Positioning or repositioning a patient on the OR bed in preparation for a surgical procedure presents a high risk for musculoskeletal disorders, such as low-back and shoulder injuries, for perioperative personnel. Safe patient handling requires knowledge of current ergonomic safety concepts, scientific evidence, and equipment and devices to ensure that neither the patient nor the caregiver is at risk for injury. AORN Ergonomic Tool 2: Positioning and Repositioning the Supine Patient on the OR Bed provides guidelines that enable perioperative personnel to determine safe methods for positioning and repositioning a patient in the semi-Fowler, lateral, or lithotomy position in preparation for surgery.

Perioperative team members often are required to lift and carry heavy supplies and equipment into and around the OR; this includes lifting equipment such as hand tables, fluoroscopy boards, stirrups, Wilson frames, irrigation containers for lithotripsy, and heavy instrument pans. Lifting heavy objects creates considerable risk for musculoskeletal injuries to the back and shoulders. AORN Ergonomic Tool 6: Lifting and Carrying Supplies and Equipment in the Perioperative Setting can help caregivers evaluate lifting and carrying tasks and take measures to protect themselves from injury. Caregivers can use the revised National Institute for Occupational Safety and Health lifting equation to assess whether a specific lifting task can be performed safely.

Nurses continue to experience injuries related to patient handling. These injuries are costly to hospitals in both direct and indirect costs and intangible costs such as staff morale. The need for hospitals to establish safe patient handling programs is growing and is now mandated by legislation in several states. The authors describe the development, implementation, and 6-year outcomes of a lift team that is part of successful safe patient handling program.

Moving patients can result in injuries to patients and staff members. Lateral patient transfers from a stretcher to an OR bed pose a high risk for musculoskeletal disorders, including lower back, shoulder, and neck injuries for perioperative personnel. AORN Ergonomic Tool 1: Lateral Transfer of a Patient from a Stretcher to an OR Bed helps perioperative staff members determine best practices for safe lateral patient transfers. Safe moving of the patient is determined by the starting and ending position required and the patient's weight. Current ergonomic safety concepts and scientific evidence regarding weight limits help to determine how many caregivers are needed to safely move patients and whether mechanical assistance is needed during lateral transfers.

No abstract