IP - Prone Positioning - Intensive Care - Adult - Supplemental 
Intended for Adult Patients Only
Patient Care Orders
Prone Positioning 
Prepare for Prone Positioning [NURCOM0022] ONCE For 1 Occurrences, Secure airway using twill tape and
foam padding. Complete all frontal care, including oral care
and needed central line dressing or tubing changes.
Respiratory Therapy Communication [RT0065] ONCE For 1 Occurrences, Routine, Position patient prone,
start time ***.
Reposition patient every 2 hours while prone.
CONTINUOUS, Reposition patient every 2 hours while prone.
Elevate head of bed while prone up to 30 degrees using
Reverse Trendelenburg [NURCOM0022]
CONTINUOUS, Elevate head of bed while prone up to 30
degrees using Reverse Trendelenburg.
Perform Eye Care while prone [NURCOM0022] SEE COMMENTS, Perform eye care every 8 hours while
prone and with head repositioning. Apply eye pads and tape
eyelids closed in vertical direction. Avoid direct pressure to
eyes when proned.
Emergency Care when Prone [NURCOM0022] CONTINUOUS, If patient demonstrates signs of intolerance
to proning (decrease in oxygen saturation, hypotension,
cardiac arrhythmias) return patient to supine (using adequate
number of staff and methods) and notify provider.
ETCO2 Monitoring [RT0006] CONTINUOUS, Routine, Continuous during position changes
and while prone.
Specialty Bed 
For patients less than 350 pounds (159 kg), order the Pulsate low air loss mattress. For patients greater than 350 pounds
(159 kg), order the Bari Rehab Platform 2.
Bariatric Bed-Mighty Air Sizewise (Specialty Bed)
Last patient height? (will auto pull in value and date in
Last patient weight? (will auto pull in value and date in
Send Request to CS?
Deliver Equipment To:
Pulsate Sizewise (Low Air Loss) weight <500 pounds
(Specialty Bed) [EQP0037]
Contingency Parameters 
Notify [NURCOM0001] Provider to Notify: Provider
Notify based on: Other
Other: If prone patient is returned to supine position because
of decrease in oxygen saturation, hypotension, cardiac
arrhythmias, or other signs of intolerance to prone position.
Artifical Tears 
artificial tears PF ophthalmic ointment  Eyes (Each), EVERY 8 HOURS
Apply a thin layer to inside of lower lid every 8 hours while
artificial tears PF ophthalmic ointment  Eyes (Each), PRN, When repositioning head of patient in
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Pr i nt ed by LIND, JANNA S [JSL237] at 6/19/2015 11:25:40 AM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority