Body Mechanics (Utilization) for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Body Mechanics (Utilization)
Guidelines:
- Workplace safety for perioperative staff
- High-risk tasks specific to perioperative nurses
- Transferring patients on and off OR beds
- Repositioning patient on the OR bed
- Lifting and holding patients extremities
- Standing for long periods
- Holding retractors for long periods
- Lifting and moving equipment
- Sustaining awkward positions
Considerations:
- Culture of safety should incorporate principles of safe patient handling and movement
- Safely moving, positioning, and prepping patients
- Safely moving equipment
- Principles of body mechanics/ergonomics
- Straight back, bend knees, use large muscles, etc.
- Positioning is a collaborative effort among the entire surgical team
- Use equipment and assistive devices according to manufacturer’s IFU
- Utilize algorithms to assist with decision-making for safe patient handling and movement
Nurse’s role:
- Adopt and incorporate safe practices
- Be vigilant, pay attention, respond
- Ask for help
- Collaborate for patient and workplace safety
- Report near-misses and adverse events related to patient movement and handling
Pitfalls:
- At minimum, four providers are needed when the patient is unable to assist
- Avoid friction and shear forces when lifting, transferring, or repositioning a patient
- Safe patient handling and movement requires appropriate utilization of the nursing process
Examples:
- Examples of safe patient handling equipment:
- Air-assisted transfer mattresses
- Mechanical lifting equipment
- Lateral transfer devices (rollers)
Linchpins (Key Points):
- Protect yourself
- Protect your patients
- Collaborate for a culture of safety
Transcript
References:
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery
(16th ed.). Elsevier Health Sciences. - Association of perioperative Registered Nurses (AORN):
Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperative-practice/guideline-essentials
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