Skip to main content

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 . 








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

Comments

Post a Comment

Popular posts from this blog

Choosing the option between fibula plate and nail

 Fibula is the secondary bone of our leg which connects knee to ankle along aside tibia as a secondary part .  It usually  broke along aside tibia as an evidence of major accident  There is two option to fix it .  Firstly we are choosing  about fibula nail as a simple procedure .  Surgeon needs only a pliers and nail after creating a port according to its position to fix it under the guidance of c arm .  If Surgeon go for here need to open the fracture to fix plate on the area . And needs for clam k wire and other nessary things to fix the fracture.   Why the options?  Surgeon choose the options according to the fracture  , if the fracture line goes vertically ways or the both part of fibula resting perfectly and doesn't dislocated from its own  position  , surgeon goes for nail fixation.   If the fracture is not showing properly in x ray and both end of the bone misplaced after the injury or fracture line  is going in a curved ways from upper end to other side lower end in a impro
Post a Comment
Read more

Trolly layout for cervical spine surgery and a view from assistant perspective.

 While spine surgery is one of the major critical surgery according to surgical aspect .  Patient position  Patient will be position at porne ( face down ) provided diathermy plate .  C arm would be position like  the x-ray tube under the patient/table and not over it.  Under couch systems provide better protection from scattered dose  .  Trolly for surgery  Drapping part  Swab holding forcep  Gauze  and small bowl .  Firstly use spirit and then after bitadine to properly disinfect the surgical fracture area .  Afterthat we use rubber sheet and laterly green sheet to properly  cover the area  .  And use disposable ioban to cover that portion  Fix it properly with towel clip and fixing a diathermy cable and and suction pipe for further loss blood suction.   Surgical part  We need kidney tray to provide B.P handle(4) and proper size blade (24 )  Austriotam and retractor ( lagenback small blade ) or self retaning retractor according to doctors need.  And a mop to Swab blood and and artery
Post a Comment
Read more

Patient shifting from operation theatre to post operative care unit (Part 1 )

  T he safe care of transporting patients to the operating room and recognizing the possible hazards, in order to prevent injuries to the patient and surgery department personnel. The recommended practices aid in ensuring the transfer and transportation of the patient without tissue injury; avoiding undue physical or emotional discomfort.  Standard of Practice I It is the responsibility of the HCWs to ensure the safe patient transfer of a patient from a bed to a transportation device. The specific needs of the patient should be considered when selecting the method of transport. This includes:  A. Need for IV pole(s)  B. Need to transport oxygen tank  C. Mobility of the patient  D. Conscious, semi-conscious or unconscious patient  E. Size of patient  F. Age of patient  G. Determining the physical abilities and state of health of the patient. Knowing the patient’s state of health and abilities will help in the choice of mode of transportation, decrease the possibility of accidents to th
Post a Comment
Read more