- A re-positioning schedule of at least every two hours should be promptly implemented when using a standardized mattress, emergency stretcher or operating table surface
- When using a pressure management surface (re-distribution mattress or cushion) use a re-positioning schedule of at least every four hours or as required by the patient’s condition
- When choosing a therapeutic support surface, special attention needs to be given to the issue of entrapment
- Seven Zones of Entrapment
- Within the rail.
- Under the rail (between the rail supports or next to a single rail support).
- Between the rail and the mattress.
- Under the rail at the ends of the rail.
- Between split bed rails.
- Between the end of the rail and the side edge of the headboard or footboard.
- Between the head board or footboard and the mattress end.
- To minimize the risk of entrapment consider:
- Selecting a surface that has a transfer boarder as it may be less likely to compress as the client approaches the side of the surface;
- Evaluating the use of bed rails – the client may be at less risk when these are not in place;
- Implementing other devices, such as positioning wedges or a mattress cover with built in bolsters; and/or
- Consulting with an occupational or physical therapist skilled in this area to complete a client assessment and make specific recommendations.
Risk Assessment and Prevention of Pressure Ulcers
Point of Care Resources