Hapu medical abbreviation
being cognizant of edema under devices and the potential for skin breakdown (edema can develop after device application, especially in patients receiving massive fluid resuscitation or those with unresolved soft-tissue inflammation).educating staff about the correct use of devices and skin breakdown prevention.avoiding device placement over sites of prior or existing PIs.removing or moving devices, when possible, to assess skin at least daily.cushioning and protecting the skin with dressings in high-risk areas (nasal bridge, rim of device).choosing the correct size medical device to fit the patient.Preventing MDRPIs involves reducing pressure or redistributing it over a larger area, controlling the skin’s microclimate, improving patient nutrition, encouraging mobility, and addressing comorbidities. failure to routinely assess patients’ skin and devices (skin assessments should be performed at the earliest contact with the patient and according to the device manufacturer’s recommendations or more often depending on comorbidities and medications).Ī 2018 study by Kayser and colleagues found that the most common anatomic locations for MDRPIs are the ears and the feet, and the most common devices associated with MDRPIs include nasal oxygen tubes, casts and splints, and continuous positive airway pressure (CPAP)/bilevel positive airway pressure (BiPAP) masks.lack of awareness by staff and patients of preventive measures and PI potential.moisture under the device that results in macerated skin.poor and/or prolonged patient positioning (pressure for as little as 10 minutes can result in a pressure injury ).tight device securement that results in poor circulation, friction, or shearing.Risk factors associated with MDRPIs include: Nurses can take the lead in preventing MDRPIs by understanding risk factors, tailoring prevention to the device type, collaborating with other team members to ensure continuity of care, and monitoring for change. The injury occurs as a result of intense and/or prolonged pressure or pressure in combination with shear.” The injury can present as intact skin or an open ulcer and may be painful. The National Pressure Ulcer Advisory Panel (NPUAP) defines MDRPI as “localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. THE Joint Commission’s Quick Safety issue on managing medical device–related pressure injuries (MDRPIs) points out that nearly all hospital patients require at least one medical device for care and treatment, putting them at risk for injury. It could also be carried in the pocket and posted in the unit. The card is 2 inches by 7 inches the spot at the top indicates where a hole could be punched to put a laminated version of the card on a lanyard.
#HAPU MEDICAL ABBREVIATION PDF#
Prevention guidelines and evidence-based practices can help reduce MDRPIs.Įditor’s note: The author has provided the attached PDF file of a clinical tips card for preventing medical device related pressure injuries.Medical device–related pressure injuries (MDRPIs) are a common but preventable patient care issue with simple interventions.Learn the risk factors and tailor prevention to device type.