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- by RN1982 Dec 18, '08I work in ICU and we sometimes have these Totalsport beds that do rotation therapy and also percussion and vibration for patients who need pulmonary toileting. I'm doing this online education for work and it says when patients are on rotation, we are not suppose to use pillows. My question is, even though the patient is using rotation, isn't the rotation just for the lungs and not for relieving pressure off of the patient's bottom.
- Dec 18, '08 by nrsang97It does automatically reduce pressure. The pt is on right side for a set time center for a set time and left for a set time so the pt is constantly rotating.
- Dec 18, '08 by RN1982Ok, I wasn't sure. We were talking about it the other day and I thought we still had to use a pillow to relieve the pressure on the patient's bottom.
- Dec 18, '08 by Southern Fried RNI was also under the impression that a pillow was still needed with q2h turns. A Hill-Rom rep said no, but then our hospital wound care nurses still recommend manually turning q2h even while in rotation mode. The rep said that the air shifts underneath the pt while on rotation so the pressure is relieved. It's confusing. I've seen people still get breakdown while on rotation and no pillows, and people still breakdown using pillows and rotation. I think there are a lot of other factors that go into preventing breakdown, such as nutrition, skin moisture/incontinence care, etc.
- Dec 18, '08 by RN1982I agree.
- Dec 18, '08 by Southern Fried RNAnother benefit of going in q2h to turn is you can make sure the patient isn't lying on top of a device. Sometimes patients wriggle around and end up with the Foley tubing or monitor lines underneath them, once I found a syringe cap buried under a patient's back.
There will always be that 90 lb lady on 20 mcgs of norepi who will get a breakdown that just can't be prevented but someone who gets a pressure ulcer from a device is not really excusable. Once I cared for a patient on IABP post OHS who hadn't been turned in over 16 hours. They had the EKG leads for the balloon pump on her back, so she laid on top of them all night. She had Stage I pressure ulcers in the shape of the lead wires all across her back. Of course she was happy she lived through the ordeal, but that breakdown could've been prevented.
- Dec 18, '08 by jodeI have done extensive study on the total care Sport bed and we use them in our ICU. They are UNDERUTILIZED, but can be very beneficial in preventing and treating pneumonia. THEY DO NOT prevent pressure ulcers. In fact, if rotation is being used aggressively (which is the most beneficial) it causes friction and sheer. There IS however, a pressure relief surface.
I love the Total Care Sport and if you are interested, I will send you my literature reivew on the topic.l
- Dec 19, '08 by RN1982Yeah, that would be great. I usually just manually turn my patients and put the bed on Opt-rest.