SACRAL PROTECTION - Sage Products Inc.
SACRAL PROTECTION - Sage Products Inc.
SACRAL PROTECTION - Sage Products Inc.
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NEW<br />
Simple Interventions. Extraordinary Outcomes.<br />
<strong>SACRAL</strong> <strong>PROTECTION</strong><br />
PRODUCT CATALOG<br />
HELPS PROTECT PATIENTS AND STAFF!<br />
■ Helps prevent patient pressure ulcers by offloading the sacrum.<br />
■ Controls skin microclimate.<br />
■ Stays under patient to enhance turning protocol compliance.<br />
■ Protects healthcare workers from back, wrist & shoulder injuries.
<strong>SACRAL</strong> PRESSURE ULCERS<br />
PREVALENCE, RISK AND COST<br />
A pressure ulcer is defined as a “localized injury to skin<br />
and/or underlying tissue, usually over a bony prominence<br />
as a result of pressure, or pressure in combination<br />
with shear.” 1<br />
The cost to treat a pressure ulcer can range from $2,000<br />
to $70,000 depending on the stage of the ulcer. 2<br />
According to the National Pressure Ulcer Advisory Panel,<br />
hospital prevalence of pressure ulcers is 14%-17%, and<br />
incidence is 7%-9%. 3 Sacral pressure ulcers are the most<br />
common, accounting for about 37% of all pressure ulcers. 4<br />
<strong>Inc</strong>ontinence moisture is a risk factor for sacral pressure<br />
ulcers. In a study of acute care patients in medical,<br />
surgical and intensive care units, the overall prevalence<br />
of incontinence was 19.7%. 5 Some type of skin injury<br />
was seen in 42.5% of patients who were incontinent. 5<br />
RISK FACTORS 6<br />
■ Reduced mobility or immobility<br />
■ Moisture<br />
■ Friction and shearing<br />
■ Acute illness<br />
■ Extremes of age<br />
■ Vascular disease<br />
■ Level of consciousness<br />
FRICTION<br />
PRESSURE<br />
<strong>SACRAL</strong><br />
PRESSURE<br />
ULCERS<br />
SHEAR<br />
MOISTURE<br />
37%<br />
of all pressure<br />
ulcers develop on<br />
the sacrum. 4<br />
REFERENCES: 1. Wound, Ostomy and Continence Nurses (WOCN) Society, Clinical Practice Guidelines for the Prevention and Management of Pressure Ulcers. 2010. 2. Young 2F, Evans A, Davis J. J Nurs Admin (Jona). Jul/Aug 2003; 33 (7/8): 380-3 3. Whittington<br />
K, Briones R. National prevalence and incidence study: 6-year sequential acute care data. Advances in Skin & Wound Care, 2004;17(9):490-494. 4. Amlung S, The 1999 national pressure ulcer prevalence survey: a benchmarking approach. Advances in Skin &<br />
Wound Care, 2001;14:297-301.5. Junkin J, Selekof J, Prevalence of incontinence and associated skin injury in the acute care inpatient. J WOCN, May/June 2007;34(3):260-269. 6. Clinical Practice Guidelines: the use of pressure-relieving devices (beds, mattresses<br />
and overlays) for the prevention of pressure ulcers in primary and secondary care. Royal College of Nursing, Oct 2003. 7. Occupational Safety and Health Administration (OSHA), Guidelines for nursing homes: ergonomics for the prevention of musculoskeletal<br />
disorders, 2009. 8. Survey conducted by <strong>Sage</strong> <strong>Products</strong> <strong>Inc</strong>., data on file. 9. United States Department of Labor, Bureau of Labor Statistics,Nonfatal occupation injuries and illnesses requiring days away from work, press release 2009, available at<br />
http://www.bls.gov/news.release/osh2.nr0.htm 10. White E, The Elephant in the room: huge rates of nursing and healthcare worker injury, available at http://www.nhnurses.org/Homepage-Announcements/Alert.aspx<br />
1 www.sageproducts.com
STAFF INJURY RISK<br />
TURNING AND REPOSITIONING<br />
While frequent turning and repositioning of<br />
patients is critical to preventing sacral pressure<br />
ulcers, it can be extremely challenging for staff. It<br />
can be physically demanding and require<br />
considerable nursing time.<br />
Manual lifting and other tasks involving<br />
repositioning patients are associated with<br />
increased risk of pain and injury to staff,<br />
particularly to the back. 7 Turning and repositioning<br />
puts staff at risk for musculoskeletal disorders<br />
(MSDs), which include conditions such as low back<br />
pain, sciatica and rotator cuff injuries. 7<br />
PREVALENCE & COST<br />
■ In 2009, nurses aides, orderlies and<br />
attendants suffered a total of 25,160<br />
MSDs. 9 59.2% of these were back injuries<br />
