High acuity/critically ill patient was supine in a rotoprone therapy system bed for an extended period of time (6 days) without ability to reposition due to pulmonary and hemodynamic instability.Inability to rotate the patient for approximately 16 hours due to decreasing oxygen saturation and potential respiratory arrest, along with the patient was too large for the rotoprone resulted in one unstageable pressure injury, five stage 2 pressure injuries, and three deep tissue pressure injuries.Nursing concern: the rotoprone bed can cause pressure injuries as a result of the outdated support surfaces (climate control and pressure redistribution).Also, the rotoprone needs a better fit for bariatric patients.This patient was in excess of 350 lbs which is contraindicative per rotoprone therapy, critical care order set.Nursing worked closely with the rotoprone representative prior to and during pronging.The rep.Recommended the rotoprone based on the patient's girth measurements versus her weight.
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