Basic Turning and Positioning
Before repositioning a patient, what should you do to ensure safety and comfort?
What is communicate with the patient and explain the procedure?
This timeframe is generally recommended for repositioning bedridden patients to prevent pressure injuries.
What is every two hours?
The act of changing body position to minimize pressure on bony prominences
What is turning?
In this position, most of the body's weight is distributed to the lateral aspect of the lower scapula, the lateral aspect of the ilium, and the greater trochanter of the femur. Supports pillows are needed.
What is lateral or side lying position?
Keep head of bed elevated at ______ degrees, as tolerated, to prevent sliding down in bed.
What is 30 degrees?
This semi-sitting position, where the head of the bed is raised between 45 and 60 degrees.
What is Fowler's position?
Besides repositioning, regularly performing these checks helps identify early signs of pressure injuries.
What are skin inspections?
A change in the position with the purpose of relieving or redistributing pressure and enhancing comfort at regular intervals.
What is repositioning?
How many body positions should be documented per assessment?
What is one body position?
Patients should be routinely checked for any pressure injuries or skin breakdown from medical devices such as ..................
What is oxygen tubing, masks, telemetry wires, IV tubing, ventilator tubing, urine catheters, urinary incontinence devices, fecal incontinence devices, SCD devices, bedpans?
To turn a patient easily without friction against the skin, consider using this placed under the patient from shoulders to thighs.
What is a draw sheet?
Using devices like specialty surfaces helps prevent pressure injuries by evenly distributing this.
What is pressure?
The patient is seated in bed and the head of the bed is raised to a 30-degree angle with patient's head supported with a pillow and knees may be elevated by placing a pillow under the knees.
What is semi-fowler's position?
These devices are used to prevent bony prominences from direct contact with one another.
What is positioning devices, such as pillows or foam edges?
Number of layers of linen to be noted for a continent patient.
What is 2 (one flat sheet and one linen draw sheet)?
When positioning a patient on their side, you should place a pillow between the knees to prevent pressure and improve this.
What is body alignment?
When a patient is lying on their back, place a pillow under the calves to lift and prevent pressure injuries on this part of the body.
What are the heels?
The bed is flat with patient lying face up, flat on their back, arms and legs are extended. Pillow support to head, arms and hands may be necessary.
What is supine position?
PILLOW 1- under legs to elevate the heels
PILLOW 2- between ankles
PILLOW 3- between the knees
PILLOW 4- behind the back
PILLOW 5- under the head
What is the five pillow rule?
How often should body position be documented in the EPIC flowsheet?
What is every two hours?
What is crucial factor in preventing pressure injuries by enhancing circulation and alleviating pressure?
What is regular repositioning?
Patients in wheelchairs should be repositioned more frequently than bed-bound patients, with those having minimal mobility needing assistance this often.
What is every fifteen minutes?
Patient is lying face down with support pillows needed.
What is prone position?
A patient who favors lying on their right side and has a pressure injury on their right side should have an intervention on their________.
What is a care plan to rotate from side to back to side every two hours to eliminate any pressure to injured skin site.
Mrs. Smith is an ambulatory patient that is able to turn self in bed without assistance. How often should documentation of body position be noted in EPIC flowsheet?
What is every two hours body position should be documented and not just "Turns Self"?