Saving Face: Preventing Device-Related Pressure Ulcers

Part of AACN Critical Care Webinar Series

Presenter(s): Jennifer Markowitz, RN, BSN, ATC, LAT

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Webinar Summary

Have your intubated patients ever experienced a pressure ulcer or erosion from endotracheal or nasogastric tubes? These pressure ulcers around the mouth and nose not only can be painful and disfiguring to patients but can lead to more serious complications. Unfortunately, very little information specific to device-related pressure ulcers is found in the literature.

Join Indiana University Health Methodist Hospital staff nurse and AACN Clinical Scene Investigator (CSI) Academy graduate Jennifer Markowitz for a discussion of this increasingly common consequence of critical illness. Markowitz will share lessons learned during implementation of a successful pressure ulcer prevention project she co-led ― which reduced device-related pressure ulcers by 50 percent and saved nearly $130,000 annually ― including a standardized methodology, clinical practice interventions and ideas for overcoming barriers to change.


  • Define device-related pressure ulcers.
  • Describe two interventions that can reduce the incidence of device-related pressure ulcers.
  • Identify potential barriers to implementing these interventions, as well as strategies for overcoming the barriers.


Jennifer Markowitz, RN, BSN, ATC, LAT

Jennifer Markowitz, RN, BSN, ATC, LAT

Jennifer Markowitz is a staff nurse in the Adult Critical Care Unit at Indiana University Health Methodist Hospital in Indianapolis, Indiana. She was an inaugural participant in the 16-month AACN CSI Academy nurse leadership and innovation training program and has presented on nurse-led change initiatives at AACN’s National Teaching Institute & Critical Care Exposition.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. Approval of a continuing education activity does not imply endorsement by AACN or ANCC of any commercial products displayed or discussed in conjunction with the activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC's) Commission on Accreditation, ANCC Provider Number 0012 (60 min contact hour). AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing, California Provider number CEP01036 for 0.6 contact hours (50 min contact hour).

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.