November 18 is World-Wide Pressure Injury Prevention Day!

Monday, October 25, 2021 2:38:37 PM America/New_York

The annual Worldwide Pressure Injury Prevention Day is just around the corner on November 18, 2021.  Let’s not forget that perioperative pressure Injury prevention strategies decrease overall hospital acquired pressure injuries (HAPIs) in the non-reimbursable CMS “never event” category.  Awareness around perioperative pressure injuries and the focus on patient risk identification, including environmental and extrinsic risk factors, is gaining traction within the surgical and medical device community. As a result, skin injury prevention bundles, hospital policies, and safety strategies are being researched and recommended throughout the healthcare industry.

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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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Pressure Injuries: A Never Event, Part 1

Tuesday, August 25, 2020 1:29:00 PM America/New_York

Hospital Acquired Pressure Injuries (HAPI, formally pressure ulcers) can result in a lifetime of pain, suffering and even possibly death for the patient. HAPI rates are reported to the National Database of Nursing Quality Indicators (NDNQI) which is the, “Only national, nursing quality measurement program that provides hospitals with unit-level performance comparison reports (NDNQI, 2010b, p. 2). Healthcare leadership can use the information provided by the NDNQI to establish organizational goals for improvement at the unit level and mark progress in improving patient care and the work environment.

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The Pediatric Surgical Patient

Friday, July 17, 2020 9:08:26 AM America/New_York

The pediatric surgical patient, like any other surgical patient can be vulnerable to pressure ulcers (PU).  Reducing pressure injury development in the pediatric surgical patient can be challenging especially when there is an admitting diagnosis of congenital heart disease (CHD) paired with open-heart surgery (Galvin and Curley 2012). 

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Reducing Hypothermia in the OR

Monday, August 19, 2019 11:35:16 AM America/New_York

Hypothermia, defined as a core body temperature of less than 96.8 degrees Fahrenheit (36 degrees Centigrade), is “a relatively common occurrence in the unwarmed surgical patient”, an Ochsner Journal article explains, cautioning that even a mild degree of perioperative hypothermia “can be associated with significant morbidity and mortality”. 

Bordes, Hart, Corsino, and Harmon report, a threefold increase in the frequency of surgical site infections. Notwithstanding these statistics, hypothermia remains a common threat; the primary reason - anesthesia eliminates behavioral modification for the patients, altering their thermoregulatory mechanism.

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