TRANSPORT TO THE OR
TRANSPORT TO THE OR
patient arrives:
– ambulatory (walking)
– by wheelchair
– by stretcher
Transportation Methods
Standard stretcher
Transportation Methods
Gurney
Transportation Methods
Crib
Transportation Methods
Isolette
Transportation Methods
Stryker frame
TRANSPORT TO THE OR
stretchers should be equipped with:
– IV pole
– safety belt/strap
– side rails
– brakes
– the ability to
sit the head up
TRANSPORT TO THE OR
patients in traction, with multiple
monitoring devices, or with special
needs (infants/children) may come
to the OR in their beds
Transportation Methods
Ward bed
TRANSPORT TO THE OR
stretchers/beds usually require a minimum
of two persons to move
– one walks at the head
– one walks at the foot
Protecting the Patient’s Dignity
Before transportation:
– Introduce self and purpose
– Identify patient
– Allow patient one last trip to bathroom
– Assist patient with any final needs
– Secure all IV and drainage lines
– Make sure patient is completely covered
and comfortable
During Transportation
First, ensuring patient safety, Side
Rails in upright position.
Instruct patient on methods of
self-protection
Transport with patient’s feet first
Put stretcher in elevator head first
Transport slowly, in full control
Attempt to ease patient anxiety
with conversation.
ARRIVAL
IN THE
HOLDING AREA
PATIENT IDENTIFICATION
verbal
– questioning
visual
– via the patients identification bracelet
PATIENT IDENTIFICATION
Performed by Pre-op nurse,
Anesthesia and Circulating Nurse
information includes:
– patient name
– the attending physician
– the operative site and side
– patient medication and food allergies
– pertinent medical/surgical history
REVIEW OF THE CHART
information validated and care plan
developed
doctor's orders checked and verified
laboratory/pre-operative tests
reviewed
consent checked for proper
information and signatures
Roles and Responsibilities
The circulator is responsible to ensure all
pre-operative duties are completed
The ST is responsible to assess patient’s
size and condition to anticipate addition
needs of the surgeon
Both Circulator and ST are responsible for
all counts
The ST is responsible for maintaining
sterile field until the patient has left the
OR.
PATIENT-ASSISTED
TRANSFERS
PATIENT-ASSISTED TRANSFERS
requires a minimum of two people,
one on each side of the patient
(stretcher/bed and OR bed)
stretcher/bed should be as close to
the OR bed as possible
PATIENT-ASSISTED TRANSFERS
elevate the surface the patient is on
higher than the other to assist the
patient in transfer using gravity
lock the brakes
hold the stretcher/bed firmly against
the OR bed and push down to steady
the stretcher from tipping
PATIENT-ASSISTED TRANSFERS
inform the patient how to move and
what to expect
– use "positive" phrases
receive the patient and position them
in the center of the bed
– the bed is narrow
PATIENT-ASSISTED TRANSFERS
position the patient on the OR bed for:
– the administration of general anesthesia
– for ease of positioning
– for connection to monitoring devices
PATIENT-ASSISTED TRANSFERS
loosen and untie the johnny to
prevent entrapment and
respiratory compromise
– do NOT pull from under patient,
especially the elderly - skin shear
will occur
PATIENT-ASSISTED TRANSFERS
place the safety belt/strap over the
appropriate area - inform the patient
of its' presence and function
store the stretcher or remove the bed
from the OR suite
PATIENT-ASSISTED TRANSFERS
NEVER LEAVE
THE PATIENT
ALONE!!!!
PATIENT-ASSISTED TRANSFERS
keep noise/talking to a minimum
refrain from using "trigger phrases"
– knife
– blade
– scissors
– cut
– needles
– whoops!
NON-ASSISTED TRANSFER
NON-ASSISTED TRANSFER
use a transfer device and good body
mechanics principles to protect the
patient and the staff from injury
– roller
– transfer board
– plastic bag
NON-ASSISTED TRANSFER
a minimum of four people are
needed for a safe transfer
– two at the sides
– one at the head (usually the
anesthesia provider)
– one at the feet
NON-ASSISTED TRANSFER
maintain the patient in proper body
alignment throughout the transfer
NON-ASSISTED TRANSFER
cradle body parts
– do NOT lift from above
use the lift sheet to turn the patient,
placing the transfer device under the
patient as far as possible
allow the patient to rest on the device
NON-ASSISTED TRANSFER
on the count of "three", move the
patient as a unit
use the lift sheet to turn the
patient and remove the device
NON-ASSISTED TRANSFER
if the lift sheet is contaminated/absent
– place a sheet folded in half over the transfer
device
– tuck the loose flap down under the transfer
device
– pull the loose flap to transfer the patient to
the stretcher/bed
O.R. PATIENT
TRANSPORTATION