Module #1 James E. Carpenter, MD Peter M. Murray, MD Sterile Technique & Ortho. Surgery Room Setup Developed by the Surgical Skills Task Force of the American.

Slides:



Advertisements
Similar presentations
Anterior Capsule Stretch
Advertisements

Module #1 James E. Carpenter, MD Peter M. Murray, MD Sterile Technique & Ortho. Surgery Room Setup Developed by the Surgical Skills Task Force of the American.
Assisting Another Sterile Team Member
SAFETY TIPS IN COMPUTER USE
Module #13 Brian C Toolan, MD Shepard Hurwitz, MD Basic Techniques in External Fixation Developed by the Surgical Skills Task Force of the American Board.
Patient Movement Understand Diagnostic and Therapeutic Services Patient Movement Ambulation Choose an ambulation aid –based on patient age –type.
Positioning the Surgical Pt Pt. II Source: Phippen, M.L. & Wells, M.P. (1995). Perioperative nursing handbook. (p ).
TKA Protocol. Swelling control and Range of Motion are 2 of the most important components of rehabilitating a TKA.
Principals of Draping Page 347 ST Page 211 Fuller.
Splinting.
Protecting Your Patients AND Yourself  Why do we need to learn about positioning? ◦ Patient comfort/decrease pain ◦ Support and stability to pt’s truck.
Positioning the Periop Patient Source : Phippen, M.L. & Wells, M.P. (1995). Perioperative nursing handbook. (p ).
COMPROMISE TO BODY SYSTEMS MUST BE PREVENTED
HOB 2013 Body Mechanics The back you save can be your own.
SAFETY TIPS IN COMPUTER USE.
1 SAFETY TIPS IN COMPUTER USE. 2 Agenda of the Talk Importance of Computer Symptoms. Causes of Symptoms The incorrect and correct body positions during.
Initial Management of Skeletal and Soft Tissue Injuries
Position of patient. Semi-Fowler’s position (supported) Pillow to support head, neck, and upper back to prevent hyperextension of neck. Pillow to support.
Assisting With Moving and Positioning Clients in Bed
Chapter 16 Splinting Extremities. Splinting Reduces pain Prevents further damage to muscles, nerves, and blood vessels Prevents closed fracture from becoming.
How To Set Ergonomically In Front of Your PC Prepared By: Eng. Abdulrahman Sager Al-Mutairi.
Module #1 James E. Carpenter, MD Peter M. Murray, MD Sterile Technique & Ortho. Surgery Room Setup Developed by the Surgical Skills Task Force of the American.
By: Emily Klein. First Degree-Pain, mild disability, point tenderness, little laxity, little or no swelling First Degree-Pain, mild disability,
3.01 Positioning the Patient is a Diagnostic Service
First Aid. Splints for Injuries What is it? –Strip of rigid material –Used to support or immobilize a broken bone.
PRESENTATION OUTLINE Introduction Human Engineering/Ergonomics - Definition - Objective - Primary Areas of Ergonomics Officer of Horrors Correct/Incorrect.
Dressings and Bandages
Session V A, Slide #1 Contraceptive Implants Session V A: Two-Rod Implant Insertion.
Search and Rescue Skill Drills.
PATIENT TRANSFERS DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Dr. Kristin Schroeder, PT, DPT.
Safety on Call STRETCHING. Safety on Call 1.Poor posture 2.Poor physical condition 3.Improper body mechanics 4.Incorrect lifting 5.Extra abdominal weight.
Asepsis Copyright © 2012 by Mosby, an imprint of Elsevier Inc.
Search and Rescue Skill Drills.
Surgical Technology Lecture Series 2000©
Presented by, PATIENT POSITIONING DURING SURGERY
Massage is a form of passive exercise. Increases circulation Relieves tension and pain Understand Diagnostic and Therapeutic Services.
Surgical Hand Scrub & Gowning and Gloving
THE PATIENT IN THE O.R. SHOULD IN THE O.R. SHOULDNEVER BE LEFT ALONE!!!
POSITIONING OF PATIENTS IN PERINEAL SURGERY
Bandaging and Taping Techniques
OFFICE ERGONOMICS Safety Tips.
Get Active at Work! Easy ways to get moving…without leaving your desk.
SAFETY TIPS IN COMPUTER USE
Ronnie I. Mimran, MD Danville, CA
Compression bandaging for the arm with lymphoedema
PATIENT POSITIONING.
Aseptic Techniques.
Patient Movement PP7.
Shoulder Arthroscopy in the Lateral Decubitus Position
Patient Movement.
Patient Movement.
An improved method of exposure for transaxillary first rib resection
Patient Movement.
Modified Semilateral Decubitus Position for Shoulder Arthroscopy and Its Application for Open Surgery of the Shoulder (One Setting for All Shoulder Procedures) 
Peter A. Knoll, MD, James A. Browne, MD  Arthroplasty Today 
Patient Movement.
Patient Movement.
Basic Shoulder Arthroscopy: Beach Chair Patient Positioning
Injury Care Techniques
PATIENT POSITIONING Dr. Jennifer Lucy.
Patient Movement.
Patient Movement.
Patient Movement.
Injury Care Techniques
Basic Shoulder Arthroscopy: Lateral Decubitus Patient Positioning
The Supine Position for Shoulder Arthroscopy
Aseptic Awareness in the Operating Room
Presentation transcript:

