Preventing Skin Tears & Injuries
Strategies to prevent MARSI Identify patients at elevated risk and implement interventions before MARSI occurs Using paper or soft cloth tape instead of nylon tape Using adhesive remover wipes and sprays to remove tapes, securement devices, ostomy pouches Keeping skin well moisturised Changing devices adhered to the skin on a rou- tine bases Removing tape and/or devices in the direction
Many patients treated at Ryde Hospital are elderly and have fragile skin which makes them vulnerable to medical adhesive - related skin injury (MARSI). MARSI is caused by trauma to the skin from medi- cal adhesives and typically manifests as a skin tear, blistering, maceration, or skin stripping. Patients on medications such as blood thinners, steroids, and those with neuropathy or impaired sensory perception are also at increased risk of MARSI. Over the past year, 47 patients have had skin tears reported in IMS+ several of which are the result of tears sustained when removing tapes used to se- cure cannulas, catheters and dressings.
Use Micropore and Hypafix/Mefix on patient ’ s skin
Limit the use of heavy adhesive tapes like Transpore and Leukoplast
Just for Fun
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