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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

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