J U L Y 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 4 9
T
he proper posi-
tioning of
patients under-
going orthopedic
procedures pre-
vents nerve and skin injuries
and gives surgeons better
access to the joints they're
repairing or replacing.
Spending a few extra min-
utes before cases begin to
make sure knees are flexed,
hips are hyperextended and
shoulders are secured pays
off in successful outcomes
and safer patient care.
Charlene DiNobile, RN,
M.Ed, CNOR, CST, NEA-BC,
CSPDT, CFER, a professor at
the New England Institute of
Technology, says you should focus on these pillars of proper posi-
tioning:
• Primary goals. Focus on protecting muscles, nerves and bony
prominences, ensure adequate exposure of the operative site and
maintain a functional airway. Take extra care of high-risk patients
such as the elderly and those with comorbidities, especially diabetes
Kendal Gapinski | Contributing Editor
Positioning Is Paramount in Orthopedics
Protect patients and ensure surgical
access during hip, knee and shoulder procedures.
OPENING MOVE Knee replacement patients are placed in the supine
position with the operative leg flexed to increase access to the joint.
