Hospital Acquired Pressure Injuries in the NICU

[Guest kallis]

We are looking at an assessment tool to identify patients at high risk for developing pressure injuries in the NICU. Has anyone use the Neonatal Skin Risk Assessment Scale? Do you find it helpful? What interventions (skin bundles) do you implement for your high risk patients (turns, specialty mattress, etc).

Thank you.

[Stefan Johansson]

We change position every three hours and also use à special madrass (which name I cannot remember right now...)

[NICU RN 7]

Our standard is to use developmental supports and change position every 2-4 hours as needed with cares for all patients, and for infants who are immobilized for extended periods of time, we use a Z-flo mattress to allow frequent changing of support without changing the infant's position. For infants who have developed pressure breakdown, we use Mepitel/Mepilex products.