Wounds
HAPU Prevention
Moisture
Ostomy
100
Non-blanchable tissue over a bony prominence or under tubing.
What is a Stage 1 pressure injury?
100
What is the main food group that supports cell regeneration, skin health and repair?
What is protein?
100
This is the best way to prevent moisture-associated skin damage.
What is prompt incontinence care?
100
This should be done every 3 - 5 days or when signs of leakage.
How often should an ostomy pouch be changed?
200
Partial-thickness tissue loss or a fluid-filled blister.
What is a Stage 2 pressure injury?
200
This should be done each time a patient refuses to be turned.
What is patient education and EPIC documentation?
200
Patients should wear incontinence briefs only during these activities.
What are ambulation and transport to procedures?
200
This type of ostomy produces liquid, acidic stool.
What is an ileostomy?
300
Purple tissue or a blood-filled blister indicating damage at the bone/muscle level.
What is a deep tissue injury?
300
This is the frequency a patient in a chair should reposition.
What is every 15 minutes or when commercials come on the TV?
300
InterDry should be placed into a skin fold in this manner.
What is by placing a single layer into the fold and allowing 1-2 inches of fabric to hang out of fold?
300
This can help a pouch adhere to open tissue.
What is ostomy powder?
400
This should be done upon entering the patient's room, after removing the old dressing, and after cleansing the wound.
What is hand hygiene?
400
Pressure injuries are most likely to occur in areas where these are present.
What are bony prominences and devices?
400
Patients with MASD are at increased risk for pressure injury for this reason.
What is increasingly fragile tissue and exposure to caustic fluids?
400
This behavior helps patients become familiar with their new ostomy.
What is participating in routine ostomy care?