Hi Melissa

According to the NPIAP, the known PU/PI prevention principles are appropriate for the pediatric population, but the implementation is slightly different for each developmental age. The NPIAP reminds us that providers should not treat children simply as small adults though, as pediatric PIs can be inherently different in etiology. As one of the main causes of PU/PI in the pediatric population is medical devices, special attention is given to preventing medical device related pressure injuries (MDRPI).

For instance, pediatric patients should have a risk assessment using a validated risk assessment instrument for successful PI prevention.

Validated tools for children include:
- Braden Q Scale is a validated, adjusted version for children under 8 years of age. 
- Braden QD scale: revised, simplified version is the "Braden QD Scale", for immobility-related and device-related pressure injuries in the pediatric acute care environment.
- For neonates and children, it's important to ensure that occiput is inspected at least once daily and that skin under and around medical devices is assessed/documented at least twice a day for signs of pressure

These resources provide further details:
- https://woundreference.com/app/topic?id=pressure-ulcersinjuries-prevention#-structured-risk-assessment-
- https://woundreference.com/app/topic?id=pressure-ulcersinjuries#evidence-based-clinical-guidelines (take a look at the free version of the 2014 NPUAP guidelines, section "Special Populations > Pediatric Individuals")
- https://cdn.ymaws.com/npiap.com/resource/resmgr/BestPractices-Pediatric2020.pdf
-https://journals.lww.com/aswcjournal/Fulltext/2019/09000/Pressure_Injuries_in_the_Pediatric_Population__A.5.aspx

Hi Melissa,
Great question - as Elaine already replied I did want to add a "must read" on pediatric device related pressure ulcers/injuries.
It is available as a free down load but has a specific chapter devoted to pediatrics.I've attached it here for your convenience.
Take care!
Cathy