Outpatient Surgery Magazine

Thumbs Up on Safety Scalpels - May 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1118620

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Page 44 of 112

Fortunately, easy-to-use tools can help you determine a patient's level of susceptibility before surgery. I developed the AORN-endorsed Scott Triggers (osmag.net/Qou5QQ), a concur- rent trigger tool that identifies at- risk individuals for perioperative pressure injuries. It evaluates 5 fac- tors — age, serum albumin level, BMI, ASA score and estimated sur- gery time — to determine the patient's level of risk. Other pre-op risk assessment tools include the Braden Scale for Predicting Pressure Sore Risk (osmag.net/KAenF3) and the Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients (osmag.net/GTGaa3). Whichever tool you use, instruct your team to transfer it to the OR staff during handoff and to the post-op staff after surgery. While these tools can help staff determine how likely a patient is to develop a pressure injury, every patient, no matter how healthy, is in fact at risk. Underweight or thinner patients have a higher risk of injury to bony prominences. Other considerations include a patient's current physical state, nutritional status, and comorbidities like vascular disease, dia- betes, immobility, advanced age and severe illness. Skin assessment Is your team engaged when they perform a skin assessment, or do they simply ask a patient if her skin is intact? They need to visual- ize the pressure points and bony prominences, and document what they see. They should report any redness, blanchable or not, M A Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 4 5 Helpful Resources From AORN • "Back to Basics: Preventing Perioperative Pressure Injuries" osmag.net/FyNyJ5 • "Prevention of Perioperative Pressure Injury" toolkit osmag.net/6SgpQE

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