Perioperative Nutritional Optimization to Prevent Pressure Injuries

Friday, March 26, 2021 1:38:44 PM America/New_York

More than 50% of older surgical patients are thought to have malnutrition that is associated with increased postoperative complications, prolonged length of hospitalization and increased health care cost.

The surgical patient is at a nutrition and fluid disadvantage right off the bat due to the “Nothing by Mouth” order.  The patients are getting ready to “run” the big surgical race with a fuel tank on empty! The tank needs to be filled during the preoperative, optimization time by implementing a nutritional plan that is right for the individual patient.

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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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Preventing OR Specimen Errors

Tuesday, December 8, 2020 3:43:58 PM America/New_York

Operating Room Specimen Errors can be devastating as it can affect the patient diagnosis, treatment and outcome.  Imagine having the correct diagnosis given to the wrong patient, or a diagnosis that never makes it to the patient because the specimen is lost! How about those mislabeled specimens, labeled left when it should be right or right when it should be left?  Worse than that, how about the retained specimen that never makes it to the lab because it was “forgotten” to be removed?  

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Posted in Surgical Patient Safety By Sally Fulmer

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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