Pressure injuries commonly develop over these hard areas where bone is close to skin.
Bony prominences
This tool scores risk factors like mobility and moisture to assess pressure injury risk.
Braden Scale
Repositioning patients at least this often helps to prevent pressure injuries
Every 2-3 hours & PRN
This team is who you consult when you notice a new pressure injury.
Wound Care Team
This is a condition where the outermost layer of the skin, known as the epidermis, is lost or removed.
Denuded skin
This is the primary force that causes tissue damage by trapping blood flow under the skin.
Pressure
This stage pressure injury means the skin is intact but redness does not blanch.
Stage 1 Pressure Injury
This dressing is placed over at risk areas to prevent pressure injuries from forming.
Adhesive foam dressings
This cream / ointment is stocked on every unit and is often used on incontinent patients to protect their skin from urine and stool.
Criticaid Clear
The act of scratching or picking at the skin, resulting in abrasions, wounds, or lesions - often linear.
Excoriation
This is the rubbing of skin against a surface, often causing skin breakdown and cause injury.
Friction
Regular skin assessments should be completed at LEAST this often.
Once per shift
Pillows or turning wedges are used for this purpose when a patient is on their side.
Offloading of bony prominences
This is the first step in treating any pressure injury in the hospital setting.
Offloading pressure from the affected area
This soft, yellow or white tissue found in a wound bed consists of dead cells and debris that must be removed for healing.
Slough
This nutritional element is vital for skin repair and preventing skin breakdown.
Protein
When a pressure injury is developed in the hospital, it is classified as this.
Hospital Acquired Pressure Injury
These are stocked on every unit and are used to effectively offload pressure to the heels.
Heel foam boots
How does one order a Low Air Loss Mattress?
Call Blackburn’s
(1-800-372-7749)
Often mistaken for a pressure injury, this moisture-related skin damage occurs when the skin is exposed to urine or feces for extended periods
Incontinence Associated Dermatitis (IAD)
These are caused from prolonged pressure under things such as oxygen tubing, braces, or ETT tube holders.
Medical Device Related Pressure Injuries
This term describes a pressure injury covered by slough or eschar, making it impossible to determine the true depth
Unstageable Pressure Injury
This is a specialty mattress that can be ordered by anyone to prevent pressure injuries from forming.
Low Air Loss Mattress (LAL Mattress)
This topical treatment is often used to reduce bacterial burden in wounds.
Silver based dressings
This thick, leathery, black or brown dead tissue found in a wound bed is often dry and firmly attached to the wound edges or base
Eschar