Certified Nursing Assistant how-to
How to Prevent Pressure Injuries
Pressure injuries can develop in hours. CNAs are the first line of prevention.
Pressure injuries can develop in hours. CNAs are the first line of prevention. In short: reposition; keep; check, then complete the remaining steps below.
Step by step
Reposition bed-bound patients at least every two hours, or as the care plan directs.
Keep skin clean and dry, especially after incontinence episodes.
Check bony areas (heels, hips, tailbone, elbows) for redness that doesn’t fade.
Keep linens smooth and free of wrinkles and crumbs.
Use pillows or devices to keep heels off the bed and knees from rubbing together.
Encourage fluids and food as allowed, and report poor intake.
Report any skin changes to the nurse right away.
Safety reminders for certified nursing assistants
- Use gait belts and mechanical lifts as the care plan requires. Never lift beyond your safe limit
- Lock bed and wheelchair brakes before every transfer
- Follow hand hygiene and standard precautions for every patient
- Report falls, injuries and changes in condition immediately
Key terms
ADLs · Gait belt · Ambulate · Range of motion (ROM) · Intake and output (I&O) · Pressure injury: see the full certified nursing assistant glossary.