Patient Shifting from O.T to Post Operative Care ( Part 2)

 

Standard of Practice II

It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room.

• Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head..
•  Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible. 
• . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting ..
• The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting .. It is the responsibility of the person at the head of the bed to communicate any upcoming potential hazards to the other staff person .
• During the transportation process, remain observant of the patient for signs of physical or emotional distress . 
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Standard of Practice III It is the responsibility of the Certified Surgical Technologist (CST), Certified Surgical First Assistant (CSFA) and circulator to safely transfer a patient from a transportation device to an operating room table.

• The correct number of surgical team members should be used for the transfer of the patient. For the conscious, mobile patient, a minimum of two team members is necessary; for a nonmobile, conscious or unconscious patient, a minimum of four team members is necessary to avoid personnel and patient injuries
• . For the nonmobile patient, a patient transfer device, such as a roller should be used . 
• The anesthesia provider should indicate when the patient can move himself/herself over to the OR table, or for the nonmobile patient, the anesthesia provider should verbally indicate to the team members when the patient can be moved. The anesthesia provider should be responsible for protecting the head, neck and airway of the patient during transfer .,
• Use smooth, even movements when transferring the nonmobile patient to avoid injury .
• Center the patient on the OR table and place the safety strap across the thighs approximately two inches above the knee joints. Place two fingers under the safety strap to ensure it is not too tight. 
•  Confirm bony areas of patient’s body are well padded and not resting on any metal portion of the OR table .

stay safe stay tuned . 

for 1st part click here - https://operationtheatertechnology.blogspot.com/2021/05/patient-shifting-from-operation-theatre.html