requiring an average of 5 days off work.<br />
12.2% were shoulder injuries with an<br />
average of 8 days off work.<br />
■ Registered nurses suffered a total of<br />
10,480 MSDs in 2009. 9<br />
■ Nurse back injuries cost an estimated $16<br />
billion annually in worker’s compensation<br />
benefits. Medical treatment, lost work<br />
days, light duty and employee turnover<br />
cost an additional $10 billion. 10<br />
In a survey of more than<br />
900 clinicians, 89% said<br />
they or a co-worker<br />
have experienced a<br />
back, shoulder or<br />
wrist injury due<br />
to turning or<br />
boosting a<br />
patient. 8 More<br />
than 80% said<br />
there is room for<br />
improvement in<br />
compliance to their facility’s<br />
turning and repositioning protocol.<br />
800-323-2220<br />
2
PREVALON ® TURN AND<br />
POSITION SYSTEM<br />
PATIENT AND STAFF BENEFITS<br />
Turning and repositioning patients according to your<br />
facility’s turning schedule is critical to preventing pressure<br />
ulcers. Current methods have multiple challenges,<br />
including lack of nursing time and risk of staff injury.<br />
Unlike standard lift slings and plastic slide sheets, the<br />
Prevalon Turn and Position System stays under the<br />
patient at all times. It’s always ready to assist with<br />
turning, repositioning and boosting the patient. This<br />
convenience and efficiency makes it possible for nurses<br />
and staff to achieve compliance to a q2° turning<br />
protocol. Additionally, slings and other turning devices<br />
require patient rolling and tucking every time, just to get<br />
them under the patient and ready for use. This can cause<br />
additional stress on the patient. The Prevalon Turn and<br />
Position System stays under the patient to minimize<br />
additional stress.<br />
PATIENT BENEFITS<br />
■ Helps prevent sacral pressure ulcers by offloading the sacrum.<br />
■ Manages moisture due to incontinence and other conditions.<br />
■ Helps minimize friction and shear on the patient.<br />
■ Creates an optimal microclimate for the skin.<br />
■ Easily turns any patient up to 350 pounds.<br />
■ Keeps patient positioned at the appropriate angle.<br />
STAFF BENEFITS<br />
■ Nurse-friendly system helps staff more easily follow best<br />
practice prevention guidelines.<br />
■ Requires fewer nurses and less time to turn.<br />
■ Reduces the force needed to turn and boost patients. Less<br />
nursing time required.<br />
■ Decreases strain on staff’s backs, wrists and shoulders.<br />
■ Stays under patient at all times, making it easier and more<br />
convenient for nurses to comply with a q2° turning protocol.<br />
Helps prevent sacral<br />
pressure ulcers by completely<br />
offloading the sacrum.<br />
Sacrum<br />
3 www.sageproducts.com
GUIDELINES: REPOSITIONING<br />
EUROPEAN PRESSURE ULCER ADVISORY PANEL<br />
(EPUAP) AND NATIONAL PRESSURE ULCER<br />
ADVISORY PANEL (NPUAP) 1<br />
1.1 Repositioning should be undertaken to reduce the duration and<br />
magnitude of pressure over vulnerable areas of the body.<br />
1.2 The use of repositioning as a prevention strategy must take into<br />
consideration the condition of the patient and the support surface in use.<br />
3.2 Avoid subjecting the skin to pressure and shear forces.<br />
3.6 Repositioning should be undertaken using the 30-degree tilted<br />
side-lying position (alternately, right side, back, left side) …<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
WOUND OSTOMY AND CONTINENCE NURSES<br />
SOCIETY (WOCN) 2<br />
III. Interventions: Prevention<br />
A. Reducing Risk of Developing Pressure Ulcers<br />
■ Minimize friction and shear.<br />
■ Use 30-degree side lying position (alternating from the right<br />
side, the back and left side) to prevent pressure, sliding and<br />
shear-related injury.<br />
■ Minimize Pressure.<br />
■ Schedule regular repositioning and turning for bed and chair<br />
bound individuals.<br />
B. Managing <strong>Inc</strong>ontinence<br />
■ Select underpads...that are absorbent to wick incontinence<br />
moisture away from the skin.<br />
I. Education<br />
■ Educate patients, caregivers, and health care providers involved in the<br />
continuum of care about prevention, treatment and factors contributing<br />
to recurrence of pressure ulcers. Areas to be addressed should include:<br />
