Name My Stage!
Partial thickness loss with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister.
What is a Stage 2?
Three risk factors for skin breakdown
Moisture, Obesity, Poor nutrition, Immobility, Sensory impairment, smoking, poor blood flow
The maximum time interval patients should go without being repositioned
What is 2 hours?
Refer to Fig. 5
What is Mepilex?
The largest organ in the body
What is Skin?
Refer to Figure 1
What is a stage 1?
You should refrain from this habit while making a bed for your patient.
What is Layering pads and sheets?
Areas of the body that are high risk for skin breakdown and should be paid close attention to (name three)
Refer to Fig. 6
What is Cavalon?
The first layer of the skin, creates a waterproof barrier and gives us our skin tone
What is the epidermis?
Refer to Figure 2.
What is a Stage 4?
A patient aged 9+ years old with a Braden-Q score less than ___ is at a higher risk for skin breakdown and should have preventative measures in place.
What is 18?
What is Mepilex?
Refer to Fig. 7 (Hint: green cap)
What is Critic- Aid Clear Antifungal? (any anti fungal answer acceptable)
The term for skin turning a lighter color when gentle pressure is applied and the released.
What is blanching?
Refer to Figure 3
What is a DTI?
A patient aged 0-8 years old with a Braden-Q score less than ___ is at a higher risk for skin breakdown and should have preventative measures in place.
What is 25?
A device used to redistribute force over a greater surface area or to help offload bony prominences while maintaining neutral body alignment (hint: must be remolded)
Medical-grade honey products for the management of wounds and burns
What is Medi-Honey?
A wound caused by shear, friction, and/or blunt force resulting in separation of skin layers.
What is a skin tear?
Refer to figure 4
What is an Unstageable?
Patients on this type of drip may be at a risk for skin breakdown due to decrease in blood flow to the extremities that leads to peripheral ischemia.
What are vasopressors?
A induvidual you can reach out to if you have concerns for a developing wound/high risk patient
Clara Collins WOC Nurse or your Unit Skin Champions
Moisture-wicking fabric with antimicrobial silver complex that effectively manages complications associated with skin folds
What is Interdry?
A form of moisture-associated skin damage caused by prolonged exposure to urine, stool, or both.
What is Incontinence Associated Dermatitis?