Under Pressure
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No Pressure, No Problem
Fixer Upper
Dermatology Definitions
100

Pressure injuries commonly develop over these hard areas where bone is close to skin.

Bony prominences

100

This tool scores risk factors like mobility and moisture to assess pressure injury risk.

Braden Scale

100

Repositioning patients at least this often helps to prevent pressure injuries

Every 2-3 hours & PRN

100

This team is who you consult when you notice a new pressure injury.

Wound Care Team

100

This is a condition where the outermost layer of the skin, known as the epidermis, is lost or removed. 

Denuded skin 

200

This is the primary force that causes tissue damage by trapping blood flow under the skin.

Pressure

200

This stage pressure injury means the skin is intact but redness does not blanch.

Stage 1 Pressure Injury

200

This dressing is placed over at risk areas to prevent pressure injuries from forming.

Adhesive foam dressings

200

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 

200

The act of scratching or picking at the skin, resulting in abrasions, wounds, or lesions - often linear. 

Excoriation

300

This is the rubbing of skin against a surface, often causing skin breakdown and cause injury.

Friction

300

Regular skin assessments should be completed at LEAST this often.

Once per shift

300

Pillows or turning wedges are used for this purpose when a patient is on their side.

Offloading of bony prominences 

300

This is the first step in treating any pressure injury in the hospital setting.

Offloading pressure from the affected area

300

This soft, yellow or white tissue found in a wound bed consists of dead cells and debris that must be removed for healing.

Slough

400

This nutritional element is vital for skin repair and preventing skin breakdown.

Protein

400

When a pressure injury is developed in the hospital, it is classified as this.

Hospital Acquired Pressure Injury

400

These are stocked on every unit and are used to effectively offload pressure to the heels.

Heel foam boots

400

How does one order a Low Air Loss Mattress?

Call Blackburn’s

(1-800-372-7749)

400

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)

500

These are caused from prolonged pressure under things such as oxygen tubing, braces, or ETT tube holders.

Medical Device Related Pressure Injuries

500

This term describes a pressure injury covered by slough or eschar, making it impossible to determine the true depth

Unstageable Pressure Injury

500

This is a specialty mattress that can be ordered by anyone to prevent pressure injuries from forming.

Low Air Loss Mattress (LAL Mattress)

500

This topical treatment is often used to reduce bacterial burden in wounds.

Silver based dressings

500

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