Elbow Protectors 

Purpose: 

To protect elbows from irritation, prevent pressure and abrasion, prevent breakdown of skin on elbows, and provide comfort for the resident. 

Equipment: 

• Sheepskin or foam elbow protectors 

• Moisturizing lotion 

Procedure: 

1. Initial Observation: 

• Observe the elbow carefully for any redness, irritation, or break in the skin. 

2. Preparation: 

• Wash and dry the elbow well. 

• Apply moisturizing lotion as care planned. 

3. Application: 

• Position the protector with sheepskin or foam covering the bony prominence of the elbow. 

• Secure the protector well, ensuring it does not impair circulation. 

4. Monitoring: 

• Remove the protector and observe skin condition approximately every eight hours. 

• Check for signs of impaired circulation and condition of the skin. 

5. If Skin Breakdown Occurs: 

• Treat as prescribed. 

• Elbow protectors can be applied over a dressing if necessary. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the use of elbow protectors, including the resident’s response and any observations, in their medical record. 

• Note any abnormalities or difficulties encountered during the procedure. 

• Regularly review and update techniques for applying and monitoring elbow protectors according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper application and monitoring procedures to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.