Let's talk about happy. Happy stands for hospitalacquired pressure injury. The first way you can help prevent these is to keep the head of the bed at 30° or less if possible and keeping those heels elevated to reduce pressure and prevent friction and shear. You also want to ambulate your patient as much as possible. And you want to get them out of the bed, maybe during meals and taking them for a walk. Make sure you assess the skin daily. Be sure to take a good look at those bony prominences, which are areas that are prone to breakdown. You can use preventative dressings like bordered foams or sacral borders on high-risk areas where devices may cause pressure. Some examples are nasal canulas, bully catheters, or other medical devices that are against the skin. Another way to prevent these is to keep your patient clean and dry. We can do this by promoting a toileting schedule or using external collection devices like Purewick and checking an incontinent patient to make sure they're clean. You also want to avoid briefs because these can keep moisture on the patient's skin, furthering breakdown. Remember that proper nutrition is key to preventing injuries. Now, when moving or boosting a patient, repositioning devices or sheets should be used. These prevent friction, shear, and pulling on fragile skin. And last but not least, you want to reposition your patient at least every two hours while they're in bed or every hour while in the chair. Now, a little pro tip is while repositioning your patient, you want to check those devices, cords, and pads to make sure none of them are underneath the patient. We want to make sure the linens are free of wrinkles. That's all on how to prevent happies and keep your patient happy while preventing those pressure injuries. You can find topics like this in the complete Enclelex fundamentals flashcards. You can find them on my shop, Nurse in the Making. Happy studying future nurses.