When A Patient Is Admitted To The Hospital, The Nurse Needs

1149 WordsMay 2, 20175 Pages
When a patient is admitted to the hospital, the nurse needs to be aware of the frequent hospital acquired problems such as the development of pressure injuries and moisture acquired dermatitis which could cause poorer patient outcomes and an increase to expenses for the hospital. There are a wide variety of assessment tools nurses can use to group patients based on their risks for skin breakdown or the development of pressure injuries such as the Braden Scale, which includes but is not limited to how frequent the patient is wet which would potentiate skin breakdown. What that scale does not take into account is the number of layers of linens on the average hospital bed. Many nurses may never have considered that folding a regular top sheet…show more content…
By decreasing layers of linen, the nurse is allowing the patient to become immersed in the bed which allows for better pressure redistribution and envelopment as the bed moves air around to help rotate the site enduring the most pressure at a given time. (Williamson 2009). The first part of the study conducted by Hill Rom, measured sacral pressures in mmHg with varying different linen configurations on a low air loss surface with the data averaged to include head of the bed elevations for zero, thirty, and forty five degrees. With just a fitted sheet, the average pressure measured was 35 mmHg. With the addition of just one quilted chux pad, the pressure measured increased to 41.7 mmHg. As more layers were added, the bed was up to six layers which produced a shocking increase in sacral pressure up to 52.2 mmHg. (Williamson 2009). This drastic increase in just sacral pressure alone puts patients at a significantly higher risk for developing a pressure injury so less layers of linen on the bed has been proven to show a better outcome for the patient. The study also gathered data for the pressures exerted on the sacrum on a standard foam surface bed with similar results. The fitted sheet showed an average pressure 42.1 mmHg and as the linen layers increased up to six, pressures reached 56.3 mmHg, again putting the patient at risk for pressure injuries (Williamson 2009). The
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