specific positioning aids to ensure they protect as indicated.
The age and condition of the OR mattress is a general risk factor
that you can immediately assess and address. Research has shown
that standard 2-inch thick foam pads covered with laminated vinyl
may increase the risk of pressure ulcers developing during surgery.
Pads that are 2 inches thick or less also don't offer adequate support
for the heavier patient population. Consider replacing standard table
pads with thicker coverings comprised of multiple layers of dense
foam that's designed to disperse load pressure across the surface
area. Be aware that additional layers of warming devices, pads, blan-
kets and sheets can interfere with the surface's ability to redistribute
pressure.
OSM
Dr. Black (jblack@unmc.edu) is an associate professor in the College of Nursing at
the University of Nebraska Medical Center in Omaha, Neb.
