200 - Pressure Injury Prevention in the Operating Room: Pressure Redistribution Surface
Description: Pressure Injury Prevention in the Operating Room: Pressure Redistribution Surface Ashley Wickey, MSN, RN Irene Delagrammaticas MS, BSN, RN, CNOR Problem/Rationale: Northwestern Memorial Hospital (NMH) had a steady increase in hospital acquired pressure injury (HAPI) rates in FY17. The CTICU had the highest percentage (16.67%), which prompted focus efforts on the cardiac and liver transplant surgical patients who go directly from the operating room (OR) to CTICU for post-operative care.
Methods: Use of a pressure redistribution surface overlay to the OR mattress on all CTICU patient populations. The surface technology is designed in rows of “nodes”. The surface nodes alternate support/pressure relief by inflating and deflating to promote interstitial blood flow between areas of contact. This periodic relief/reduction decreases risk for pressure injury though reduced load on tissue, enhanced perfusion and reduced tissue deformation. The inflation/deflation is so slight that the surgeon is not impacted or able to notice.
Results: High compliance was achieved with utilizing the pressure redistribution surface. The surface device is thin/low profile making it easy for the surgical team to position and secure the patient on the OR bed. Only one type of mat, which eliminates confusion. Mat stocked in the unit, making them easily accessible when replacement is needed. Overall percentage of pressure injuries has decreased in the CTICU.
Conclusions: Continue pressure redistribution trial in cardiac and liver transplant intraoperative patients to gather additional data. Determine if a redistribution surface is the superior method of pressure injury prevention in the OR. Evaluate additional high-risk service lines to trial the redistribution surface.