Pressure Redistribution Crib Mattress: A Quality Improvement Project
Charleen Deo Singh1, Noordeen Shoqirat
1Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, Sacramento, California; San Jose State University Wound Ostomy Program, San Jose, California; and Cottage Hospital, Santa Barbara, California. Noordeen Shoqirat, PhD, RN, Mutah University, Karak, Jordan.
Insights
A new pressure redistribution mattress for critical care cribs effectively prevents pressure injuries in critically ill children. This support surface is a key component of pediatric pressure injury prevention bundles.
Area of Science:
- Pediatric critical care medicine
- Medical device evaluation
- Wound prevention
Background:
- Pressure-redistributing support surfaces are vital for preventing pressure injuries.
- Critically ill children often use critical care cribs lacking pressure-redistributing mattresses.
- Evaluating specialized mattresses for these cribs is necessary.
Purpose of the Study:
- To assess the efficacy of a pressure redistribution mattress designed for critical care cribs.
- To determine if this mattress reduces pressure injury incidence in pediatric patients.
Main Methods:
- Retrospective chart review of 22 critically ill pediatric patients.
- Data collected over a 12-week product trial.
- Analysis included demographics, skin assessments, and Braden Q Scale scores.
Main Results:
- No pressure injuries were recorded during the 12-week study period.
- The pressure redistribution mattress was used as part of a prevention bundle.
Conclusions:
- The evaluated pressure redistribution mattress appears effective in preventing pressure injuries.
- This specialized mattress is a valuable addition to pressure injury prevention strategies for critically ill children.
Background:
Selective use of pressure-redistributing support surfaces is considered an essential component of a pressure injury prevention bundle. Critically ill children who are too big for an isolette but too little for a bed are usually placed in critical care cribs that have unique features such as moveable side rails and a built-in scale for weighing the patient, but they do not have a mattress designed to redistribute pressure. The primary aim of this quality improvement project was to evaluate a pressure redistribution mattress designed for use in critical care cribs.
Cases:
We retrospectively reviewed 22 charts of critically ill pediatric patients who participated in a product trial completed over a 12-week period in a stand-alone children's hospital in the Western United States. We reviewed demographic data, skin assessments, Braden Q Scale score, and support surface use. Our review revealed no pressure injury occurrences over the 12-week data collection period.
Conclusions:
Findings from this quality improvement project suggest that the pressure-redistributing mattress, when used as part of an intervention bundle, prevents pressure injuries in critically ill pediatric patients.
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