Don't Pressure Me
This type of pressure injury occurs during a patients stay in the hospital.
What is HAPI/HAPU?
Consider using a purewick or condom catheter in bed instead of this.
This is the time frame in which you should be turning patients if they can't turn themselves
What is q2 hours
This must be done every shift.
What is a full head to toe skin assessment
Do this when ordered or dressing is soiled.
What is change the dressing
What is offloading
This can be used on patients skin to seal out wetness.
What is barrier cream.
Use caution when using this to offload because they tend to go flat.
What is a pillow.
The house supervisor and another patient care staff member will complete this form on admission and discharge.
What is 4 eyes form
When changing a dressing, label it with this
What is date, time, and initials.
Nursing uses this score to determine pressure injury risk.
What is Norton Pressure Injury Score
What is Moisturize
Use these to verify positioning before leaving a patients room.
What are hip, stroke, or heel offloading pictures in patients room.
This can be done while showering, changing, or brushing a patients hair.
What is a full skin assessment.
Dressings work on wounds best in these circumstances
When they are on and appropriate for the injury.
Name 3 risk factors of pressure injuries.
Over 70, history of PI's, nutrition, loss of subcutaneous fat, immobility, paralysis, stroke
Doing this frequently prevents skin breakdown.
What is frequent checks for incontinence and moisture.
You will see this in the patients chart if they require Q2 hour turns.
What is an order-no more orders for every single patient!
Heels, bottom, elbows, back of head, scapula.
Use this type of dressing as a PI prevention technique
What is foam dressing
When assessing redness, what indicates that a pressure injury has formed?
What is non-blanchable redness
Only one of these is needed under patients on low air loss mattresses.
What is 1 pad or 1 flat sheet folded 1 time
You will be able to do this if you have offloaded a patients heels effectively.
What is slide hand under heel without touching.
This is out of the scope of practice for everyone at PAM except for Sonia and Allison.
Do this if you notice excessive drainage or worsening wound.
What is consult wound care