Page 50 - UNC MC Assistive Personnel Orientation Manual 2020
P. 50

Potential Friction/Shear Damage
                 Patient Positioning


                              To prevent friction and shear damage position head of bed 30 degrees or less.
























                 Heels


                                 Elevate Heels                          Use Pillows



                                                 For patients with
                                                 indications of skin                  Use pillows
                                                 breakdown                            length-wise
                                                 elevate heels off                    under calves
                                                 the bed at all
                                                 times






                                                Heel  Offloading Boots



                                                                   Use heel
                                                                   offloading boots.
                                                                   Do not need
                                                                   physician order
                                                                   to obtain these
                                                                   boots.









                 Nursing Practice and Professional Development   /    Assistive Personnel Orientation 2020   Page 47
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