PRODUCTS
This product should be used to assist with off loading patients when turning and is bright green in color.
Wedges
For patients who meet criteria, this piece of equipment can be ordered to help treat sacral pressure injuries.
Specialty mattress/bed
Consult this group to help patients who may need help understanding how to maintain a healthy diabetic lifestyle.
Diabetic Consultation
This assessment tool is used for predicting a patient's pressure injury risk in Epic flowsheets.
This new product allows for assessment without removal and is good to leave in place for 7 days.
OptiView
This product should be applied to intact skin on Mondays, Wednesdays, and Fridays
CASP (Cavilon Advanced Skin Protectant)
Your patient has non-blanchable erythema of intact skin. You suspect a Stage 1 pressure injury. What is the goal of treatment for a Stage 1 pressure injury?
Protection of the area or prevention of progression
A photo of the wound should always accompany any consult to this group.
Wound Care
Who can document repositioning and Q2 hour turns in Epic?
Anyone- RNs or PCTs
Can be used with partial thickness or shallow wounds with mild to moderate drainage. Change every 3-7 days. Can also be used to protect skin from pressure points and protect skin from devices.
Mepliex Boarder Foam
Your patient has a DTI on their heel. You elevate the heel and know you may apply what to the intact, discolored area?
Cavilon No-Sting Skin Barrier
Your patient has partial-thickness skin loss with exposed dermis. The wound bed is viable, pink and moist. Adipose (fat) is not visible nor are deeper tissues. You suspect a Stage 2. After placing a Wound Care Consult, you do this.
Take a picture with Rover
Consult this group to assist when patients have limited mobility.
PT/OT
What application is available on your iPhone to take pictures of wounds?
Rover
Used commonly for Stage 4 pressure ulcers with depth, this dressing involves saline and gauze and creates mechanical debridement of wound with dressing changes.
Wet-to-dry dressing
Used to removed drainage and debris from wound and peri-wound skin. Also used to moisten a dressing that is sticking to the wound bed.
Dermal (Wound) Cleanser
Reduces the duration of pressure, but doesn't reduce the intensity of pressure.
Offloading
Consults to Dietary should be placed for any patients with compromised skin. The Dietician knows that this nutrient is important for wound healing.
Protein
Bedside nurses stage pressure injuries at CDH: true or false
False. Add the wound to the LDA and wait for Wound Care Nurses to confirm the stage of the wound. Then update the wound stage in the LDA.
Used for heavily draining wounds to absorb moisture, this dressing is used as a packing for wounds with depth.
Exufiber
May be used to protect from oxygen mask, CPAP, ET tubes, or rubbing from SCDs. Can be used as an anchor for tape for frequent dressing changes for those prone to tape irritation.
Duoderm Hydrocolloid dressing
Your patient has full-thickness tissue loss with exposed muscle and tendon in the ulcer. Yellow slough obscures part of the wound bed. The goal of treatment would be:
Removal of slough
Consult this group whenever a patient's Braden is equal or less than 18
Wound Care
"Turns self" is appropriate documentation of repositioning for patients with a Braden Mobility subscore of 3.
False. A Braden Mobility subscore of 3 indicates the patient is not capable of making significant shifts in body weight.
Used for Stages 2 or 3 if wound bed is moist, this dressing type needs to stay within the edges of the wound or it will macerate the surrounding healthy tissue.
Vaseline gauze