How Can Photographic/Thermographic Imaging be Used as an Adjunctive Measure iwth Skin Care Bundles in ICU to Help Decrease FAPI's (Facility Acquired Pressure Injuries)

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Supporting Presenters

Suzanne Koerner BSN, RN, CWOCN

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Improve quality of care for our patients In the ICU by initiating Skin Care Prevention Bundles, which would include On-Admission Head-to-Toe and 4-Eyes Skin assessment, obtaining a photographic/thermal image of common pressure Injury sites and then implementing additional interventions to prevent skin breakdown.

Upon admission to ICU, Head to Toe, 4-Eyes Skin Assessment and Braden Score were completed. A Photographic/thermal image device was utilized to obtain a visual and thermal image pair of the most common areas of pressure and skin breakdown, which were identified as the sacrococcygeal area and bilateral heels. If patients presented with a h/o being “found down”, that area of concern was also scanned. Images were then analyzed by the WOC RN’s. If any skin anomaly was identified, additional interventions were put into place.

Adult population in the combined Medical/Surgical/Cardiac ICU at Mount Carmel West in Columbus, OH.

After a successful trial in 2016, the Photographic/Thermographic device was purchased. In March 2018, implementation of a Skin Care Bundle was initiated in ICU with thermal imaging integrated completely in July 2018.

Lundgren, Jeri. “Evolution of the Deep Tissue Injury or a Declining Pressure Ulcer?” Wound Care Advisor, 2015,
Stekelenburg, A., Gawlitta, D., Bader, D., & Clemens, C. (2008). Deep Tissue Injury: How deep is our understanding? Archives of Physical Medicine and Rehabilitation 89(7), 1410-1413.
Stekelenburg, A. (2005). Mechanisms Associated with Deep Tissue Induced by Sustained Compression Loading. Doctorate Thesis.
Bhargava A, Chanmugam A, Herman C, Heat transfer model for deep tissue injury: a step towards an early thermographic diagnostic capability, Diagnostic Pathology, 2014,Vol.9:36.
Gefen A. Deep tissue injury from a bioengineering point of view. Ostomy Wound Manage. 2009 Apr;55(4):26-36.
Bhargava A, Chanmugam A, Herman C. Heat transfer model for deep tissue injury: a step towards an early thermographic diagnostic capability. Diagn Pathol. 2014 Feb 20;9:36.
Lyder et al. Hospital-Acquired Pressure Ulcers: Results from the National Medicare Patient Safety Monitoring System Study. Journal of the American Geriatric Society. 2012 Sept; 60(9):1603-1608.
Agency for Healthcare Research and Quality. How Will We Manage Change? Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care. 2011. Accessed April 3, 2018.

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