Question | Answer |
What components are essential when establishing a PUPP | Best practice bundle and infrastructure of institution |
Identify areas that need to be documented to support a pressure ulcer was unavoidable | Evaluated clinical condition and PU risk factors, define and implement interventions consistent with pt's needs & goals, and standards of practice , monitor &eval impact of interventions, revise interventions prn |
List the 6 areas for PUPP | Skin inspection, risk assessment, Maintain skin health, Optimize nutrition and hydration, Pressure redistribution and offloading the at risk pt, Pt & family education |
What is the Braden Q scale | Pediatric braden |
What are some risk factors for developing pressure ulcer for the intraoperative patient | Surgery >4hrs, DM, vascular disease , Preop Braden score <20, hypotension, CVR, thoracic or ortho surgery, thin build, poor nutrition, >70y/o, lithotomy or lateral supine positions, general anesthesia, standard OR mattress |
Explain the importance of documentation in preventing pressure ulcers | To identify present on admission, interventions, teaching, response to both reimbursement |
A pt with an ischial tuberosity PU should be limited to sitting ____ hrs ____ times a day | 1 hr, 3 times a day |
What is the second most common an anatomical location for PU's | Heel |
List interventions to maintain skin health | Use soaps that have same ph as skin, don't use friction when cleansing, moisturize skin, adequate fluid intake, barrier ointment when needed, no massage of reddened bony areas, use lift sheet, hovermat or hoyer to transfer |