Outpatient Surgery Magazine - Subscribers

No More Empty Beds - Outpatient Surgery Magazine - February 2020

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

Issue link: http://magazine.outpatientsurgery.net/i/1208631

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Page 51 of 114

fering nerve or pressure injuries, and everything looks appropriate before prepping can begin." The workgroup also intro- duced a requirement for the circulating nurse to assess the patient's positioning on an ongoing basis during cases, but that nurse doesn't work alone. Everyone in the OR is empowered and encouraged to voice concerns. "It's the commu- nication in the room, and walking around making sure the patient's position hasn't changed, especially after the bed has moved," she says. "It's considered a total team effort to speak up if any part of the patient's body shifted — or if someone thinks it may have shifted." Once adopted, the enhanced positioning program was a success. It reduced the facility's number of lateral positioning-related injuries to zero. Ms. Rusch and her team moved on to updating protocols for other positions — supine and prone are completed, with lithotomy currently in the pipeline. "We've definitely taken the lessons learned from lateral positioning to what we're currently working on," she says. "It was a bit difficult to figure out how to make a standardized approach work. We decided to present the best evidence and best practices, and discuss tools we have available to make those methods work." Members of the surgical team have the autonomy to position patients to the best of their abilities based on surgeon need, position- ing aids and patient characteristics. For example, when placing patients in the lateral position, some staff members use a beanbag, 5 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 2 0 • SOFT TOUCH Gel positioning aids offer safer support than foam- based options.

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