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Tell Your Patients to Drink Up - Outpatient Surgery Magazine - March 2019

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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M A R C H 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 7 3 W e place many of our neuro patients in the prone position. Until recently, we were also re-posi- tioning them in the prone position. Quite a bit. Not good. The more you move patients in prone, the more likely they'll suffer the adverse effects of poor posi- tioning — post-op pain, brachial-plexus injuries to the shoulders, arms and hands, and, of course, skin break- down and pressure ulcers. In an effort to prevent this needless suffering, we took a step back and asked ourselves, "What are we doing wrong and how can we fix it?" What we came up with was a methodical, team-based system for preventing prone position- ing injuries that you can apply to all types of surgical positioning. Here's a detailed breakdown of our approach. Perfecting the Prone Position By adding a methodical, aviation-like checklist that focused on teamwork, we reduced repositioning and patient injuries. Denise M. Lawyer, BSN, RN, CNOR | Allentown, Pa. • UP AND DOWN Our positioning protocol checks each pressure point along the way: first starting at the head and working our way down to the feet, and then starting at the feet and moving up to the head. Lehigh Valley Health Network

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