the brachial plexus.
When placing patients in more elaborate positions such as deep
Trendelenburg, Mr. Rentschler suggests relieving pressure on the
shoulders, which press against support braces attached to the surgi-
cal table on either side of the patient's head. You can also prevent
the patient from slipping by placing a stabilizing pad between the
patient's lower back and the table's surface.
"Proper patient positioning is about preventing neuroplexus issues and
direct pressure injuries," says Mr. Rentschler. "Circulators should be
responsible for facilitating appropriate positioning and ensure pressure
points are appropriately padded."
• Endoscope care. Carbapenem-resistant Enterobacteriaceae out-
breaks in California and Washington State related to contaminated
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