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By: Periop Today
Published: 5/24/2023
The new AORN Guideline for Prevention of Perioperative Pressure Injury provides guidance to perioperative team members caring for patients undergoing operative and other invasive procedures.
New and updated recommendations in this guideline address such topics as PI prevention practices, risk assessment, and skin tone considerations.
Pressure injuries involve localized damage to skin or underlying soft tissue layers as a result of pressure alone or pressure combined with shear; generally, the affected tissue is over a bony prominence, but it may be associated with a medical device.
Patients are at high risk of developing a PI during operative or other invasive procedures because they are immobile throughout most of the perioperative period; they also lack sensation and may be unable to express feelings of pain or discomfort when undergoing procedures.
Surgical positioning is associated with the prevention of PI, and personnel should follow the recommendations for both safe positioning and prevention of PI.
Key Takeaway
Explanation
Key Takeaway
Explanation
Key Takeaway
New: Place high-risk patients on high-specification reactive or alternating air pressure support surfaces.
Explanation
These surfaces are safe and have been demonstrated to be effective at decreasing pressure injury risk in high-risk patients. 3.3
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eGuidelines Plus provides your team, and multiple service lines at your facility, digital access to evidence-based guidelines, customizable implementation tools, and time-saving clinical resources. Get access to the entire Guideline for prevention of Pressure Injuries in addition to in-service PowerPoints, competency verification tools, gap analysis and audit tools, and case studies.
Homework involves collecting the correct supplies and instruments for a case, knowing the basics of the type of surgery to be performed, and preparing for the “what ifs.”
An update published in the 2022 Guidelines for Perioperative Practice includes these key recommendations that every team can implement to prevent pressure injuries.
In a recent AORN webinar called Motivating and Engaging the Youngest Generation at Work, presented by AORN’s Center for Perioperative Leadership, generational experts Lisa Walden and Hannah Ubl focused on who Gen Z is and why this group behaves the way they do.