THE INTERVENTIONAL PATIENT HYGIENE COMPANY Born from a core belief in prevention, Interventional Patient Hygiene is a nursing action plan focused on fortifying patients host defenses with evidence-based care. By promoting a return to the basics of nursing care, our advanced patient hygiene products and programs help healthcare facilities improve clinical outcomes by reducing the risk of hospital-acquired infection and skin breakdown. Visit our FREE Clinical Education Website! www.sageproducts.com/education Sage s unique site provides FREE information that can help your facility improve care including Performance Improvement Plans, Evidence-Based Protocols, Clinical Studies, Customizable Posters and more! Customizable Programs For: Reducing HAP/VAP Risk Factors Reducing Threats to Skin Integrity Preventing Incontinence-Associated Dermatitis (IAD) Preventing Heel Pressure Ulcers Reducing an SSI Risk Factor 3909 Three Oaks Road Cary, Illinois 60013 www.sageproducts.com www.shopsageproducts.com 800-323-2220 21484 Sage Products Inc. 2011
NEW Simple Interventions. Extraordinary Outcomes. SACRAL PROTECTION PRODUCT CATALOG HELPS PROTECT PATIENTS AND STAFF! Helps prevent patient pressure ulcers by offloading the sacrum. Controls skin microclimate. Stays under patient to enhance turning protocol compliance. Protects healthcare workers from back, wrist & shoulder injuries.
SACRAL PRESSURE ULCERS PREVALENCE, RISK AND COST A pressure ulcer is defined as a localized injury to skin and/or underlying tissue, usually over a bony prominence as a result of pressure, or pressure in combination with shear. 1 The cost to treat a pressure ulcer can range from $2,000 to $70,000 depending on the stage of the ulcer. 2 According to the National Pressure Ulcer Advisory Panel, hospital prevalence of pressure ulcers is 14%-17%, and incidence is 7%-9%. 3 Sacral pressure ulcers are the most common, accounting for about 37% of all pressure ulcers. 4 Incontinence moisture is a risk factor for sacral pressure ulcers. In a study of acute care patients in medical, surgical and intensive care units, the overall prevalence of incontinence was 19.7%. 5 Some type of skin injury was seen in 42.5% of patients who were incontinent. 5 RISK FACTORS 6 Reduced mobility or immobility Moisture Friction and shearing Acute illness Extremes of age Vascular disease Level of consciousness FRICTION PRESSURE SACRAL PRESSURE ULCERS SHEAR MOISTURE 37% of all pressure ulcers develop on the sacrum. 4 REFERENCES: 1. Wound, Ostomy and Continence Nurses (WOCN) Society, Clinical Practice Guidelines for the Prevention and Management of Pressure Ulcers. 2010. 2. Young 2F, Evans A, Davis J. J Nurs Admin (Jona). Jul/Aug 2003; 33 (7/8): 380-3 3. Whittington K, Briones R. National prevalence and incidence study: 6-year sequential acute care data. Advances in Skin & Wound Care, 2004;17(9):490-494. 4. Amlung S, The 1999 national pressure ulcer prevalence survey: a benchmarking approach. Advances in Skin & Wound Care, 2001;14:297-301.5. Junkin J, Selekof J, Prevalence of incontinence and associated skin injury in the acute care inpatient. J WOCN, May/June 2007;34(3):260-269. 6. Clinical Practice Guidelines: the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care. Royal College of Nursing, Oct 2003. 7. Occupational Safety and Health Administration (OSHA), Guidelines for nursing homes: ergonomics for the prevention of musculoskeletal disorders, 2009. 8. Survey conducted by Sage Products Inc., data on file. 9. United States Department of Labor, Bureau of Labor Statistics,Nonfatal occupation injuries and illnesses requiring days away from work, press release 2009, available at http://www.bls.gov/news.release/osh2.nr0.htm 10. White E, The Elephant in the room: huge rates of nursing and healthcare worker injury, available at http://www.nhnurses.org/homepage-announcements/alert.aspx 1 www.sageproducts.com
STAFF INJURY RISK TURNING AND REPOSITIONING While frequent turning and repositioning of patients is critical to preventing sacral pressure ulcers, it can be extremely challenging for staff. It can be physically demanding and require considerable nursing time. Manual lifting and other tasks involving repositioning patients are associated with increased risk of pain and injury to staff, particularly to the back. 7 Turning and repositioning puts staff at risk for musculoskeletal disorders (MSDs), which include conditions such as low back pain, sciatica and rotator cuff injuries. 7 PREVALENCE & COST In 2009, nurses aides, orderlies and attendants suffered a total of 25,160 MSDs. 9 59.2% of these were back injuries requiring an average of 5 days off work. 12.2% were shoulder injuries with an average of 8 days off work. Registered nurses suffered a total of 10,480 MSDs in 2009. 9 Nurse back injuries cost an estimated $16 billion annually in worker s compensation benefits. Medical treatment, lost work days, light duty and employee turnover cost an additional $10 billion. 10 In a survey of more than 900 clinicians, 89% said they or a co-worker have experienced a back, shoulder or wrist injury due to turning or boosting a patient. 8 More than 80% said there is room for improvement in compliance to their facility s turning and repositioning protocol. 800-323-2220 2
