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Healing is Coming - February 2021 - Outpatient Surgery Magazine

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

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• Intraoperatively. Members of the surgical team use additional care when positioning high-risk patients and apply appropriate preventative dressings and positioning devices. If patients will remain on stretcher chairs until discharge, nurses place inflat- able air mattresses on the surfaces of the stretchers. If patients will be positioned on surgical tables, gel overlays are applied to the surfaces. Posters showing the pressure points for each surgical position hang in ORs for staff to reference when placing padding and silicone dressings over vulnerable areas. • Postoperatively. OR nurses include informa- tion about potential skin issues and the precautions taken during pre-op and surgery during handoff communications with recovery nurses. In post-op, nurses offload the patient's vulnerable side, assess the skin at pressure points and document the exam's results in the EMR. They fill out and submit a patient safety report if any skin abnormalities or concerns are noted. At the time of discharge, assessments of the patient's skin condition in pre-op, the OR and post-op have been documented in the EMR. The risk-reduction bundle's guidelines do not include thresholds for how long patients remain on stretchers in pre-op due to delayed start times. "Patients are typically in and out of that area in a timely fashion," explains Ms. Kinsley. "However, nurses are vigilant about monitoring how long patients remain in pre-op and alert us if a case's start time is delayed significantly to find out if they should shift the patient into the bundle." A similar pressure injury prevention program was launched in Einstein's main hospital in 2015. "Every staff member is fully aware of the impor- tance of preventing skin injuries," says Ms. Kimsey. Einstein's staff has flagged more than 100 patients since the bundle was put in place in April 2019, and 16 patients have gone through the pro- gram. "We've had zero injuries," says Mr. Panetta. "That's a great number." OSM UP TO 50% REDUCTION IN PRESSURE 1 SANDEL ® PROFORM ™ PATIENT POSITIONERS ProForm™ patient positioners help reduce the risk of pressure injuries in the O.R. Through anatomical design and memory foam construction, ProForm™ positioners redistribute weight, reducing pressure. 3 Each ProForm™ patient positioner has been shown in testing to reduce pressure by up to 50% compared to a traditional foam positioner. 2 1 Based on pressure mapping testing comparing each item to a traditional foam positioner. 2 Each ProForm™ patient positioner has been shown in testing to reduce pressure by between 20-50% compared to a traditional foam patient positioner. Data on file, external testing conducted by Vascocare Medical Ltd., 2016. 3 Memory foam construction is used for supine head positioners and ulnar nerve protectors. Ansell, ® and ™ are trademarks owned by Ansell Limited or one of its affiliates. US Patented and US and non-US Patents Pending: www.ansell.com/patentmarking © 2020 Ansell Limited. All Rights Reserved. For more information or to receive a sample, visit www.Ansell.com/PROFORM or call 866-764-3327. A NEW STANDARD IN PRESSURE REDUCTION

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