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because no nurse wants her patient to get a pressure ulcer, and it led to some lively discussion.
Information presented at in-services may be the same for each area, but the question-and-answer periods that follow are department-specific. We’ve discovered that skin integrity is a topic that nurses in each department readily relate to, and we’ve incorporated suggestions from every department.
4. Products. One simple, yet very effective practice change is how you cover the OR table. Use a high-quality absorbent underpad to manage moisture for every patient. Because it’s strong enough to be used as a drawsheet, eliminate redundant linen between the patient and the OR table surface. If arms are to be tucked in, an additional draw sheet is still required. Suspending heels with low-profile pillows is a simple positioning change that can prevent heel ulcers. Also use a protective sacral dressing for patients who meet your high-risk criteria. Finally, use a lateral transfer device instead of a roller board to reduce shear and friction injuries.
5. Pressure redistribution. Use pressure-redistributing mattresses on your OR tables for all patients at risk for developing pressure ulcers. Also turn patients off the operative side both before and after procedures. This reduces pressure to the area and allows maximum perfusion.
Spreading the word
We’re all dedicated to preventing pressure ulcers in the perioperative setting
