Sr positioning for exams


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Sr positioning for exams

  1. 1. Humongous Insurance UNIT 19:2 POSITIONING J.J. Nelson RN, CMA
  2. 2. POSITIONING A PATIENTWhether you are medical assistant preparinga patient for a minor surgery on the back….Or an ER Nurse with a patient in shock….Or a Medical Imaging Technologist performinga Barium enema on a patient….Or a Respiratory Therapist assistant a patientwith dyspnea……YOU ALL WILL BE INSTRUCTING APATIENT TO GET INTO A SPECIFICPOSITION. 2
  3. 3. ASSIGNMENTteam A: supine and proneTeam B: sims and knee chestTeam C: Fowlers and lithotomy & dorsal recumbentTeam D: trendelenberg and jackknife1. Prepare a written lesson to define/describe each assigned position. Give students reasons this position may be used. Be sure to include safety and information from other resources.2. Present an oral lesson (including info in #1) to the class using at least 2-3 PowerPoint slides that you have prepared. Include a summary.3. demonstrate the “check-off’. The demo must be proficient with correct operation of exam table and procedure. (In other words this needs to be practiced multiple times prior to giving the demo). jackknife cannot be demonstrated so extra verbal and PowerPoint slides are required to explain this position.grading: 3on task and teamwork: 25 pt
  4. 4. ASSIGNMENTGrading:**On task and teamwork: 25pt**Written lesson & powerpoint slides: 25pt**Oral lesson with demo: 50ptGrading is based on completeness of criteria, and professionalism. 4
  5. 5. REMEMBER with your presentations:Be aware of all safety precautions with positioning a patient.Be conscious of the patient’s modesty.Be proficient with the use of your exam table.Be Professional at all times.Be continually aware of infection control precautions. 5
  6. 6. • Team A
  7. 7. Supine• Supine: Lay flat on the back with legs slightly apart, arms flat to the side. A small pillow may be placed under the head.• This position is used for the examination and treatment of the front or anterior part of the body.• Ex. A patient who is having heart surgery.
  8. 8. Prone• Prone: Lay on abdomen head turned to either side. A small pillow may be placed under the head.• Used for examination of the back or spine.• Ex. A patient is having a Lumbar Laminectomy. (an operation performed on the lower spine to relieve pressure on one or more nerve roots.)
  9. 9. Safety• Supine: Has the potential to cause breathing issues in some patients.• Prone: Want to avoid adding extreme pressure to the abdomen or male genitalia.
  10. 10. TEAM B ! Sims & Knee - Chest
  11. 11. • Patient lies on left side with the left underarm behind the back and right knee flexed towards the upper body • Used for: rectal exams, enemas, rectal temperatures and rectal treatments and sigmoidoscopyLeft Lateral
  12. 12. Knee – Chest• Patient rests on knees and chest with the head turned to one side and elbows flexed slightly, above the head. The knees are slightly separated. A sheet is used to cover up the rectal area.• Used for: rectal examinations HEMORRHOID BANDING.• Safety Concerns: It is hard to keep this position, so the patient should not be left alone.
  13. 13. • Team C
  14. 14. Low: 25° Mid: 45° High: 90°Safety: Can become A semi-sitting position. The head of anuncomfortable in the adjustable bed can be elevated to theHigh position for an desired height to produce angulation of theextended amount of body, usually 45-60°. The knees may or maytime. not be bent. A wedge support can be used to elevate the patient’s head and back if an Fowler adjustable bed is not available. The position is used to facilitate breathing and drainage Position and for the comfort of the bedridden patient while eating or talking.
  15. 15. Lithotomy position Patient lays on back with legs in stirrups and buttocks near the edge of the table. Safety: Legs could “fall asleep” and become more uncomfortable than already are A position in which the patient lies on the back, thighs flexed on the abdomen, legs on thighs, thighs abducted. This is used in genital tract operations, vaginal hysterectomy, and the diagnosis and treatment ofTaber’s Definition diseases of the urethra and bladder.
  16. 16. A position in which the patient lies on the back with the lower extremities moderately flexed and rotated outward. It is employed in the application of obstetrical forceps, repair of lesions following parturition, vaginal examination, and bimanual palpation. Taber’s DefinitionPatient lays flat onback, knees drawn up,and thighs outward.Used in vaginalprocedures. Dorsal recumbent
  17. 17. Fenestrated drape Are usually sterile drapes 17
  18. 18. TEAM D• rg/• prezi. Com • • Password- eleonora