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pressure injuries

why is this a priority for us?

  • Pressure injuries occur when items push against the skin for prolonged periods and damage the skin and tissue underneath
  • These can progress to open wounds and lead to infection, scarring, and prolonged hospitalization

who’s at greatest risk?

  • Patients who are very sick, and those who are not moving much
  • Patients who are not well nourished
  • Patients who have objects such as casts, braces, face masks, or even oxygen sensors which can create pressure on the skin

what are we doing to help reduce pressure injuries?

  • Routine checking of skin by a dedicated group of nurses, especially around medical devices
  • Rotating oxygen probes twice daily
  • Using moisture barrier creams with diaper changes
  • Making sure we use the right bed for each patient
  • Assessing patients for those who are at high risk for development of pressure injuries

what do we measure?

  • We measure pressure injuries at various stages, depending on how much tissue damage has occurred
  • We want to do everything we can to prevent pressure injuries, but when they do begin to occur detect them at their earliest stages before there is skin breakdown.
  • We calculate our rate as pressure injuries (stage 3 and higher) per 1000 patient days
graph showing central line associated blood stream infections for Dayton Children’s.
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