Development of the AORN guidance statement: safe patient handling and movement in the perioperative setting.
Nelson-A; Waters-TR; Spratt-DG; Petersen-C; Hughes-N
AORN Guidance Statement: Safe Patient Handling and Movement in the Perioperative Setting. Petersen, C, ed., Denver, CO: The Association of periOperative Registered Nurses (AORN), 2007 Jan; :5-9
The task force created solutions for each high-risk task identified in perioperative settings. Using principles of ergonomics, scientific evidence, and clinical trials conducted at the VA Patient Safety Center of Inquiry, the following solutions were developed. A brief description of each of the seven tools is included in this article. The Algorithm for Safe lateral Transfer from the stretcher to and from the OR bed was developed to standardize decision making about the number of staff and type of technology needed to perform this task safely. The Algorithm for Safe Positioning/Repositioning the Patient on the OR bed to and from the supine position was developed to standardize decision making about the number of staff and type of technology needed to perform this task safely. The Guidelines for Safe lifting and Holding legs, Arms, and Head for Prepping were developed to identify safe time limits for one-handed and two-handed lifts for each body part. The Algorithm for Prolonged Standing was developed to standardize decision making about the time limits and type of technology needed to perform the task safely. The Algorithm for Retraction was developed to standardize decision making about the type of technology and techniques needed to perform the task safely. The Guidelines for Lifting and Carrying Supplies and Equipment were developed based on the NIOSH Lifting Index.18.19 This tool includes recommendations for 14 common types of equipment used in the OR. These guidelines were based on weight lifted, horizontal distance, vertical location origin and destination, and distance carried and indicate the level of risk (i.e., minimal risk, potential, or considerable) for each task. The Guidelines for Safe Pushing, Pulling and Moving Equipment on Wheels were developed, based on Liberty Mutual's push force limits for several devices commonly used in the OR, to standardize the number of staff and types of technology needed to perform the task safely.
Health-care-facilities; Health-care-personnel; Ergonomics; Musculoskeletal-system-disorders; Manual-lifting; Engineering-controls
Book or book chapter
AORN Guidance Statement: Safe Patient Handling and Movement in the Perioperative Setting