.

Wednesday, February 17, 2021 1:34:42 PM America/New_York

The lateral surgical position is one of the most labor-intensive surgical positions that depends on brute force and team strength.  The lateral position is not only physically taxing on the staff, but also can be as hard on the patient; therefore, it is important to have an experienced clinical team member leading the way.  The surgeries that rely on the lateral surgical position vary by specialty and include lateral hip, thoracotomy, spine surgery, or kidney surgery. Many times, the lateral position is preferred over prone when possible for obese patients because the bulk of the patients panniculus can be displaced off the abdomen.  To help improve patient outcomes, this blog will discuss the risk and interventions that are involved with placing a patient in the lateral position.

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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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Pressure Injuries: A Never Event, Part 3

Wednesday, September 30, 2020 9:39:38 AM America/New_York

The National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance reports that hospital-acquired pressure injury prevalence in acute care settings to be approximately 10%; their effects on both patients and hospitals is significant. In the previous blogs, we have discussed what can be done to mitigate risk in the preoperative and intraoperative phases of care.  Today, we will discuss the importance of continued risk assessment and interventions in the postoperative phases of care.

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Pressure Injuries: A Never Event, Part 2

Monday, September 21, 2020 1:23:42 PM America/New_York

Last time we talked about the Hospital Acquired Pressure Injury (HAPI) and the unnecessary cost, pain and suffering that can accompany them.  Perioperative pressure injuries are real, as Spector, Limcangco, Owens and Steiner (2016) point  out, perioperative pressure injuries can increase the cost of surgery-related hospital stays by an estimated 44% and may add approximately $1.3 billion annually to health care costs in the United States.  

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