PREVALON TURN AND POSITION SYSTEM PATIENT AND STAFF BENEFITS Turning and repositioning patients according to your facility s turning schedule is critical to preventing pressure ulcers. Current methods have multiple challenges, including lack of nursing time and risk of staff injury. Unlike standard lift slings and plastic slide sheets, the Prevalon Turn and Position System stays under the patient at all times. It s always ready to assist with turning, repositioning and boosting the patient. This convenience and efficiency makes it possible for nurses and staff to achieve compliance to a q2 turning protocol. Additionally, slings and other turning devices require patient rolling and tucking every time, just to get them under the patient and ready for use. This can cause additional stress on the patient. The Prevalon Turn and Position System stays under the patient to minimize additional stress. PATIENT BENEFITS Helps prevent sacral pressure ulcers by offloading the sacrum. Manages moisture due to incontinence and other conditions. Helps minimize friction and shear on the patient. Creates an optimal microclimate for the skin. Easily turns any patient up to 350 pounds. Keeps patient positioned at the appropriate angle. STAFF BENEFITS Nurse-friendly system helps staff more easily follow best practice prevention guidelines. Requires fewer nurses and less time to turn. Reduces the force needed to turn and boost patients. Less nursing time required. Decreases strain on staff s backs, wrists and shoulders. Stays under patient at all times, making it easier and more convenient for nurses to comply with a q2 turning protocol. Helps prevent sacral pressure ulcers by completely offloading the sacrum. Sacrum 3 www.sageproducts.com
GUIDELINES: REPOSITIONING EUROPEAN PRESSURE ULCER ADVISORY PANEL (EPUAP) AND NATIONAL PRESSURE ULCER ADVISORY PANEL (NPUAP) 1 1.1 Repositioning should be undertaken to reduce the duration and magnitude of pressure over vulnerable areas of the body. 1.2 The use of repositioning as a prevention strategy must take into consideration the condition of the patient and the support surface in use. 3.2 Avoid subjecting the skin to pressure and shear forces. 3.6 Repositioning should be undertaken using the 30-degree tilted side-lying position (alternately, right side, back, left side).......................................................... WOUND OSTOMY AND CONTINENCE NURSES SOCIETY (WOCN) 2 III. Interventions: Prevention A. Reducing Risk of Developing Pressure Ulcers Minimize friction and shear. Use 30-degree side lying position (alternating from the right side, the back and left side) to prevent pressure, sliding and shear-related injury. Minimize Pressure. Schedule regular repositioning and turning for bed and chair bound individuals. B. Managing Incontinence Select underpads...that are absorbent to wick incontinence moisture away from the skin. I. Education Educate patients, caregivers, and health care providers involved in the continuum of care about prevention, treatment and factors contributing to recurrence of pressure ulcers. Areas to be addressed should include:... positioning and use of support surfaces........................................................... HARTFORD INSTITUTE FOR GERIATRIC NURSING (HIGN) 3 Use a 30-degree lateral side lying position; do not place client directly on their trochanter. Protect high-risk areas such as elbows, heels, sacrum, back of head from friction injury........................................................... REGISTERED NURSES ASSOCIATION OF ONTARIO (RNAO) 4 For individuals restricted to bed: Reposition at least every 2 hours or sooner if at high risk. A 30-degree turn to either side is recommended to avoid positioning directly on the trochanter. TOOLS & PROGRAMS STOP SACRAL PRESSURE ULCERS & HEALTHCARE WORKER INJURIES OPPORTUNITY CALCULATOR This unique tool from Sage estimates the number of pressure ulcers, dollars and length of stay days attributable to sacral pressure ulcers. It helps measure staff injury costs and missed work days in connection with healthcare worker injuries. In addition, it quantifies the potential impact of patient turning and positioning interventions.............................................................. WE CAN HELP YOU MEASURE PRESSURE ULCER PREVALENCE & INCIDENCE ON YOUR HIGH-RISK UNITS. Sage s CustomerOne program provides customized measurement and analysis, and then compiles your results into valuable, actionable reports that can be shared with other decision-makers in your facility. REFERENCES: 1. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: clinical practice guideline. Washington DC: National pressure Ulcer Advisory Panel, 2009, pp16-18. 2. Wound Ostomy and Continence Nurses Society, Guideline for prevention and management of pressure ulcers, 2010, pp14-15, 21. 3. Hartford Institute for Geriatric Nursing (HIGN), Preventing pressure ulcers and skin tears.2008 Jan, p403-29. 4. Registered Nurses Association of Ontario (RNAO), Risk assessment and prevention of pressure ulcers. Toronto (ON), 2005 March, p80. To learn more about these tools, call 1-800-323-2220 800-323-2220 4
