OPERATING ROOM
2020, experiencing a 62 percent average relative reduction and preventing 78 pressure injuries annually. This outcome resulted in a cost savings in aggregate of $15.3 million for the length of the project by reducing an expensive condition that costs the healthcare industry $11 billion a year.”2
Adding prophylactic dressing standards Bringing to the forefront prophylactic measures are the National Pressure Injury Advisory Panel (NPIAP) and the European Pressure Ulcer Advisory Panel (EPUAP), which last November announced, “the launch of the joint NPIAP-EPUAP Pro- phylactic Dressing Standards Initia- tive (PDSI) and the establishment of a dedicated international Task Force to lead and develop this initiative.” 3
The panels stated, “No known stan- dards exist anywhere in the world for prophylactic dressings, despite their international widespread and growing use. Performance standards based on bioengineering laboratory testing gener- ate critical information, which is needed to guide effective medical product selec- tion and practice. Testing standards and consistent manufacturing are established for all types of medical devices and serve different stakeholders in multiple ways, including the industry itself by providing benchmarks for development purposes or instructions for use. Testing standards further serve regulatory bodies and reim- bursement policy makers in evaluating safety and effi cacy and in qualifi cation of existing and new products for use with patients who have specifi c needs.3
Proning and positioning patients Healthcare teams should work together to use a proning technique to posi- tion patients with respiratory ailments, remarked the American Association of Critical-Care Nurses (AACN) last January. “When research and new clinical guide- lines strongly recommend that critically ill patients with severe acute respiratory distress syndrome (ARDS) be face-down for most of the day, the change requires a team approach to integrate the logistically challenging, multifaceted repositioning procedure into clinical practice.”4 The association continued, “ARDS is estimated to be responsible for 10 percent of all admissions to ICUs worldwide and occurs in nearly a quarter of patients undergoing mechanical ventilation. The mortality rate for ARDS remains high, even though patient outcomes have improved signifi cantly in the last decade, from an estimated hospital mortality of
90 percent to a reported 46 percent. Prone posi- tioning is now consid- ered first-line therapy for patients with severe ARDS to reduce lung trauma and improve outcomes. Recent stud- ies show that lying face- down for up to 16 hours a day can improve oxy- genation and decrease mortality.”4
As many COVID-19-in-
fected patients experience respiratory conditions and treatment, proning and specialized position- ing equipment may be effective in their care.
HoverMatt Single-Patient Use Air Transfer Mattress
“COVID-19 patients often need to be in prone position for long periods of time,” Marchionda explained. “Special care must be given to prevent skin breakdown since critical patients are possibly not turned as frequently due to being hemodynamically unstable. Micro-shifting a patient while in prone position, such as laterally tilting one degree at a time with the Multicare criti- cal care bed by LINET, provides pressure redistribution and pressure relief with minimal hemodynamic impact. The Multi- care has frame-based lateral turn technol- ogy that assists caregivers with daily care, helps with pressure injury prevention, and assists in preventing ventilator-associated pneumonia.” Proper patient positioning equipment and practice provide dual protection for patients and staff.
“For patient length of stay, the Hover- Matt Single-Patient Use (SPU) Air Trans- fer Mattress and HoverSling Transfer
and Lift System, in combination with HoverTech Positioning Wedges, pro- vide a well-rounded solution to protect nurses from musculoskeletal injuries, and patients from friction and shear while sup- porting pressure injury prevention initia- tives,” Hahn indicated. “The HoverMatt SPU and Positioning Wedges comply with NPIAP guidelines for the prevention and treatment of pressure injuries. HoverTech offers the HELP Program, which assists hospitals in assessing and creating a robust Safe Patient Handling and Mobility (SPHM) program.”
“Looking for a solution to prone their patients, a one-thousand bed Magnet Certified hospital in the Southeast turned to the HoverMatt SPU,” Hahn shared. “This resulted in a better approach for patient safety while reducing the risk of muskuloskeltal injuries in healthcare workers.”
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Multicare critical care bed by LINET Americas, Inc.
hpnonline.com • HEALTHCARE PURCHASING NEWS • January 2021 19
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