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COVID-19 Resources

NPIAP COVID-19 Related Resources for Pressure Injury Prevention

NPIAP Panel Members have provided these resources as a convenience to website visitors and for informational purposes only. Once you click on these links, you will be leaving the NPIAP site and going to a third party site. NPIAP makes no assurances to the accuracy of the content present on external websites.

1. Many health care professionals are wearing Personal Protective Equipment (PPE) the majority of the day. There are increasing reports of pressure injuries from masks, goggles and other PPE.

  • NPIAP position paper on preventing injury with N95 masks. This position paper is unique in that it combines current evidence in both pressure injury prevention and PPE science as a basis for recommendations within the context of the COVID-19 crisis. Link Here
  • NPIAP Protecting Facial Skin Under PPE N95 Face Masks info-graphic. Link Here
  • The Portuguese Wound Management Association (APTFeridas) has developed a White Paper with many practical recommendations on Prevention of skin lesions caused by Personal Protective Equipment. Link here.
  • If you add prophylactic dressings or other skin protectant products under your mask, double-check and make sure that the seal of your N95 mask is still intact. Please refer to these CDC links for additional information on N95 mask respirators and how to check the seal to ensure your safety in the face of COVID- 19. Link here.
  • Our colleagues on the European Pressure Ulcer Advisory Panel (EPUAP) have developed the COVID-19 and Pressure Ulcer Prevention Forum where clinicians can share their experiences and good practices. Link here.
  • The NIH 3D Print Exchange are posting designs for various COVID-related devices. The link below is for a mask strap design that has been clinically reviewed. There are also designs for adjustable straps that can fit different sized heads (or hairdos). The designs are free and can be downloaded for use by anyone with a 3D printer. Link here

2. An increasing number of patients with COVID-19 are being placed in prone position as they develop Acute Respiratory Distress Syndrome (ARDS). The NPIAP has received requests for best practices for prone positioning. Several NPIAP Board members who are actively practicing in critical care units have developed educational material on Pressure Injury Prevention – PIP Tips for Prone Positioning. Link here.

3. We are all caring for an increasing number of patients with COVID-19 being treated with CPAP and BiPAP. These patients often require high HOB elevation to facilitate breathing. Please review the following resources:

  • FREE MDRPI Prevention Posters. Link here.
  • 2019 International Guideline recommendations on positioning strategies and use of prophylactic dressings to prevent sacral pressure injuries. Link here.

4. CMS has announced policy exceptions and extensions for quality reporting and data submission to provide relief for clinicians during the COVID-19 pandemic. The announcement includes provisions for provider, hospital and post- acute care (PAC) programs. Link here.

5. Skin Manifestations with COVID-19: The Purple Skin and Toes that you are seeing may not be Deep Tissue Pressure Injury. Link here.

6.  Unavoidable Pressure Injury during COVID-19 Pandemic. Link here.

 7.  ANHI Covid-19 Support Infographics.

7. Nutrition and Immunity Podcast series. Link Here

  • A review of the SCCM/Aspen COVID-19 Recommendations
  • Nutrition support of the COVID-19 ICU Patient
  • Nutritional needs of COVID-19 patients in-hospital & post-discharge
  • The role of hydration in acute inflammatory process & recovery
  • Impact of pandemics on older adults

8. COVID-19 Re-entry Guidance for Health Care Facilities and Medical Device Representatives. Link Here