MICROCLIMATE BODY PAD This innovative, disposable body pad is placed under the patient to manage heat and moisture. Only full-body size available. Provides microclimate control to all skin contact areas. Highly breathable materials allow air flow to patient skin, reducing heat and moisture buildup. Super-absorbent fill materials absorb large amounts of moisture due to incontinence and other conditions. Pull moisture away from the skin and prevent it from soiling the Glide Sheet and mattress. LOW-FRICTION GLIDE SHEET The Low-Friction Glide Sheet remains in place under the patient throughout the length of stay. Low-friction ripstop nylon requires less effort to move the patient. Full-length, high strength handles allow multiple clinicians to easily grab and position the sheet at the same time. Anti-shear strap reduces shear and minimizes patient repositioning and boosting. Highly breathable materials allow air flow to patient skin, reducing heat and moisture buildup. Comfort grip material keeps the body pad in place under the patient. Torso body length accommodates most patient sizes from shoulders to knees. Quick-release attachment allows easy removal for patient transfer. Universal bed attachment compatible with all hospital beds. The Low-Friction Glide Sheet features comfort-grip gray material to keep the Body Pad in place under the patient, as well as blue ripstop nylon that helps the sheet move with the patient to make turning easier. 30-DEGREE BODY WEDGES Soft foam wedges allow staff to easily position patients for consistent protection and pressure redistribution. Comfort grip material keeps body wedges in place under the patient. Soft, dense support foam material redistributes pressure for patients up to 350 pounds. Low-friction surface requires less effort to move patients, minimizes potential for staff injuries. Two wedges per system provides customized placement for most patient body sizes. 30-De mattr appro EASY COMPLIANCE 1 2 3 Sacrum Place Prevalon Turn and Position System under patient. Position 30-Deg to offload th
The innovative Microclimate Body Pad has four layers to effectively absorb and lock in moisture while allowing air to flow through. gree Wedges placed on the ess easily position patient at priate angle to offload the sacrum. COMPATIBLE WITH ALL LOW AIR LOSS MATTRESSES For single patient use. Do not launder. 4 5 ree Wedges e sacrum. Pull handles to turn patient. Product stays under patient. Always ready for next turn. 800-323-2220 7
PREVALON TURN AND POSITION SYSTEM Helps protect patients and staff! 3 2 1 5 1 2 3 4 5 Low-Friction Glide Sheet Microclimate Body Pad 30-Degree Body Wedges Universal Bed Attachment Anti-Shear Strap 4 Compatible with all low air loss mattresses. Easier to turn and position patients. Requires less force than traditional draw sheets and pillows. Decreases nursing time required for turning and repositioning patients. Tests show that Prevalon Turn and Position System requires 71% less effort to turn a patient than a standard draw sheet and pillows. * * Testing conducted by Sage Products Inc., data on file. Reduces risk of injury to staff s backs, shoulders and wrists. Improves compliance to turning/repositioning protocol. PRODUCT ORDERING: PREVALON TURN AND POSITION SYSTEM 1 Low-Friction Glide Sheet 1 Microclimate Body Pad 1 Universal Bed Attachment 1 Anti-Shear Strap 2 30-Degree Body Wedges MICROCLIMATE BODY PAD 30 pads/case (6 bags of 5) Reorder #7250 5 systems/case Reorder #7200 5 www.sageproducts.com
ANOTHER PART OF YOUR COMPLETE PRESSURE ULCER PREVENTION PROGRAM PREVALON PRESSURE-RELIEVING HEEL PROTECTOR Minimize pressure, friction and shear on the feet, heels and ankles of non-ambulatory patients. Prevent and treat heel ulcers. Prevalon completely off-loads the heel, delivering total continuous pressure relief. Prevent plantar flexion contracture. Contracture Strap maximizes support under the foot, helping prevent Achilles tendon shortening by maintaining the foot at 90 while the patient is in bed. Prevent foot drop. Foot and Leg Stabilizer Wedge helps prevent lateral foot and leg rotation, reducing the risk to the peroneal nerve. The #1 hospital brand in heel protection 1 REFERENCES: 1. GHX Trend Report (Dollars),3rd Quarter, 2010 Hospital; Annualized markets based on last 4 quarters data 800-323-2220 8