How to Prevent Device Pressure Injury and Keep Skin Safe

Ever notice a red spot where a tube or sensor sits? That’s the first sign of a device‑related pressure injury. The good news is you can stop it before it becomes a sore. Below are simple, everyday steps you can use right away, whether you’re a caregiver, a nurse, or managing your own equipment at home.

Check the Skin Every Shift

Start with a quick visual and touch check before you put any device on the patient. Look for redness, swelling, or any warmth under the area. A gentle press with your fingertip should feel normal—not painful or pinched. If you see anything odd, reposition the device or add a thin dressing to cushion the spot. Doing this check every 2‑4 hours catches problems early and avoids a full‑blown ulcer.

Choose the Right Padding and Positioning

Not all pads are created equal. Soft silicone or foam dressings spread pressure and reduce friction. Place the pad under the device, but make sure it’s not too thick—excess bulk can strain nearby tissue. Keep the device at a 45‑degree angle when possible, and avoid tight straps that dig into the skin. Small adjustments, like shifting a catheter a few centimeters, can make a big difference.

Another tip: rotate the device’s contact points. If a pulse oximeter sits on the same finger all day, switch it to the other hand after a few hours. Same rule applies to IV sites, feeding tubes, and splints. Rotation spreads the load and gives each spot time to recover.

Keep the skin clean and dry, too. Moisture from sweat or wound drainage softens skin and makes it easier to tear. Use a breathable barrier film or a moisture‑wicking pad to keep the area dry. When you clean the skin, use mild soap and pat it dry—no rubbing.

Finally, involve the patient or family in the process. Teach them how to feel for early signs and why shifting the device matters. When people understand the ‘why,’ they’re more likely to follow the routine.

Preventing device pressure injury isn’t high‑tech; it’s all about consistent, low‑effort habits. A quick skin check, proper padding, and regular repositioning keep skin happy and stop injuries before they start. Start using these steps today and notice the difference tomorrow.