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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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.

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