PERIOPERATIVE NURSING CARE OF THE MORBIDLY OBESE PATIENT
PERIOPERATIVE NURSING CARE OF THE MORBIDLY OBESE PATIENT
SAFETY CONCERNS & SPECIAL EQUIPMENT § HIGH BMI/ BARIATRIC PATIENT HAVE RIGHT TO BE TREATED W/ COMFORT, DIGNITY, RESPECT & PRIVACY § CULTURE OF SAFETY FOR BOTH PATIENTS AND CAREGIVERS § IDENTIFY MECHANICAL LIFTING EQUIP & APPPROVED PATIENT HANDLING TECHNNIQUES.
ASSESSMENT OF HIGH BMI/ BARIATRIC PT § SENSITIVE TO PATIENT PERCEPTION- BEDS, GURNEYS, WHEELCHAIRS THAT FIT TALK TO THEM ABOUT WHAT TO EXPECT § ASSESS AS ALL PATIENTS PLUS: GERD/CIRCULATION/ RESPIRATORY HIATAL HERNIA, SLEEP APNEA, ABDOMINAL GIRTH/JOINT ISSUES ANESTHESIA – WEDGE/ DIFFICULT INTUBATION CART DVT PREVENTION PHYSICAL ASSESSMENT CO-MORBIDITIES: DIABETES/ CAD
ROOM PREPARATION/ POSITIONING OR BED CAPACITY IN SPECIFIC POSITION STANDARD (1000#)/ REVERSE (#500) SAFETY STRAPS, GENERALLY AT LEAST TWO SETS TRANSFER SYSTEM ALREADY ON BED AWARE OF ANESTHESIA NEEDS US DOPPLERS GLIDE SCOPE LINE PLACEMENT WEDGE PILLOW EXTRA PILLOWS, GEL PADDING , EGGCRATE
POSITIONING CONSIDERATIONS SUPINE: ARMBOARD –ULNA/ HYPEREXTENSION/ NEUTRAL POSITION SAFETY STRAPS – THIGHS/ LOWER LEGS PILLOW UNDER KNEES – NEED HEEL PROTECTION REVERSE TRENDELENBERG- FOOTBOARD ARMSLEDS W/ PADDING IF NEED TO TUCK FOLEY INSERTION – GET ASSISTANCE TO ACHIEVE PROPER TECHNIQUE LITH: CANDY CANE – DO NOT LEG REST AGAINST POLE CREATIVE SIZING FOR ALLEN STIRRUPS HISTORY OF HIP INJURY/ TOTAL JOINT REPLACEMENT PRONE: LARGE GEL ROLLS/ RESPIRATORY/ PADDING/ PRESSURE POINTS ARMS MOVED CAREFULLY TO NEUTRAL POSITION LATERAL: AXILLARY ROLL/ PADDING/ ALIGNMENT INCLUDING HEAD/NECK PRESSURE POINTS – EAR, SHOULDER, HIP, LATERAL TO TOES
INFLATED PATIENT TRANSFER PAD
ALLEN STIRRUPS �
CANDY CANE STIRRUPS
PNUEMATIC LIFT FOR LITHOTOMY
TYPES OF BYPASS
TAKE HOME PROVIDE SUPPORTIVE & RESPECTFUL ENVIRONMENT OF CARE FOR ALL PATIENTS, REGARDLESS OF BMI! IDENTIFY MECHANICAL LIFTING EQUIPMENT AT YOUR INSTITUTION! GET HELP, SAVE YOUR BACK!
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