Name the largest organ
What is your SKIN
Use this to prevent friction and shear during lateral transfers
SAGE Air TAPs
This is how you ask a Wound Nurse to see your patient
IP Consult to Wound Care
Often said to be the most preventable type of pressure injury
Medical Device related Pressure Injuries
Saline Moist Gauze
Recognition of skin injury may be more difficult in this patient population
** Bonus point for MASD
What is Interdry
Zinc ointment is used for this type of skin breakdown
Incontinence Associated Dermatitis (IAD)
inspect skin under or around medical devices this often
what are the 2 sizes of wound vac canisters
500 1000
19 Million of these make up one square inch of skin
Skin cells
Most effective for decreasing pressure injuries on heels
Heel boot or Z flos
(anything but pillows)
Purple discoloration and non blanchable tissue suggests this type of skin injury
Deep Tissue
Change these and rotate locations daily for best practice pressure injury prevention
What is 2 hours
DAILY DOUBLE DAILY DOUBLE DAILY DOUBLE a persons skin makes up what percentage of body weight
What is 15%
"P" or "T" on a dressing tells you to change it this often
daily or every 3 days
Mepitel one with retention dressing or small border mepilex labeled with an arrow in place for 7 days is the preferred treatment for this skin injury
what is a skin tear
Trach or PEG tube
This vac instills saline or Vashe into the wound bed along with negative pressure therapy
What is vera-flo
The skin has this many layers
3
Epidermis -Dermis-Hypodermis
if you see stable eschar choose this as your best dressing/treatment selection
***3 Bonus Points available
White Foam with retention dressing
***BONUS: Betadine Paint
Name 3 top immediate wound care interventions
Clean
Assess (where, what, why)
Dress
Gecko Gel pad are used immediate upon initiation of this type of device to prevent pressure injuries
Bi Pap masks
when a patient is discharging from the hospital; what do you do with the wound vac (multiple answers)
2) If home or rehab vac is ordered switch to the new vac.
3) Place hospital wound vac in Dirty utility room on Level 14.