patient positioning strategies and service manual

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Patient Positioning strategies and Service ManualSimple Becomes Simply Amazing

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Intravenous (IV) fluids will be started before active labor begins and prior to the procedure of placing the epidural. You can expect to receive 1-2 liters of IV fluids throughout labor and delivery. An anesthesiologist, a physician who specializes in anesthesia, an obstetrician, or nurse-anesthetist will administer your epidural. You will be asked to arch your back and remain still while sitting up. This position is vital for preventing problems and increasing the epidural effectiveness. An anti-septic solution will be used to wipe the waistline area of your mid back to mini-mize the chance of infection. A small area on your back will be injected with a lo-cal anesthetic to numb it. Then a needle will be inserted into the numbed area that surrounds the spinal cord in the lower back. A small tube or catheter is threaded through the needle into the epidural space. The needle is carefully removed leav-ing the catheter in place so medication can be given through periodic injections or by continuous infusion. The cath-eter will be taped to your back to prevent it from slipping out.

How is an epidural given?

Patient Positioning is everything.


Number Item Number Item Name1 GL-PPS2051H Gel Face Rest Pads2 GL-PPSPPS5035A Gel Armrest Pad3 GL-PPS8004 Up/Down Plunger Pin4 GL-PPS FOOTREST Foot Rest5 GL-PPS4SBMDMA Total Locking Caster (4 per unit)6 GL-PPS3V.U4A Locking Foot Pedal7 GL-PPS9002 IV Pole8 GL-PPS9004 Wire storage basket9 GL-PPS9006 Up/Down IV pole knob10 GL-PPSRAM IV Pole hood (ram head)

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Before using the EPS, make sure it has been cleaned. Using standard hospital grade disinfectant, wipe down the unit. Make sure the footrest is in the lowest position and that the locking casters are function properly. By pressing down on both foot pedals, push on the EPS to determine that the EPS does not move.

Avoid cross contaminate and in order to maintain your limited lifetime warranty, you are required to use GL-PPSFRC, latex free, disposable facerest covers for each procedure. Call (541) 654-5951 Toll Free for more information.

You are required to use FDA approveddisposable face rest covers. GL-PPSFRC

CAUTION!

Have the patient sit safely and securely on the edge of the bed, OR table or gurney facing the EPS squarely. The patient might not understand what you are going to do so explain to them the benefits of the EPS. Do not let the patient lean into the EPS until the casters are locked.

To avoid injury to patients and staff, read and follow all safety warnings and

positioning strategies.

CAUTION!

Positioning Strategies

STEP 1

STEP 2

STEP 3


(541) 654-5951

To avoid injury to patients and staff,read and follow all safety warnings.

CAUTION!

Adjust the EPS up or down to be slightly below the top of the patients head. The ideal positioning is for the patients face to fit slightly lower into the facerest cradle. There are no facerest adjustments, one size fits all. Protect your patient, you MUST use a disposable face rest covers.

IMPORTANTDo not let the patient lean into the EPS until the casters

are locked.

CAUTION!

Roll the EPS into place, between the patients legs. Push down on both foot pedals locking all four casters. Do not let the patient lean into the EPS until the casters are locked.

STEP 4

STEP 5


Place your hand on the footrest handle. Squeeze the lever to adjust the footrest up or down so that the patients legs are resting squarely on the footrest. Release lever to lock the footrest in place. There should be pressure on the bottom of the feet to helpthe dura.

Invite the patient to lean into the EPS and ask them to fit comfortably into the facerest.

Ask the patient to place their arms on the gel armrest. To obtain optimum position, the arms need to be elevated.

STEP 6

STEP 7

STEP 8


Positioning is vital for preventing and increasing the epidural effectiveness. We advocate that while the EPS frees up the circulating nurse, it is important to be close to the patient in case something is needed. The patient in the “Angry Cat” position is now ready for the epidural placement. Positioning is now complete.

STEP 9


Disadvantages of epidural anesthesia?

• Epidurals may cause your blood pressure to suddenly drop.

• You may experience a severe headache caused by leakage of spinal fluid.

• After your epidural is placed, you will need to alternate from lying on one side to the other in bed and have continuous monitoring for changes in fetal heart rate.

• You may experience the following side effects: shivering, ringing of the ears, backache, soreness where the needle is inserted, nausea, or difficulty urinating.

• You may find that your epidural makes pushing more difficult.

• For a few hours after birth the lower half of your body may feel numb.

• In rare instances, permanent nerve damage may result in the area where the catheter was inserted.

EPS Disposable Face Rest Covers


patient positioning strategies and service manual

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