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tion. Tucking the draw sheet over the arm and under the OR mattress
might seem like an OK option, but if it isn't secure enough, the
patient's arm could fall off the side of the bed and lodge in between
the sheet and mattress, potentially causing a nerve injury. On the
other hand, tucking the draw sheet between the patient and the mat-
tress helps to prevent the arm from falling off of the mattress.
It's important to tuck the draw sheet somewhat snugly, but not so
snug that it compromises blood flow. Also, pay attention to any IV
lines, blood-pressure cuffs or anything else that could be com-
pressed into the patient's skin. Whenever possible, position the
patient before anesthesia so he can tell you if he's comfortable. "Is
anything pinching or uncomfortable? Does this feel OK for you?"
In some cases you might also have to use bed extensions, plastic
arm sleds or other positional aids with some type of padding, but the
goal with every patient is to make sure the arms fit safely and secure-
ly within the confines of the mattress.
Kristi Plank, BSN, RN, CNOR
Cartersville (Ga.) Medical Center
kristi.plank@hcahealthcare.com
