MASD
These areas are affected by fecal incontinence
What is bilateral buttocks, gluteal cleft, perirectal, lower buttocks. At times groin if wearing a brief
Injury to skin caused by repeated or sustained exposure to moisture in the of water, urine or stool, perspiration, mucus, saliva, or wound drainage
What is Moisture Associated Skin Damage (MASD)?
Stage of pressure injury on oral mucosa, nasal passage way, tongue, vaginal canal
What is a mucosal pressure injury?
Ambulating and chair time
What are the acceptable times a brief should be worn?
Blood fill blister over a bony prominence
Serum Filled Blister over a bony prominence
What is a deep tissue injury for blood filled blister and stage 2 pressure injury for a serum filled blister ?
MASD is noted for patient. Skin is red, INTACT without ulceration. Ointment/Cream used for treatment.
What is Barrier Cream? Medline Specialized Clear Zinc (orange cap) or Cleansing Lotion with Dimethicone
Deep purple discoloration of fragile epidermal tissue on buttocks (particularly the fleshy aspects). At times will ulcerate and usually multiple, scatter ulcers. Present over a long period of time, ulceration usually irregular and over fleshy aspects of buttocks. Often will be in the presence of incontinence and chronic friction
What is chronic tissue injury?
What is blanchability?
The number of repositioning wedges that are required to reposition a patient properly (using Ehob green wedges).
What is 2?
This is the worst stage that a DTI has the potential to evolve to?
Stage 4 Pressure Injury
Use frictionless wipes and cleansing lotion to remove this ointment following incontinent episode
What is Triad?
What is Chronic Friction Injury?
Stage of a pressure injury that was noted to be a stage 4 in a previous admission. Today, the measurements are 1x1x0.1 with a red/moist wound bed.
What is a stage 4 pressure injury?
This acronym can be used to individualize SIPP interventions. Some of these interventions may include LAL, heel boots, Q2H turning, Incontinent management, nutritional screening
What is SKIN?
S Surface, K Keep pressure off, I Incontinence care/Tolieting, N Nutrition
If thermal imaging is done, this is the amount of time that the damage can take to present on the surface based on HHC protocol.
What is 7 days after admission?
This location is often mistaken for a pressure injury to the coccyx. The ulceration is often linear and partial thickness
What is gluteal cleft?
No Purple or purple-maroon discoloration, presents with lichenification and ridges. Seen in patients who slide in bed and/or wheelchair often. May present with MASD/IAD
What is chronic friction skin injury?
Definition of friction: force of 2 surfaces moving across one another (such as skin along the surface of linen or underpad)
Amounts of pressure that an cause a pressure injury
What is intense and/or prolonged pressure?
Machine that uses thermal imaging to capture skin injuries. This will evaluate damage done prior to admission.
What is Scout Camera?
Assuming the patient did not have thermal imaging, this is the amount of time damage can take to show up on the surface level following a deep tissue injury.
What is 72 hours?
Incontinent of urine, ambulatory to BSC. This can be used as incontinence management
What is Q2H tolieting, bedpan?
NOT Purewick
Serum filled blister obtained from friction on sheets. May be present over a heel or toe
What is a friction injury?
These are interventions that can prevent a Medical Device Related Pressure Injury
What is choosing the correct size for pt, cushion/pad at high risk areas, inspect skin BID, rotate as able, avoid devices over bony prominences/PIs as able, place wound consult per protocol?
This bed would be utilized for a patient on spinal precautions without clearance from the provider for a LAL. It can be obtained by calling ESD. This bed can also be used if traction is ordered.
What is the Stryker bed designated for Spinal Precautions & Traction patients?
Deep purple discoloration of fragile epidermal tissue on buttocks (particularly the fleshy aspects). At times will ulcerate and usually multiple, scatter ulcers. Present over a long period of time, ulceration usually irregular and over fleshy aspects of buttocks. Often will be in the presence of incontinence and chronic friction
What is Chronic tissue/skin injury?