Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation.
This article describes three strategies a cardiovascular-thoracic intensive care unit implemented to decrease the rate of hospital-acquired pressure ulcers in patients on extracorporeal membranous oxygenation support. These strategies include increased staff awareness of physiologic factors placing a critically ill patient on extracorporeal support at increased risk for development of pressure ulcers, development of a turning guideline and a skin care bundle, and use of coaching by a clinical nurse specialist to promote pressure ulcer prevention.
Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA. Electronic address: lclem2@email.uky.edu.
Linda
L
Clements
Quality and Safety Department, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.
Mary
M
Moore
Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.
Thomas
T
Tribble
Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.
Jill
J
Blake
D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D006801:Humans; D010348:Patient Care Team; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control*; D012867:Skin / Q000473:pathology*
Critically ill surgical patients; Extracorporeal membranous oxygenation; Mechanical circulatory support; Nurse sensitive indicator; Pressure ulcers