Module #1 James E. Carpenter, MD Peter M. Murray, MD Sterile Technique & Ortho. Surgery Room Setup Developed by the Surgical Skills Task Force of the American Board of Orthopaedic Surgery (ABOS) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS), and the American Orthopaedic Association (AOA)/Council of Orthopaedic Residency Directors (CORD) Presentation #3: Preparing a Patient’s Shoulder for Surgery

Preparing a patient for shoulder surgery ABOS/AAOS Surgical Skills Task Force 2013

Before entering the O.R. Identify patient, mark site per AAOS guidelines: – “X” on site with initials – Level written for spine cases – Mark must be visible after prepping and draping Patient communication: – Explain process – Last questions – Identify family/friend contact

Pre-op Safety Checklist (AAOS)

Shoulder surgery Beach chair position – Most common – Open and arthroscopy Lateral position – Arthroscopy: instability – Unusual cases

Positioning considerations Neutral neck position – Varies by patient – Kyphosis common in elderly Protect uninvolved arm – Ulnar nerve free of compression – Neutral wrist position (slightly dorsiflexed) Protect legs – SCD’s – Heels, peroneal nerves free of compression

Beach chair position 1 Position on table with trochanters at flex point Flex knees over leg support cushion

Beach chair position 2 Place head supports and sit up degrees Adjust to achieve neutral neck position for that patient, careful with kyphosis

Beach chair position 3 Outline area for prepping with steridrapes or equivalent

Beach chair position 4 Suspend arm from IV pole with Kerlix or stockinette Leave long loop so that pole can be moved further from field

Beach chair position 5 Prep field – Chloraprep or other chlorhexadine prep preferred – Work from incisional area outward

Beach chair position 6 Draping: plan on using two layers of impervious draping over most of area Start with first layer from below, then above

Beach chair position 7 Use 2 “U” drapes, first from below, then from above For arthroscopy can use drapes with fluid collection pouches

Beach chair position 8 Hold arm with towel, circulator releases kerlix/stockinette Sterile extremity sleeve rolled down over hand to elbow

Beach chair position 9 If arm holder is to be used the arm is strapped to forearm holder Coban/tape applied to secure arm – Avoid tight wrap at elbow, risk for nerve injury high!

Beach chair position 10 Ioban sheet cut into pieces (e.g. ½, ¼, ¼) Axilla drapped over, impervious stockinette is sealed, edges of drapes secured to skin

Lateral position 1 Position on bean bag slightly tipped back, “axillary” roll goes under upper chest (not in axilla) Secure with wide tape to prevent loss of position Neck in neutral position with blankets Down leg protected (peroneal nerve) Pillow between legs

Lateral position 2 Outline site with steridrapes (or equivalent) Suspend arm from IV pole, keep loop long

Lateral position 3 Use two layers of drapes First layer drapes at edges of field (usually smaller drapes) The 2 “U” drapes, one from below, one from above

Lateral position 4 Hold arm with towel, circulator releases kerlix Sterile sleeve is rolled down to elbow Arm is wrapped with Coban with loop at hand No tight wrap at elbow, high risk for nerve injury!

Lateral position 5 Ioban cut into pieces (e.g. ½, ¼, ¼) Axillla draped off Stockinette sealed, edges of drape secured

Preparing patient for shoulder surgery Positioning, prepping, draping complete! Ready for Surgical TIME OUT