C.A.R.E to Prevent Medical Device-Related Pressure Injuries

C. Preston Lewis, DNP, MSN, RN, CCRN-K; Kristene E. Colcord, MSN, RN, CWOCN; Ashley Peterson, BSN, RN, ONC; Charmaine Pfister, MSN, APRN, FNP-BC, CWOCN; Mary Ellen Robertson, MSN, RN; Aaron Slyh, BSN, RN, CWOCN; Brittany Smoot, MSN, RN; Kathy Tussey, MSN, RN, NEA-BC; Heather Whalen, MSN, APRN, FNP-BC, CWOCN, CFCN


Am Nurs Journal. 2021;16(6) 

In This Article

Abstract and Introduction


As patient care equipment and technology evolve, medical device-related hospital-acquired pressure injuries continue to capture national healthcare attention. These frequently preventable injuries, which develop during the application of a diagnostic or therapeutic device during hospitalization, can result in a stageable pressure injury, even deep tissue and mucosal. Injuries can develop anywhere on the patient's body and depend on the device application. They're frequently identified when the injury shape matches the device. (See Injury statistics.)

Some evidence-based interventions for preventing medical device injuries have been published; however, a practical and scientifically evaluated clinical protocol doesn't yet exist. This lack of guidance poses a challenge for healthcare teams when developing comprehensive, individualized preventive care plans involving medical devices. Nurses must rely on innovative solutions endorsed by legacy practices or a combination of diverse published evidence. Healthcare organizations that have achieved American Nurses Credentialing Center (ANCC) Magnet® designation are well positioned to address these issues because of their cultures of exemplary professional practice (EPP), which foster critical thinking, problem-solving, and creative solutions.

This article profiles how one organization that's received Magnet designation designed an innovative nurse-led and nurse-driven interprofessional protocol that resulted in injury reductions over 4 years.