Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation

Linda Clements; Mary Moore; Thomas Tribble; Jill Blake

doi:10.1016/j.cnur.2013.11.003

Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation

Nurs Clin North Am. 2014 Mar;49(1):61-8. doi: 10.1016/j.cnur.2013.11.003.

Authors

Linda Clements¹, Mary Moore², Thomas Tribble³, Jill Blake³

Affiliations

¹ Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA. Electronic address: lclem2@email.uky.edu.
² Quality and Safety Department, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.
³ Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA.

PMID: 24485187
DOI: 10.1016/j.cnur.2013.11.003

Abstract

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.

Keywords: Critically ill surgical patients; Extracorporeal membranous oxygenation; Mechanical circulatory support; Nurse sensitive indicator; Pressure ulcers.

Publication types

Review

MeSH terms

Extracorporeal Membrane Oxygenation / adverse effects*
Humans
Patient Care Team
Pressure Ulcer / etiology
Pressure Ulcer / prevention & control*
Skin / pathology*