... positioning and use of support surfaces.<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
HARTFORD INSTITUTE FOR GERIATRIC NURSING (HIGN) 3<br />
■ Use a 30-degree lateral side lying position; do not place client<br />
directly on their trochanter.<br />
■ Protect high-risk areas such as elbows, heels, sacrum, back of<br />
head from friction injury.<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
REGISTERED NURSES ASSOCIATION OF ONTARIO (RNAO) 4<br />
For individuals restricted to bed:<br />
■ Reposition at least every 2 hours or sooner if at high risk.<br />
■ A 30-degree turn to either side is recommended to avoid positioning<br />
directly on the trochanter.<br />
TOOLS & PROGRAMS<br />
STOP <strong>SACRAL</strong> PRESSURE ULCERS &<br />
HEALTHCARE WORKER INJURIES—<br />
OPPORTUNITY CALCULATOR<br />
This unique tool from <strong>Sage</strong> estimates the number<br />
of pressure ulcers, dollars and length of stay days<br />
attributable to sacral pressure ulcers. It helps<br />
measure staff injury costs and missed work days<br />
in connection with healthcare worker injuries. In<br />
addition, it quantifies the potential impact of<br />
patient turning and positioning interventions.<br />
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
WE CAN HELP YOU<br />
MEASURE PRESSURE<br />
ULCER PREVALENCE &<br />
INCIDENCE ON YOUR<br />
HIGH-RISK UNITS.<br />
<strong>Sage</strong>’s CustomerOne program<br />
provides customized measurement<br />
and analysis, and then compiles your results into<br />
valuable, actionable reports that can be shared<br />
with other decision-makers in your facility.<br />
REFERENCES: 1. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and<br />
treatment of pressure ulcers: clinical practice guideline. Washington DC: National pressure Ulcer Advisory Panel, 2009,<br />
pp16-18. 2. Wound Ostomy and Continence Nurses Society, Guideline for prevention and management of pressure ulcers,<br />
2010, pp14-15, 21. 3. Hartford Institute for Geriatric Nursing (HIGN), Preventing pressure ulcers and skin tears.2008 Jan,<br />
p403-29. 4. Registered Nurses Association of Ontario (RNAO), Risk assessment and prevention of pressure ulcers. Toronto<br />
(ON), 2005 March, p80.<br />
To learn more about these tools,<br />
call 1-800-323-2220<br />
800-323-2220<br />
4
MICROCLIMATE BODY PAD<br />
This innovative, disposable body pad is placed under the patient to manage heat and moisture.<br />
■ Only full-body size available. Provides microclimate control to all skin contact areas.<br />
■ Highly breathable materials allow air flow to patient skin, reducing heat and moisture buildup.<br />
■ Super-absorbent fill materials absorb large amounts of moisture due to incontinence and other conditions.<br />
Pull moisture away from the skin and prevent it from soiling the Glide Sheet and mattress.<br />
LOW-FRICTION GLIDE SHEET<br />
The Low-Friction Glide Sheet remains in place under the patient throughout the length of stay.<br />
■ Low-friction ripstop nylon requires less effort to move the patient.<br />
■ Full-length, high strength handles allow multiple clinicians to easily grab and position the sheet at the same time.<br />
■ Anti-shear strap reduces shear and minimizes patient repositioning and boosting.<br />
■ Highly breathable materials allow air flow to patient skin, reducing heat and moisture buildup.<br />
■ Comfort grip material keeps the body pad in place under the patient.<br />
■ Torso body length accommodates most patient sizes from shoulders to knees.<br />
■ Quick-release attachment allows easy removal for patient transfer.<br />
■ Universal bed attachment compatible with all hospital beds.<br />
The Low-Friction Glide Sheet features<br />
comfort-grip gray material to keep the<br />
Body Pad in place under the patient, as<br />
well as blue ripstop nylon that helps the<br />
sheet move with the patient to make<br />
turning easier.<br />
30-DEGREE BODY WEDGES<br />
Soft foam wedges allow staff to easily position patients for consistent protection and pressure redistribution.<br />
■ Comfort grip material keeps body wedges in place under the patient.<br />
■ Soft, dense support foam material redistributes pressure for patients up to 350 pounds.<br />
■ Low-friction surface requires less effort to move patients, minimizes potential for staff injuries.<br />
