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Archive August 2019 XX, No. 8

On Your Way to Zero Pressure Injuries

Here's how 3 facilities have reduced their bed sore rates.

Joe Paone

Joe Paone


ON THE SIDE In the lateral position, place a pillow between the patient's legs, along with foam dressing or gel pads under the knee, ankle and foot of the dependent leg.

You might consider pressure injuries "out of sight, out of mind," or "not our problem." After all, you have no way of knowing you sent a patient home with a bed sore. And besides, you'll probably never see the patient again. We spoke with 3 nurses who've helped steer PI-prevention initiatives at their facilities about practical ways to change that mindset and prevent pressure injuries in the OR.

Not our problem

The general belief at Metro Health Hospital in Wyoming, Mich., was that PIs were an inpatient problem, not a surgical one. But the more they studied it, they uncovered significant statistical links between surgical patients and PIs — namely, a large number of patients who presented with PIs during or after inpatient stays had been operated on in the hospital, says Heather Kooiker, MSN, RN, CNL, CRNFA, clinical nurse leader of surgical services, who last year rolled out an evidence-based PI bundle for the surgical department. It was, she says, a culture-changer for the 205 pre-op, perioperative and post-op nurses.

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