Diaphoretic and incontinent.
Frequency of repositioning
What is every 2 hours?
ICU Moisture and Pressure Management. Anticipated LOS 4 days.
Weight: 320 lbs
What is the Citadel?
Assessed every shift, on admission and transfer.
What is a skin assessment?
Two teams to notify when a pressure injury is present on admission.
What are primary team and wound care?
Fall at home with fractured ankle and hip.
What is multiple trauma?
This part of the body should be floated.
What are the heels?
Pressure Reduction Only.
Weight 220 lbs.
Risk assessment documented every shift and change in condition.
What is the Braden score?
Communicates risk to anyone who enters the room.
What is the pink paper?
BMI of 18
What is malnutrition?
Applied after every incontinence episode.
What is barrier cream?
Moisture Management Only.
Weight: 100 lbs
What is the First Step Cirrus?
Poor PO intake on admission.
What is adequate nutritional support?
Foley catheter. PEG tube. L'Nard. SCDs
What are devices?
Home O2 use of 4 L via nasal canula.
What is respiratory compromise?
Should be used when the patient is sitting in the chair.
What is a waffle cushion?
Weight 525 lbs
What is the Citadel Plus?
Ultrasorb chux used in place of pink chux.
What is maintain optimal micro-climate?
Moisture and pressure issues.
Weight: 646 lbs
Unit: Baird 3
What is consult wound care?
Home medication: Prednisone 2mg daily for the last 5 years.
What is medications?
Used for female incontinence.
What is a PrimaFit?
Non-ICU Moisture and Pressure Reduction.
Weight: 185 lbs
What is the Auralis with Skin IQ?
Total assist patient should be OOB for 1 hour.
What is off load areas of high pressure?
Pink Paper and PIP nursing order.
What is the Pressure Injury Prevention Bundle?