Preventing the development of pressure wounds in patients and preventing staff injuries and a safe work environment has been an ongoing effort at Christiana Care Health System (CCHS). Skin damage on hospitalized patients can be devastating. Not only does it increase patient's hospital stay, but it also causes pain and affects patients quality of life and subsequently costs. One practice in prevention and treatment of wounds is the use of pressure reducing, relieving or pressure redistribution surfaces (mattresses) and repositioning devices (electric lifts). Manufacturers of mattresses emphasize the need to limit layers between surface (mattress) and the patient.