Outpatient Surgery Magazine

Manager's Guide to Orthopedic Surgery - August 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/353603

Contents of this Issue

Navigation

Page 55 of 58

5 6 S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | A U G U S T 2 0 1 4 breaking the sterile field. • Clark Sockets let you attach and lock accessories along a table's side rails, enabling the use of arm holders and elbow devices. Some newer versions even rotate 360 degrees, making setups faster and easier. • Candy cane or boot stirrups keep feet and legs secure when patients are in the lithotomy position. • Foot and head extensions are critical for fracture work that involves position- ing patients for X-rays. • Shoulder positioners help stabilize patients in the "beach chair" position for improved joint access. • Radiolucent arm tables for upper extremity surgery can be attached to the topside rails. As time goes on, we're also seeing more and devices that are designed to accommodate a wide range of body parts, which is very helpful. Along with that versatility, the primary goals continue to be safety and reducing the need for manpower. Over time, you'll save money if you can reduce the number of peo- ple who have to be in the room at any given time. Improved surfaces In addition to attachments, the quality of table pads has improved dramatically. Tables now come with softer gel surfaces that help reduce the skin breakdown and neurologic injuries that can occur during longer procedures. That's also a big concern as we deal with the challenges associated with operating on heavier patients: As body-mass indexes climb, so do the risks of infection and nerve damage. Softer and better padding also helps protect extremely frail patients — such as the elderly — who tend to have a higher likelihood of skin breakdown around bony prominences. Heavier patients are also forcing table manufacturers to up the weight capaci- ties of their offerings. Traditionally, a lot of beds have been built with a 300- pound capacity. These days we routinely run up to that limit and beyond. And T A B L E S & A T T A C H M E N T S

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Manager's Guide to Orthopedic Surgery - August 2014