AORN Tool Kit cover page

Prevention of Perioperative
Pressure Injury

Prevention of Perioperative Pressure Injury

Tool Kit

By Xodus Medical and The AORN Foundation

All surgical patients are at risk for pressure injury development. Pressure injuries are a common problem that may significantly increase patients' pain, recovery times, and the overall cost of healthcare delivery. The AORN Tool Kit will help perioperative RNs and other healthcare professionals prevent the development of pressure injuries in surgical patients. Included in the Tool Kit are evidence-based prevention strategies as well as tools that can be implemented and adapted to your perioperative setting.

Your Partner in Patient Safety

Lateral Positioning Example

Xodus Medical has partnered with AORN to create the official Tool Kit for the Prevention of Perioperative Pressure Injury. We are focused on providing unique, effective, and complete solutions for perioperative teams dedicated to safeguarding their patients against preventable, hospital-acquired pressure injuries (HAPIs).

Trendelenburg Positioning

Trendelenburg example

Proven, dedicated positioning solutions are critical components for preventing unwanted patient sliding, skin and nerve damage. Superior skin protection and pressure distribution is a must. Pressure injury risk increases with shear force, length of surgery, and individual patient comorbidities. Ideal positioning solutions should offer:

Reverse Trendelenburg

Reverse Trendelenburg Example

Best-practice solutions should be implemented across surgical specialties for an elevated standard of care. Positioning systems engineered for specific applications improve both patient safety as well as operating room efficiency. Ideal positioning solutions should offer:

  • Unique designs that address specific positioning challenges
  • Anatomical, ergonomic support
  • Complete protection against nerve damage
  • Materials and design focused on HAPI prevention

Tools for the Prevention of Perioperative
Pressure Injury

The AORN Tool Kit has an array of resources dedicated to pressure injury prevention, including:

  • Educational Presentations
  • Samples & Checklists
  • Tools
  • Position Statements
  • Guideline Essentials
  • Resources
  • Faculty Disclosures
  • Posters, Webinars and Videos

Tool Kit coverpage

Complete Supine Positioning

Supine Position Example

Utilized in more than 80% of surgical procedures, Supine positioning challenges are as varied as the position is popular. Patient positioning best-practices should be easy to implement, standardize, as well as:

  • Pressure distributing
  • Protecting of sensitive-skin, tissue and bony-prominences
  • Designed and implemented based on clinical evidence
  • Manufactured by an FDA approved supplier
  • Useful in maintaining body temperature
  • Skin-friendly: immersive, enveloping, breathable, soft, moisture-wicking, etc.

Fracture Table Positioning

PHK and Fracture Table example

Advances in MIS surgery require increasingly extreme patient positioning. Combined with individual comorbidities, these factors contribute to elevated risks of pressure injury and the need for carefully designed patient positioning systems. Ideal positioning solutions should offer:

  • Designs intended to mitigate the risk of nerve damage
  • Materials focused on reducing the risk of HAPI formation
  • A safe standard-of-care for all patients, regardless of weight, BMI, age, etc.
  • Precise fitment of equipment/tables being utilized

No Post example

Lateral and Jackknife Positioning

Lateral position example

In addition to common positioning-related vulnerabilities, patients in lateral positions are at increased risk for dependent-side pressure injury. Positioning-system design should take into consideration the need to protect areas of the patient prone to pressure injury, and reduce the risk of nerve damage by limiting unwanted movement and promoting anatomical alignment. Ideal positioning solutions should offer:

  • Designs intended to mitigate nerve damage risk, especially to dependent areas of the patient
  • Materials designed to reduce HAPI formation
  • A safe standard-of-care for all patients, regardless of weight, BMI, age, etc.
  • Adaptable components (I.E., adjustable headrests to accommodate varying patient anatomies)

Complete Prone Positioning

Prone Position example

Ideal positioning solutions present the opportunity to shield patients from short-term and long-term health complications. They should be designed to protect patients’ respiratory, musculoskeletal, and nervous systems as they relate to positioning, as well as to limit vascular risks (including venous thromboembolism and acute compartment syndrome). Ideal positioning solutions should offer:

  • Complete systems that provide total-body protection against HAPI formation
  • Emphasis on nerve-damage prevention
  • Customizable configurations that adapt to specific patient and procedural requirements

Spinal Table Positioning

Jackson Spinal table example

Specialty surgical tables may introduce unique challenges related to pressure injury prevention. Dedicated, carefully designed positioning solutions are necessary to mitigate risks associated with the heightened pressure, time, and shear forces often present on orthopedic or neurologic spine procedures. Ideal positioning systems should incorporate:

  • Skin-friendly materials: immersive, enveloping, breathable, soft, moisture-wicking, etc.
  • Thorough pressure-distribution characteristics
  • Proper fit for specific surgical equipment

Beach Chair Positioning

Patient sitting example

Unique, comprehensive positioning solutions are required when patients are anesthetized and seated for the duration of surgical procedures. Ideal positioning systems should include:

  • Safe designs for the restraint and positioning of extremities
  • Considerations for proper anatomical alignment
  • Adaptability based on specific patient and procedural requirements
  • Materials designed to reduce the risk of HAPI formation

What Our Customers are Saying...

Prior to working with Xodus Medical, a solution for lateral positioning that was both safe and efficient simply did not exist. The Lat Packs combine skin-friendly materials with smart configurations that ensure a consistent standard of care. They save our OR a significant amount of time, especially during setup. Most importantly, the safety of our patients is better than ever.

— Dr. Domenico Savatta, MD
     Chief of Minimally Invasive and Robotic Adult Urologic Surgery
     New Jersey

If you already use Pink Pad EXT in the OR, then you know how amazingly breathable the proprietary, open-cell material is. It prevents shear and wicks away moisture, preventing irritation and breakdown.

— Susie Hammant, RN, CNOR
     Metairie, LA

The Pink Pad has allowed me to feel more confident that I can position the patient quickly, while saving OR setup costs and still maximize patient safety. Those of us dedicated to pushing the boundaries of minimally invasive surgery need to utilize innovative products that can both increase patient safety and improve operating room efficiency. I feel confident that by using the Pink Pad, my patients are safe from moving on the table during extreme positioning maneuvers and avoid skin irritation and breakdown associated with other products.

— Daniel Gilbert, D.O.
     Urology, Arizona Oncology

In the time I've switched over to using The Pink Hip Kit, I've not had any reports of even temporary paresthesia related to what used to be from the traction post. So it's been a really nice advancement for the field and one of those advancements that truly does improve patient safety.

— Eric C. Makhni, MD MBA
     Sports Medicine, Orthopedic Surgery
     Henry Ford Health System • Detroit, MI
     Team Physician, Detroit Lions

Safer Solutions
For Every Specialty

View our brochure for an array of patient safety innovations.

Overview Catalog
Xodus Medical is focused on helping your surgical team achieve the standard of care suggested in the AORN Tool Kit on Prevention of Perioperative Pressure Injury. Ideal solutions include:

Visit the AORN website to access the entire Prevention of Perioperative Pressure Injury Tool Kit.

Contact Xodus Medical

Contact Us to learn more about the benefits of Xodus Medical products for the prevention of perioperative pressure injuries.

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