Patients who are critically ill with COVID-19 are at exceptionally high risk for developing healthcare-associated pressure injuries, especially those related to medical devices, and clinicians must consider additional factors beyond those assessed with common classification tools.
A designated proning team — composed of about 70 OR nurses, OR assistants and outpatient physical therapists — became a key part of the COVID-19 care provided by Massachusetts General Hospital, responding around-the-clock to patients who needed turning and allowing critical care clinicians to focus on other aspects of care.
A new study published online in the Annals of the American Thoracic Society examines ways to increase the use of prone positioning for patients with severe acute respiratory distress syndrome (ARDS), and develops specific implementation strategies that can assist in clinicians’ response to the COVID-19 pandemic. Prone positioning has been shown to reduce mortality related to severe ARDS, yet most patients with ARDS—up to 85 percent—do not receive this lifesaving therapy.
An interprofessional simulation-based educational program helped Mount Sinai Hospital train nearly 90% of its medical ICU staff to care for patients in prone position, as part of its 2018 implementation of a new protocol related to prone position ventilation for patients with acute respiratory distress syndrome.