Prevention
This occurs in 2-4 hours with unrelieved pressure on a healthy patient or 20 mins in an immunocompromised person
What is the time it takes to develop a pressure injury
Picture 1
What is Moisture Associated Skin Damage
This is used to prevent heels from touching the bed
What is Heels up?
Iodine Based, non adherent mesh dressing
What is Inadine
This is done on each admission and on EVERY shift
What is documenting the Braden Scale
Picture 2
What is a pressure injury -
This person specializes in providing offloading equipment for patients
What is an OT
This stage of pressure injury presents as unblanchable erythema
What is a stage I pressure injury
This is documented when the braden score is 15 or greater
What are standard interventions
Picture 3
What is this and what stage?
What is Unstageable pressure injury
This kind of dressing is used for pressure injury PREVENTION
What is a Mepilex sacrum
This stage of injury may appear as a shallow, deroofed blister or an intact blister containing a clear yellow fluid
What is a stage 2 pressure injury
These interventions are chosen for a braden score of_________________
Reduce incontinence containment devices
Position Side to Side
Consult Wound Clinician
What is 12 or less
(This is high or very high risk score and interventions must be chosen and individualized)
Picture 4
What is this?
What is a Deep Tissue Pressure Injury
This low air loss bed provides pressure injury redistribution
What is Arjo Huntleigh bed
Zinc oxide-based hydrophilic cream could be used on open wounds with incontinence
What is TRIAD