PATIENT POSITIONING AND COMFORT
General Repositioning
Patients should be turned or repositioned based on their individually planned treatment schedule or per
facility policy. Support surfaces are not substitutes for turning/repositioning or functional weight shifts.
Hand Check Procedure:
A suitable way to verify that the patient is not bottoming out is to perform a hand check as described below:
1) Ensure that the patient is lying supine (on his/her back) in the middle of the mattress.
2) Place a hand with four (4) fingers stacked vertically beneath the air cell directly underneath the sacral region.
3) Ensure that the 4 fingers can slide with minimal resistance between the patients' sacral region and the
lower portion of the mattress.
4) Adjust the comfort setting as needs.
5) Wait for the mattress to adjust to the selected range.
6) Revaluate with the hand check and adjust to patients' comfort level.
Recommended Linen:
Drive DeVilbiss Healthcare bed support surfaces are designed to be used with appropriate linens. Deep
pocketed fitted or flat sheets are recommended. Multiple layering of linens or underpads beneath the
patient should be avoided, when possible, for the prevention and treatment of pressure injuries.
Incontinence
Moisture against the skin surface is an extrinsic risk factor for acquiring a pressure injury as it weakens
the skin tissue leading to maceration. To protect skin integrity, incontinence barrier pads may be used to
absorb excess moisture.
Warning
Specialty active and reactive support surfaces are designed to redistribute pressure and reduce shearing/
friction forces against the patients'skin. Patient migration is possible due to the nature of these products.
Always ensure the patient is positioned properly within the confines of the bed and specialty system.
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