Positioning

T/F: Arms cannot be at an angle greater than 90 degrees. Can cause injury to the brachial plexus.
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T/F: Arms cannot be at an angle greater than 90 degrees. Can cause injury to the brachial plexus.
TRUE
T/F: You are allowed to put tape directly on patient skin?
FALSE; do not put tape directly on skin unless absolutely necessary
hyperextension
greater than normal extension
hyperflexion
greater than normal flexion
Traction injury
stretching injury
necrosis
tissue death
ischemia
restriction of blood supply to the tissues
neuropathy
temporary or permanent nerve damage
Supine : Equipment
Arm boards & Safety Straps
Image: Supine : Equipment
Supine Position : Laparotomy (arms tucked)
palm flat to leg, thumb up, sheet over arm and under body
Supine Position : Laparotomy (arms out)Arms out no more than 90 degrees with palms facing upSupine : TrendelenburgSupine : Reverse TrendeleburgUse foot board if necessaryFowlers is ____ degrees90Semi fowlers/lawn chair/beach chair is ___ degrees.45Beach is used for what surgeries .....shoulder, posterior cervical spine or posterior craniotomyLithotomy : Equipmentarm-boards, stirrups, stirrup holders, head to foot of bed and requires two people to simultaneously raise and lower the legs.lithotomy position used forvaginal, cysto and etc. Move both legs together, 2 people supple sole of foot and calve.Lateral PositioningBottom leg bent - top leg straightEpidurals are placed in this position ...sims positionProne position is used forlaminectomy, hemorrhoidectomy, posterior craniotomy or cervical and etc.Prone (kraske/jackknife) is used forrectal proceduresProne : equipmentwilson frame, chest rolls, 2 pillows, laminectomy headrest and laminectomy pads.T/F: When placing a patient in prone position, check breasts, scrotum, penis, knees and toes.TRUET/F; it's okay if the patient is touching metalFALSE; no part of the patient may touch any metal. Everything should be padded and supported.