Staging Pressure Injury
Tissue loss extends to dermis in both wounds. Wound beds are pink/red. No slough is noted.
What is stage II ?
Treatment for Stage I pressure injury with no exudate.
What is Prevention ?
Use of Mepilex foam for continent patient.
How often should we Turn and Reposition?
What is PureWick?
Not only done to take weights and set bed alarms, this action ensures that beds redistribute pressure appropriately.
What is zeroing the bed?
The wound bed is pink/red and without slough. The epidermis has been lost in several areas.
What is stage II ?
Treatment for Stage II with scant/minimal exudate.
What is protect and treat?
Use of Mepilex foam with hydrogel or duoderm.
Use of Lift Sheet & TAP system
What are the correct transfer techniques?
Method to manage male incontinence to prevent moisture associated skin damage.
What is Texas Condom Catheter?
This Air Fluidized Bed would be therapeutic for patients with pressure injuries on two turning surfaces or those who have flaps, grafts, or burns. This bed does not record weights.
What is a Clinitron Bed?
Loss of epidermal and dermal layers exposes the underlying subcutaneous tissue.The wound base is visible. No tunneling is noted
What is stage III ?
Treatment for Stage III pressure injury with moderate exudate.
What is Protect, absorb and fill dead space?
Manage necrotic tissue with Collagenase.
Hydrogel for dry minimal slough.
To help prevent pressure injuries the head of bed should be no more than...
What is Rule of 30 degrees?
Appropriate device used for a patient who is bed-bound and has liquid or semi-liquid stool incontinence.
What is Flexi-Seal?
This low air loss mattress would be therapeutic for patients with Stage 3 or 4 pressure ulcers and a Braden Scale < 15.
What is a VersaCare with P500?
Multiple areas of deep purple/maroon colored skin are observed over the sacral area and lower spine.
One wound has evolved to an open ulceration but the maximum anatomic depth of this wound is still to be determined.
What is Deep Tissue Injury?
Treatment for Stage IV pressure injury with moderate to large exudate.
What is Protect, absorb and fill dead space?
Enzymatic Debridement for necrotic tissue with Collagenase.
Hydrogel for moisture donation.
Patients who have or develop a wound of any kind should have a consult placed for...
What is a Nutrition Consult ?
Use for management of skin-to-skin irritation.
What is inter-dry?
This bed is used if the patient weighs more than 500 pounds.
What is Compella Bariatric Bed?
A pressure injury was noted in the mucous membrane outside the urethra from a urinary catheter.
What is Mucosal Membrane Pressure Injury ?
Treatment for Deep Tissue Pressure Injury with no exudate.
What is Protect?
Skin Barrier (SurePrep or Critic Aid Clear Moisture Barrier Ointment)
How to prevent pressure injuries related to high risk medical devices?
Examples :
ETT, NGT, FEEDING TUBES, FACEMASKS, ORTHO DEVICES
Going to be discontinued for Mount Sinai Queens for incontinence management.
What are diapers and green chucks?
This low air loss mattress with pulmonary features is used in the ICU for higher acuity patients.
What is TotalCare Sport Bed?