Press Contact: Liz Posner, lposner@douglasgould.com, 646-214-0514, ext 3
Washington, D.C. – June 26, 2017 – The National Pressure Ulcer Advisory Panel (NPUAP) announced the convening of its subcommittee, the Support Surface Standards Initiative (S3I), this spring to approve new standards tests that may help prevent pressure injuries in bed-bound individuals.
The S3I subcommittee, comprised of 43 medical professionals across various sectors, met April 20-21 in Salt Lake City. S3I approved four new standards tests and submitted them to the Rehabilitation Engineering and Assistive Technology Society of North America and the American National Standards Institute (RESNA/ANSI). These standards tests include the areas of microclimate management, envelopment/immersion, and sliding resistance/friction. If RESNA/ANSI votes to approve these standards tests, they will become national standards.
Founded in 2001 as a three-year project to fill the need for performance and reporting standards, S3I was tasked with development of uniform terminology, test methods and reporting standards for support surfaces. After formally affiliating with ANSI/RESNA in 2011, S3I became the official standards body for support surfaces in the United States. NPUAP made S3I a continuing subcommittee so it could continue its ongoing work implementing appropriate standards. Its work is a vital part of NPUAP, whose goal is to improve industry understanding of the importance of the support surface body interface, and provide the tools necessary to improve the quality of life and the ultimate outcome for patients who are bed-bound. The next S3I meeting is scheduled for October 2017.
“These Standards provide the opportunity to refine measurements of microclimate performed on complex care support surfaces (mattresses), and for the first time, the ability to measure envelopment, which is one of the most critical elements of force redistribution. The last of these new standards gives us the ability to measure the forces a support surface applies to the tissue of an occupant as they move on or through the surface after the Head of Bed is elevated. This shear type force is of particular interest when working with patients at significant risk of pressure injury to the sacral region. e are also very excited that the updated list of Terms and Definitions is well underway.” Evan Call, MS, CSM, co-chair of S3I.
Other recent S3I initiatives include its scholarship program, which awards two wound care providers with travel funds to represent the organization at technical and engineering conferences in the health trade. This year’s two scholarship winners were Jane Arndt, MS, RN, CWOCN, ACNS-BC and Ruth Wilson Iliuta, RN, CSN-BC, CWOCN.
“I believe the bed is a central part of the patient experience and we need to work to make it as safe and comfortable as we can for our patients,” said Arndt. “Being a part of S3I gives me a chance to learn what the engineers who build the support surfaces for our beds look at when developing tests for the surfaces. I am very grateful to have received a scholarship from NPUAP to attend these meetings! I think I will be able to contribute to the science that helps clinicians choose support surfaces.”
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About the National Pressure Ulcer Advisory Panel
The National Pressure Ulcer Advisory Panel (NPUAP) is the nation’s leading scientific expert on pressure injury prevention and treatment. Our goal is to insure improved patient health and to advance public policy, education, and research.

Dr. Scott Bolhack is a certified medical director in long-term care and a certified wound specialist who has been providing clinical care in Tucson since 1992. He is the Medical Director of the Wound Care Center in Northwest Hospital. Bolhack is President and CEO of TLC HealthCare and a clinical assistant professor with the Department of Medicine at the University of Arizona. Bolhack has additional experience as a medical director for nursing homes, assisted living facilities, hospices, and home health agencies.
Dr. Barbara Delmore is a board certified wound care nurse and currently employed at NYU Langone Medical Center in New York City as the Senior Nurse Scientist. She has also serviced on several advisory boards, is the Wound Editor for the World Council of Enterostomal Therapists (WCET) journal, and a board member for the American Professional Wound Care Association (APWCA), where she was recently awarded Master Status.
Dr. William Padula is an Assistant Professor of Health Policy and Management at the John Hopkins Bloomberg School of Public Health in Baltimore, Maryland. His research explores problems in health economics and health services research with a focus on the theoretical foundations of medical cost-effectiveness analysis and the cost and quality improvement of health systems.
Dr. Joyce Pittman is the Wound/Ostomy Clinical Program Coordinator for the Indiana University Health Academic Health Center, a Level I Trauma Center of more than 1100 beds, providing expert clinical consultation regarding complex wound and ostomy management. She has over 36 years of clinical experience as a RN, 17 years’ experience as a certified Wound, Ostomy, Continence (WOC) nurse and 13 years as a Nurse Practitioner. She is also Adjunct Assistant Professor at Indiana University School of Nursing and Deputy Editor for the Journal of Wound, Ostomy and Continence Nursing.
Dr. Ann Tescher is a Certified Advanced Practice Nurse-Clinical Nurse Specialist for the Surgical/Trauma/CV Surgery ICU at the Mayo Clinic in Rochester, MN, and has been in this position for 25 years. She is an Assistant Professor of Nursing in the Mayo Medical School. Tescher is a proud retired veteran of the US Navy Nurse Corps.
Dr. Tracey Yap is an Associate Professor at the Duke University School of Nursing and a Senior Fellow at the Duke University Center for Aging and Human Development. She is committed to improving the care outcomes of older adults in long-term care settings, particularly with respect to prevention and management of common yet seemingly intractable geriatric conditions such as facility-acquired pressure injuries.
