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Proning_Hicks - Coggle Diagram
Proning_Hicks
Disadvantages
Pressure Ulcers
Facial ulcers
Ulcers from Foley Catheter
Ulcers on feet and toes
Accidental Extubation
Need for emergent re-intubation
Risk for strider
Risk for tracheal edema
Risk for emergent trach placement
Harder to re-intubated
Delay of oxygenation
Edema
Facial edema
Eyes
Lips
Mouth
Men: Scrotal edema
Need proper sedation
Longer time for medication to wear off
Longer hospital stay
ICU delirium with long term use
Accidental removal of medical equipment
Accidental IV line removal
Trauma to veins
Addition lines need to be placed
Accidental arterial line removal
Accidental Dobhoff tube removal
Need replacement
Delay In Enteral Nutrition
Decrease In nutrition
Weight loss
Delay In wound healing
Possible aspiration of Enteral Nutrition
Need repplacement
Possible bleeding
Trauma to artery
Advantages
Improve Blood Gases
Increased Lung Expansion
Better ventilation of dorsal lung
Decrease ventilator settings
Come off ventilator earlier
Shorten time of Intubation
Shorten ICU stay
Decrease Pressure on the heart
Improve MAP
Adequate profusion to tissues and organs
Decrease need for cardiac "pressors"
Increasing Pre-load
Increase force of contractility
Heart will be more effective
Improved gas exchange
Provide cells with adequate oxygen
Body will heal faster
Decrease ventilator settings
Challenges
Adequate Staff
Staffing proper body mechanics
Back Injuries
Staff out on disability
Less staff on unit
Less staff for patient care
Staff on light duty
Less staff to for patient care
Shoulder Injuries
Less staff on unit
Less staff for patient care
Proper proning equipment
Proning pillows
Slide sheets
Costs more money
Staff education on proning
Need to be trained
Training costs money
Less staff able to do It
Emergent supination
Delay of proper CPR
Posterior compressions aren't as effective
Need correct amount of staff
Less staff on unit during proning
Call lights will take longer to be answered
Phone calls will take longer to be answered