■ Two wedges per system provides customized placement for most patient body sizes.<br />
30-De<br />
mattr<br />
appro<br />
EASY COMPLIANCE<br />
1 2 3<br />
Sacrum<br />
Place Prevalon Turn and<br />
Position System under patient.<br />
Position 30-Deg<br />
to offload th
The innovative Microclimate Body<br />
Pad has four layers to effectively<br />
absorb and lock in moisture while<br />
allowing air to flow through.<br />
gree Wedges placed on the<br />
ess easily position patient at<br />
priate angle to offload the sacrum.<br />
COMPATIBLE WITH ALL LOW AIR LOSS MATTRESSES<br />
For single patient use. Do not launder.<br />
4 5<br />
ree Wedges<br />
e sacrum.<br />
Pull handles to turn patient.<br />
Product stays under patient.<br />
Always ready for next turn.<br />
800-323-2220<br />
7
PREVALON ® TURN AND POSITION SYSTEM<br />
Helps protect patients and staff!<br />
3<br />
2<br />
1<br />
5<br />
1<br />
2<br />
3<br />
4<br />
5<br />
Low-Friction Glide Sheet<br />
Microclimate Body Pad<br />
30-Degree Body Wedges<br />
Universal Bed Attachment<br />
Anti-Shear Strap<br />
4<br />
■ Compatible with all low<br />
air loss mattresses.<br />
■ Easier to turn and position<br />
patients. Requires less force<br />
than traditional draw sheets<br />
and pillows.<br />
■ Decreases nursing time<br />
required for turning and<br />
repositioning patients.<br />
Tests show that Prevalon Turn and Position System<br />
requires 71% less effort to turn a patient than a<br />
standard draw sheet and pillows. *<br />
* Testing conducted by <strong>Sage</strong> <strong>Products</strong> <strong>Inc</strong>., data on file.<br />
■ Reduces risk of injury to staff’s<br />
backs, shoulders and wrists.<br />
■ Improves compliance to<br />
turning/repositioning protocol.<br />
PRODUCT ORDERING:<br />
PREVALON ® TURN AND<br />
POSITION SYSTEM<br />
1 Low-Friction Glide Sheet<br />
1 Microclimate Body Pad<br />
1 Universal Bed Attachment<br />
1 Anti-Shear Strap<br />
2 30-Degree Body Wedges<br />
MICROCLIMATE<br />
BODY PAD<br />
30 pads/case (6 bags of 5) Reorder #7250<br />
5 systems/case Reorder #7200<br />
5 www.sageproducts.com
ANOTHER PART OF YOUR COMPLETE<br />
PRESSURE ULCER PREVENTION PROGRAM<br />
PREVALON ® PRESSURE-RELIEVING<br />
HEEL PROTECTOR<br />
Minimize pressure, friction and shear on the feet,<br />
heels and ankles of non-ambulatory patients.<br />
■ Prevent and treat heel ulcers. Prevalon completely off-loads the heel,<br />
delivering total continuous pressure relief.<br />
■ Prevent plantar flexion contracture. Contracture Strap maximizes support<br />
under the foot, helping prevent Achilles tendon shortening by maintaining the<br />
foot at 90° while the patient is in bed.<br />
■ Prevent foot drop. Foot and Leg Stabilizer Wedge helps prevent lateral foot<br />
and leg rotation, reducing the risk to the peroneal nerve.<br />
The #1<br />
hospital brand in<br />
heel protection 1<br />
REFERENCES: 1. GHX Trend Report (Dollars),3rd Quarter, 2010 Hospital;<br />
Annualized markets based on last 4 quarters data<br />
800-323-2220<br />
8
THE INTERVENTIONAL<br />
PATIENT HYGIENE COMPANY<br />
Born from a core belief in prevention, Interventional Patient Hygiene<br />
is a nursing action plan focused on fortifying patients’ host defenses<br />
with evidence-based care.<br />
By promoting a return to the basics of nursing care, our advanced<br />
patient hygiene products and programs help healthcare facilities<br />
improve clinical outcomes by reducing the risk of hospital-acquired<br />
infection and skin breakdown.<br />
Visit our FREE Clinical Education Website!<br />
www.sageproducts.com/education<br />
<strong>Sage</strong>’s unique site provides FREE information<br />
that can help your facility improve care—<br />
including Performance Improvement Plans,<br />
Evidence-Based Protocols, Clinical Studies,<br />
Customizable Posters and more!<br />
Customizable Programs For:<br />
■ Reducing HAP/VAP Risk Factors<br />
■ Reducing Threats to Skin Integrity<br />
■ Preventing <strong>Inc</strong>ontinence-Associated Dermatitis (IAD)<br />
■ Preventing Heel Pressure Ulcers<br />
■ Reducing an SSI Risk Factor<br />
3909 Three Oaks Road Cary, Illinois 60013<br />
www.sageproducts.com www.shopsageproducts.com<br />
800-323-2220<br />
21484 © <strong>Sage</strong> <strong>Products</strong> <strong>Inc</strong>. 2011