
Better Outcomes
Optimizing Comfort and Performance with NIV
Respiratory Device Pressure Injury:
Know Your Accomplice
Joyce M. Black, PhD, RN, FAAN, CWS
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Description
Respiratory care and ventilation devices are frequently associated with hospital-acquired pressure injuries and may lead to life-threatening infections and long-term tissue damage. The global scale of the problem is considerable, accounting for more than 70% of medical device pressure injuries. This presentation will examine the reasons for facial injury from devices, including the design of the various devices and the need for pressure relief strategies, like mask rotation. High-risk patients, including the prone patient will be emphasized. Evidence-based practice methods including recommendations from the SECURE Consensus Guidelines and approaches to change will be discussed. The potential impact of the electronic Quality Clinical Measure will be addressed.
Objectives
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Identify the frequency of pressure injury from respiratory devices.
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Explain the pressure, shear forces and microclimate changes on the skin-device interface that leads to pressure injury.
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Describe best practices to reduce the risk of medical device pressure injury from oxygen delivery devices.
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Identify the changes upcoming to hospital practice with the electronic Quality Clinical Measure.