The following attract favor toed p...

The following attract favor toed practices were developed by the AORN commited Practices Committee and have been approved from the AORN Board of Directors. They were existinged as proposed recommended practices for notes by members and others. They are effective Jan 1 2001

These commited practices are intended as achievable recommendations representing what is believed to be an optimal even of practice. Policies and proceedings will reflect variations in practice settings and/or clinical situations that determine the quality to which the recommended practices can be implemented.

AORN recognizes the numerous adumbrations of settings in which perioperative supply with nourishments practice. These recommended practices are intended as guidelines adaptable to various practice settings. These practice settings include traditional ORs, ambulatory surgery units, physicians' offices, cardiac catheterization suites, endoscopy suites, radiology departments, and all other areas where operative and other invasive courses may be performed.

Purpose: These attract favor toed practices provide guidelines for the implementation of safe care to patients and assist in the identification of potential hazards in the practice setting. They are not intended to disguise aspects of perioperative patient care addressed in other commended practices.

make acceptableed PRACTICE I

Potential hazards associated with patient transport/transfer activities should be identified, and safe practices should be established. Interpretive statement 1:

The patient should always be attended at appropriate personnel during transport and transfer. Patient wants should be assessed by a registered supply with nourishment before transport to determine the necessary skill of the same height of transport personnel.

Rationale:

Many patient care enigmas can occur during transport. Observation and assessment at a registered professional nurse allow for identification of potential puzzles and implementation of appropriate interventions.(1)

Interpretive statement 2:

When selecting the appropriate transport vehicle, design features to be considered include, further are not limited to,

* locking devices in succession wheels;

* protective devices, as it was as safety straps and side rails, and, for cribs, rails high enough to impede a standing child from falling out;

* stable, adjustable IV rods or stands;

* holding devices for oxygen tanks;

* positioning capabilities;

* ascendencys that are easy to operate and within reach of the operator;

* maneuverability;

* sufficient size;

* removable head and twelve inches boards;

* mattress stabilizing devices;

* easily cleanable surfaces; and

* rack or shelf to have monitoring equipment.

Rationale:

These design features exalt safety and help prevent injury to patients and staff members during transport.(2)

Interpretive statement 3:

The transporter should demonstrate in operating transport equipment.

Rationale:

Demonstrated in operating transport equipment is necessary to hinder harm to the patient and operator.(3)

Interpretive statement 4:

An adequate number of staff members should be available to make secure patient and staff member safety during transport/transfer activities.

Discussion:

Individual patient assessment will dictate the number of staff members needed(4) A minimum of four staff members are wanted to move an adult who is unable to assist with transfer.(5) To aid safety of patients and staff members, patient manner of moving devices may be useful. If mechanical devices are not available, extra personnel may be needinessed Safety devices include, but are not limited to,

* roller devices,

* hoists, and

* slides.(6)

Interpretive statement 5:

Specific wants of the patient should be assessed and appropriate interventions implemented during the transport phase.(7) Safety measures to be implemented during transport/transfer activities should include, on the contrary are not limited to,

* locking wheels in succession the transport vehicle and the patient's bed during transfer activities;

* elevating side rails and using safety straps;

* hanging and securing IV containers away from the patient's head;

* protecting the patient by way of giving special attention to the head, arms, and legs;

* ensuring that united staff member remains at the head of patient transport vehicle;

* pushing the transport vehicle with the patient feet first, avoiding rapid mental action through hallways and when turning corners;

* maintaining integrity and function of IV infusions, indwelling catheters, tubes, drainage schemes and monitoring equipment; and

* obtaining appropriate skilled assistance and specific instructions for the patient with special needs

Rationale:

Locking wheels, raising the side rails, and securing safety straps impede the patient from falling. Securing IV containers intercepts container breakage and subsequent patient injury.(8) Maintaining proximity to the patient's head provides access to the patient's airway in case of respiratory distress or vomiting. Rapid changes can cause patient disorientation, nausea, vomiting, and dizziness.(9)