BEST PRACTICES FOR PREVENTING HOSPITALACQUIRED PRESSURE INJURIES IN SURGICAL PATIENTS

Authors

  • Cecile Cherry
  • Jacqueline Moss

Abstract

Hospital-acquired pressure ulcers (HAPUs) and deep tissue injuries (DTIs), while considered to be preventable in most cases continue to affect many patients in acute care facilities. Surgical patients have an especially high risk of developing HAPUs for several reasons, including immobility during the intraoperative and immediate postoperative periods. HAPUs are responsible for significant patient harm in the form of pain, increased susceptibility to infection, and delayed recovery. Perioperative nurses must take a proactive and comprehensive approach to protecting their patients from pressure injuries, including HAPUS and DTIs.

Author Biographies

Cecile Cherry

Cecile Cherry, RN, MSN, CNOR, is a Staff Development Coordination for the Cardiothoracic Operating Room, UAB Hospital, Birmingham, Alabama, USA

Jacqueline Moss

Jacqueline Moss PhD, RN, is Associate Professor, Assistant Dean for Clinical Simulation and Technology, School of Nursing, University of Alabama, Birmingham, Alabama, USA.

References

Armstrong, D., Bortz, P. “An integrative

review of pressure relief in surgical

patients” AORN Journal, 73 (2001);

-666.

National Pressure Ulcer Advisory Panel,

Pressure Ulcer Staging revised by NPUAP

[February 2007] Accessed December 11th,

from: http://www.npuap.org/pr2.htm.

National Pressure Ulcer Advisory Panel

[NPUAP], National Pressure Ulcer

Advisory Panel Position Paper on Staging

Pressure Ulcers (N.D.) Accessed August

th, 2010 from:

http://www.npuap.org/NPUAP_position_on

_staging%20final[1].pdf

Aronovich, S. “Intraoperatively acquired

pressure ulcers: Are there common risk

factors?” Ostomy/Wound Management, 43

(2007); 57-69.

Idemoto, B, Kresevic, D. “Emerging nursesensitive

outcomes and evidence-based

practice in postoperative cardiac patients”

Critical Care Clinics of North America, 19

(2007) 371-384.

Schouchoff, B. “Pressure ulcers in the

Operating Room” Critical Care Nursing

Quarterly, 25 (2002) 76-82.

Lewicki, L., Mion, L., Splane, L., Samstag,

D., Secic, M. “Patient risk factors for

pressure ulcers during cardiac surgery”

AORN Journal, 65 (1997) 993-942.

Schoonhoven, L., Defloor, T., Van der

Tweel, I. Buskens, E., et al. “Risk factors

for pressure ulcers during surgery” Applied

Nursing Research, 16 (2002) 163-173.

Lyder, C. “Pressure ulcer prevention and

management” JAMA: The Journal of the

American Medical Association, 289 (2003)

-226.

King, C., Bridges, E. “Comparison of

pressure relief properties of operating room

surfaces” Perioperative Nursing Clinics, 1

(2006) 261-265.

Walton-Geer, P. “Prevention of pressure

ulcers in the surgical patient” AORN

Journal, 89 (2009) 538-548.

Maklebust, J. Sieggreen, M. Pressure

Ulcers: Guidelines for Prevention and

Management (Springhouse, PA,

USA: Springhouse Corporation, 2000)

-26.

Reger, S., Ranganathan, V., Saghal, V.

“Support surface interface pressure,

microenvironment, and prevalence of

pressure ulcers: An analysis of the

literature” Ostomy/Wound Management,

(2007) Accessed from http://www.owm.

com/article/7963.

Price, M., Whitney, J. King, C.

“Development of a risk assessment tool for

instraoperative pressure ulcers” Journal of

Wound Ostomy and Continence Nursing ,

(2005) 19-30.

Ayello, E., Lyder, C. “Initiative-based

pressure ulcer care strategies” Nursing

Management, 40 (2009) 16-22.

Brienza, D., Geyer, M., Springle, S.

“Seating, positioning and support surfaces”

In Baranowski, S., Ayello, E. (Eds) Wound

Care Essentials: Practice Principles (2004)

-216. Philadelphia, PA: Lippincott

Williams and Wilkins.

Baron, S., McFarlane, G. “reducing

pressure ulcer risk in the operating room”

(White paper Allen Medical Systems)

Retrieved from Allen Medical:

http://allenmedical.com

Braden Scale for Predicting Pressure Sore

Risk. Prevention Plus Web site.

http://www.bradenscale.com/images/

bradenscale.pdf. Accessed January 5,

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Published

2011-03-01

How to Cite

Cherry, C., & Moss, J. (2011). BEST PRACTICES FOR PREVENTING HOSPITALACQUIRED PRESSURE INJURIES IN SURGICAL PATIENTS. Operating Room Nurses Association of Canada Journal, 29(1). Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12369

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Feature Articles