Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Orthopedics - August 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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When a patient is supine on a fracture table for the anterior approach, make sure the lateralized perineal post is well padded to minimize risk of pudendal nerve compression. Also ensure the feet are in padded boot holders. The hip distractor system that attaches to the foot of the table must ease the surgeon's entry into the joint and im-prove visualization of the central compartment. Total team effort Always focus on protecting the areas of a patient's skin that come in contact with positioners and table attachments. During longer surger- ies such as joint replacements, patients are also at risk of developing vascular injury, which could involve the compression of a vein and, ultimately, development of a blood clot. "The decision of how to best position the patient must be based on the surgeon establishing what he needs to have full exposure of the joint," says Ms. Rose. "But nurses must also make sure the patient is positioned safely, that they're properly supported and that there is lit- tle shearing or friction between their skin and the surface they're on." OSM A U G U S T 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 8 5 tact with skin. "Now it's standard practice in our ORs to put the multi-layered silicone dressings on any area of the patient that will make con- tact with positioners," says Ms. Boyne. "There's rarely a perfect solution to any issue, but this has significantly reduced the occur- rence of skin tears." — Mike Morsch

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