Patient Transport and Transfer
What is provided for patients during the transfer that helps keep their privacy?
Blankets
Where should the arms of the patient be when in the supine position?
Tucked at the side OR on arm boards no more than 90 degrees
The patient is scheduled for a hemorrhoidectomy. What position should they be placed in?
What is the purpose of performing a skin prep on the surgical patient?
To remove transient organisms from the patient's skin and to reduce the number of resident organisms on the patient's skin
1. When does the postoperative phase start?
2. When should turnover start?
1. When dressings are placed
2. When the patient leaves the room
If the patient is on the stretcher, what should be raised to prevent falls?
Bed Rails
What position is the patient typically placed in before anesthesia induction?
Supine
What position should the patient be placed in for a laparascopic appendectomy?
Trendelenburg
Should we remove patient hair before or after the skin prep is performed?
Before
Letters (A, B, C, etc.)
Numbers (1, 2, 3, etc.)
How many people are required for a mobile patient transfer?
And where should those individuals be standing in regard to the patient?
2 non-sterile people; one on each side of the patient
What is the name of the position where the head is above the feet, but the patient is still in the supine position?
Reverse Trendelenburg
Lithotomy
Why are we worried about the accumulation of prep fluids on or around the patient?
Fires or burns
What is the sequence for draping an abdomen?
1. 4 towels or sticky drapes to "square off"
2. 3/4 sheet to cover the legs
3. Laparotomy drape
What piece of equipment can be used to help us transfer a immobile patient?
Roller board
Where should extra padding be placed for the prone position? (Hint: there are three)
Between the breasts or on the chest
Under the knees
Under the ankles/feet
What position should be used for a total shoulder arthroplasty?
Fowler's position
What type of areas should be prepped last with separate sponges?
"Dirty" areas such as mucous membranes, stomas, non-intact skin, sinus tracts, umbilicus, armpit
A patient has just undergone a TURP and has a 3 way foley catheter. What two items need to be transferred with the patient?
Irrigation fluids & drainage bag
What verbal announcement should be made before transferring patients? (Hint: it has to do with the bed and stretcher)
"Bed is locked"
What is Sim's position?
Modified left lateral position with the left leg straight and the right leg is flexed
The patient is scheduled for an open left nephrectomy. What position should they be placed in?
Right lateral
What type of skin prep provides a rapid and significant reduction in skin microbial counts?
Alcohol
How many counts are there during a c-section?
4
Initial, closing uterus, closing abdomen, closing skin