Nasal Bridge Pressure Injury Prevention

Study Overview
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Brief Summary
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The primary goal of this study is to explore whether applying the Mepilex foam on the nasal bridge directly between the skin and the N95 mask will prevent nasal bridge pressure injury among nursing staff, secondary to long-term ( >8+ hours) wear time. The secondary goal is to evaluate if using the Mepilex maintains the seal of the mask.

Detailed Description
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Nurses use the N95 Mask as part of the personal protective equipment (PPE) when caring for patients with COVID-19. The N95 mask covers their nose and mouth with a tight seal. Nurses wear the mask for more than 8 hours per day, as a result they are at increased risk for skin injury on the nasal bridge. Mepliex is foam dressing which has been used to prevent pressure injuries to the skin. This study will evaluate if using Mepilex or band-aid on the nasal bridge of the nurses who wear the N95 for more than 8 hours decreases the potential for skin injury. In addition, the investigators will test if the Mepilex or band-aid also maintains the seal of the mask. Maintaining the seal is important to ensure that the nurse is not exposed to the virus. The investigators will be working with nurses who do not directly take care of COVID-19 patients to ensure the safety of all participants.

Official Title
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Nasal Bridge Pressure Injury Prevention Using Protective Dressing and Halyard Fluidshield N95 Mask

Conditions
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Pressure Ulcer of Skin, Pressure Injury

Intervention / Treatment
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* Behavioral: Applying the Mepilex foam


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The sample will consist of nursing staff working on non-COVID units, including: Medical Surgical Units, Operating Rooms or Ambulatory Care- Labor and Delivery Unit, Maternity Unit and Medical Oncology Unit, at NewYork-Presbyterian (NYP) Lawrence Hospital. Exclusion Criteria: Exclusion Criteria: A score on > 5 the COVID Anxiety Scale. The scale has 4 questions with 5 possible options (rated 1 - 5), to evaluate the effect of COVID19 on the individual. The lowest possible score is 0, the highest possible score is 20. A score of 5 states that the individual experiences COVID19 related anxiety for 'Rarely' or 'Not at All. Excluding participants with a score of > 5 will prevent unnecessary harm to study participants or exacerbate symptoms of anxiety. Nurses working in the Emergency Department, Intensive Care Unit or a unit with a focus on the exposed COVID-19 population Non-clinical nurses, volunteer or agency registered nurses Known history of skin breakdown or damage to the nasal bridge History of skin-related conditions including (acne vulgaris, Psoriasis, Herpetic lesions to mouth, nasal areas) History of surgery to nasal bridge Pregnant nurses in their third trimester History of respiratory extended respirator use in addition to the hours collected in this study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br> | Behavioral: Applying the Mepilex foam<br>* Mepilex foam will be directly applied on the nasal bridge directly between the skin and the N95 mask.<br>|
| No Intervention: Control Group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants with Pressure Injury Prevention | Researchers will count the number of participants with and without injury on the nasal bridge directly between the skin and the N95 mask | 48 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants that Maintain Mask Seal Integrity | Researchers will assess the integrity of the N95 mask seal using both interventions - Mepilex and Band-Aid. The number of participants with acceptable seal according to the Fit Test will be counted | 12 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pressure Injury Prevention, Personal Protective Equipment, Nursing, Nasal Bridge, N-95 Mask