CATEGORY S
Whose job is it (at your facility) to take care of your patients' skin?
EVERYONE is responsible to prevent Skin Injuries and Pressure injuries!
What is the largest organ of our body?
SKIN
How many glasses of water per day should an elderly patient drink?
6 medium sized glasses of water per day
(Unless patient is on a fluid restriction)
How often should you turn a patient in bed?
Every 2 hours, or as needed
Where do we often forget to look for pressure injuries on the body?
Foley catheters, Under tubing, Feeding Tubes, Oxygen tubes, Under medical devices, Braces, splints, restraints, briefs, heel protector straps, compression stockings)
What can you use to protect the skin from MASD?
Moisture Skin Barriers
What is the "Rule of 30"?
It is used for positioning; the head of the bed is elevated at 30 degrees or less and the body is placed in a 30 degree lateral in time position, when we position to each side
How soon can a pressure injury develop on the body?
A Pressure injury can form quickly, usually within 2 hours of pressure
What's the most common reason a patient develops a Pressure Injury?
Impaired mobility
What other skin injuries do you usually see, particularly on the arms of geriatric population?
What can you do to help protect the skin from skin tears?
Moisturize the skin, Adequate nutirition and hydration, Bandage wound with petroleum-based dressing with a gauze wrap, silicone based thin foams
What can you do to prevent the spread of infection from patient to patient?
*Wear proper PPE, Wash your hands, Wash Patient's hands, Use hand sanitizers, Properly sanitize equipments
Infection Control (Staff, Resident/Patient), Proper Moisturization (Creams), Proper Cleansing (Showering), Use All Natural, pH Balance, Paraben-free body washes
Where does pressure injuries occur?
How many layers should you use between the patient and the specialty mattress?
Use only ONE layer.
*One brief and one sheet (or one breathable Drypad) per manufacturer's instructions
*Patient must still be repositioned. Still need to offload heels.
*Ensure proper settings of the Specialty mattress
What should you do when you find an abnormal skin condition on a patient?
*Assess the adverse condition.
*Report
-CNAs= Inform the nurse of your findings (If a dressing in place is falling off, no longer in place, or if it’s soiled)
-Nurses= Inform Physician of findings and request order to treat.
-ALL= Inform patient/family of findings.
*Update/revise care plan.
What does MASD stand for?
MOISTURE ASSOCIATED SKIN DAMAGE
Give 1 risk factor that can affect wound healing
Age of patient, Type of wound, Infection, Chronic Diseases, Lack of Hydration, Poor Nutrition, Poor Circulation
Why should a resident/patient sit with the bed no higher than 30 degrees?
TO PREVENT PRESSURE INJURIES
What should you do when you find an abnormal skin condition?
Inform the Nurse of your findings (ie. if a dressing is already in place and it is falling off/no longer in place/soiled)
Inform patient/family of findings.
What tool was developed to protect pressure injury risk?
Braden Scale