September 17, 2021/Nursing/Innovations

Pronation Kits Save Time and Money During Pandemic

Nurse assistant’s innovation helps colleagues

Pronation kit

During the COVID-19 pandemic, prone positioning of patients with or without mechanical ventilation was widely adopted at healthcare organizations worldwide. While proning improves blood oxygenation and survival rates for patients in respiratory distress, it’s a challenging procedure that requires a team of nurses, physicians, respiratory therapists and patient care nurse assistants (PCNAs). One of the concerns is ensuring the right supplies are at hand during the position change.


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

The team of caregivers in Cleveland Clinic Fairview Hospital’s medical and surgical intensive care units (MICU and SICU) initially stored supplies in large plastic bins. But as the number of patients requiring prone positioning increased, the bins proved ineffective.

The bins took up too much space and made it difficult to manage the supplies, says Chris Moore, a PCNA in the MICU and SICU. Sometimes the lids were hastily removed and ended up on the floor, where they could be stepped on and broken. In addition, if supplies were brought into the room and the patient did not end up being moved into the prone position, the supplies were wasted through contamination, and it took time to fill another bin.

A new way to manage proning supplies

“I decided we needed a better way to manage our proning supplies,” says Moore. In the spring of 2020, he began researching options online, but couldn’t find a ready-made prone positioning kit. So he created one.


“I talked to the nurses about what they needed and put together a grab-and-go kit,” he says. With the support of his nurse manager, Moore ordered large, tamper-proof bags to secure supplies, such as sutures, gauze bandages, IV line extensions, feeding tubes and foam wound dressings. He placed all the supplies in the bags, along with a pillow that can be molded around the patient’s face to prevent skin breakdown and pressure injuries.

The proning kits are a hit with nurses. “They take them off the shelf and have everything they need, so they don’t have to look around for any supplies,” says Moore. “Once you break the seal on the bag, there’s no way to close it again. The bag is ruined, so nurses can tell if something has been taken out.” The bagged kits also require less storage space.

“The individualized pronation kits helped save both time and money during a very challenging time,” says Lorri Martin, BSN, CCRN, Nurse Manager of the MICU. “They also help us keep appropriate par levels.”


With encouragement from Martin, Moore submitted his prone positioning kit to Cleveland Clinic’s annual Nursing Innovation Inventory and earned second place.

Related Articles

June 15, 2023/Nursing/Innovations
Pilot Project Reveals Opportunities and Challenges of Virtual Reality

Clinicians embrace immersive technology to learn real-world skills

Woman working in the electronic laboratory
January 19, 2023/Nursing/Innovations
Creating a Culture of Nursing Innovation

Transforming care delivery, improving outcomes

surgical smoke
December 1, 2021/Nursing/Innovations
Reducing Surgical Smoke in the Operating Room

Nursing caregivers advocate for smoke-free surgeries

pediatric vascular access algorithm
September 10, 2021/Nursing/Innovations
Making Pediatric Vascular Access a Priority

An algorithm, expert team and research lead to upgrades

huddle board
May 14, 2021/Nursing/Innovations
Huddle Tool Reinforces Professional Practice Model

Design encourages focused sharing of information

December 28, 2020/Nursing/Innovations
S.A.F.E. Script to Reduce Falls

Nurses create hand-off tool to decrease falls

June 5, 2020/Nursing/Innovations
Encouraging Nurses to Become Innovators

A Q&A with Karen Schaedlich, MSN, RN, Innovation Program Coordinator

February 20, 2020/Nursing/Innovations
Encouraging Innovation: 3 Tips for Nurse Leaders

Recommendations from ACNO Dr. Nancy Albert