Save Our Skin Award Recipients

Save Our Skin Award Recipients

Teams that prevented pressure ulcers in a patient at high-risk for pressure ulcers

• Heel Elevations
• Regular repositioning
• Placed on a rotation bed w/documentation of head of bed less than 30 degrees.
• Use of non petroleum based barrier cream around the multiple drains to keep skin intact
• Dressing changes up to every two hours

• Consistent Core group of Nurse caregivers
• Immediate attention to diaphoresis and hyperthermia during the sympathetic storms providing medications, linen changes and cooling
• Attention to posturing, rigidity and head turning
• Consistent and timely repositioning
• Pressure redistribution mattress
• Regular skin assessments
• Collaboration with unit based clinical Nurse Specialist for care planning
• Collaboration with dietitian to meet nutritional needs
• Physical therapy participation with positioning, range of motion exercises and strengthening throughout his recovery
• Education involvement and support of family

• Pressure redistribution chair cushion
• Dietary supplements TID along with meals
• Miconazole Nitrate 2% powder applied to skin folds to treat yeast and intertrigo
• Aggressive diuressis to decreases peripheral edema
• Bedside commode used until Foley catheter needed for increased dieresis/UOP
• Tubigrip compression Stockings applied after initial dieresis to manage lower leg edema

• Repositioning
• Worked closely with the Dietician and diabetes educator
• Educating family
• Trialed skin products

• Adherence to pressure relieving tactics such as strict every 2 hour turning
• Nutritional Needs
• Music Therapy – Helped motivate the patients to move
• Positive reinforcement and jubilant cheerleading to encourage patient participation

• Using ceiling lifts
• The right skin products
• High frequency of vigilance and using baby moves – just a hint of movement every 15 minutes to slowly reposition the patient.

• Assessed Braden Q score daily
• Outlined plans for frequent repositioning
• Minimizing shear when agitated
• Elevating ankles/feet
• Frequently checking bony prominences for signs of skin breakdown
• Maximizing nutrition
• Consistent core group of nurses
• Changed clothing, bed-linen and provided skin hygiene as needed, (up to 3x daily)
• Family participation

• Continuous Lateral rotational bed
• Repositioning ever 2 hours
• Arms and Legs supported on pillows, podus heel lift boots were on and off ever 2 hours
• Mepilex sacral boarder dressing was applied
• Daily baths with chlorhexidine and moisturized
• Core nursing staff
• 1:1 or 2:1 nursing ratios
• Family assisted with care

• Expert low air loss mattress and rotation therapy
• Meticulous pericare w/flexiseal device for fecal containment
• Skin protectant and barrier spray after each cleansing
• Astute skin assessment with associate devices and assurance for proper repositioning or removal of devices
• Passive range of motion
• Routine oral care
• Ceiling lift
• Skin inspection every 2 hours
• Pain management and comfort promotion to enhance coughing, movement, comfort and inflammatory responses
• Scalp massage with every turn to promote circulation to the scalp
• Body Diagram document
• Pillow repositioning and z-flo cushion trail to address bony prominence areas
• Diligent skin hygiene w/ daily baths

• Coordinated care with wound ostomy nurses, neurosurgery and orthotists to appropriately measure /document all wounds
• Create wound care plan
• Modified halo to adjust the pressure points
• Educating family and patient
• Scheduled both rehab sessions and would care time
• Wound care nurses worked with patient on plans that the patient could tolerate

• Low air loss bed
• Repositioned with fluidized positioners
• Heels floated
• Wicking silver fabric interdy Ag was used to manage moisture in skin folds
• Clinical educators helped educate staff and provide educational resources for nurses
• Breathable under pads were placed over the low air loss bed
• Critic Aid Clear Ointment was used
• Skin washed with neutral PH cleanser
• Family support and educated

• Frequent repositioning
• Involved WOC Nursing
• Protective dressing applied
• Family support and educated
• Ceiling lift equipment to transfer patient to chair to reduce time spent lying in bed

• Implemented pressure ulcer prevention care plan
• Routine turning schedule
• Heel lift boots
• Roho seat cushion utilized when up to chair
• Pillows to elevate arms
• Weekly massages were done
• Provide moisture treatments with lotion
• Pain management schedule was implemented
• Nutritional support from unit dietician

• Evaluation and selection of sleepwear
• Electronic monitoring electrodes
• Bedding and positioning supports
• Mattresses
• Use of Neonatal skin condition score ever 4 hrs
• Full body skin assessment every 24 hours
• Re-positioning or off-loading pressure every 1-4 hours
• Access to electronic skin assessment and care guidelines

• Consistent/timely repositioning
• Frequent communication between nursing/patient and family
• Appropriate pain management to increase patient comfort
• InterDry Ag dressings
• Barrier products to help minimize friction
• Use of air mattress utilized to minimize moisture exposure
• Collaboration w/Clinical Nurse Specialist for care planning
• Chaplain and psychiatry to help w/depression
• Collaboration w/physical therapy