4. Procedure Prone Position

Safe Patient Handling









PROCEDURE PRONE POSITIONING


PROCEDURE SEMI PRONE POSITIONING












JULIE JAMES ABDULLAH

Learning 1. Safe patient handling and movement

 Procedure Prone Positioning
Objectives  Procedure Semi Prone Positioning




























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Procedure Prone






Positioning

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Prone Positioning



















The prone position was The prone position is basically

introduced in 1974 by Bryan as a achieved when the person is
measure to help with the better laid straight on the stomach,

expansion of the dorsal region that is, the chest or the ventral

of the lungs and resultant side is downwards while the
improvement in the oxygenation back or the dorsal side is

of the anesthetized and upwards.

paralytic patients.

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Prone Positioning























 Prone positioning

➢ to enhance oxygenation

in the acute respiratory
distress syndrome
patients, which leads to a

decrease in mortality.

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 ARDS - adult respiratory distress
syndrome

 FiO2 - inspired oxygen fraction Flow

 PaO2 - partial oxygen pressure diagram of

 MV - mechanical ventilation
the prone
 IV: intravenous

 RV - right ventricle
position care
 PIA - intra-abdominal pressure

 SpO2 - oxygen saturation

 CRA - cardiorespiratory arrest protocol.

 P/F - ratio of partial oxygen
pressure to inspired oxygen
fraction

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Prone Positioning














 Helping a patient through the process of attaining the prone position will
require four people who are well-versed with the technique.


 The first one will stand close to the head


 The second one will be responsible for taking care of various connections
to the body, such as the catheter, drains, etc.


 The other two will stand one at each side of the bed, that is, the left and
the right.


 Their job will be to turn the patient in the required direction.


 The first person should also be prepared to help with the removal of excess
secretion, which is produced as a result of the prone position.

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Prone Positioning














 The patient is turned such that he/she attains lateral decubitus position as

the initial stage.


 In this position, the person lies on the left side.


 Place both the hands of the patient along the respective sides.


 Turn the patient along one side and connect the electrodes for cardiac
monitoring at the back.


 In case the process does not serve its purpose, you can also use

abdominal suspension.

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EQUIPMENT














 Pillow X1


 Small Pillow X2

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NO PROCEDURE




1 Greet client


2 Explain the purpose of the procedure Procedure




3 Perform hand hygiene


4 Prepare equipment Prone




5 Lock the bed wheels and provide Positioning

privacy



6 Raise the bed to a comfortable

working height



7 Remove the pillow lie patient flat

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NO PROCEDURE


8 Cross the patient’s arms over the chest. Cross

the legs.


9 Shift the patient to the edge of the bed Procedure



10 Straighten both arms, tuck in the further arm
under the patient’s body. Prone



11 Hold patient’s shoulders and hip then turn
patient. Positioning


12 Turn the patient to lay on the abdomen with

head turned to one side


13 Flex both arms of the patient at the side of his

head


14 Position patient’s limb in correct alignment

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NO PROCEDURE Procedure




15 Place a pillow under patient’s

legs. Prone




16 Make patient comfortable Positioning



17 Document and report.

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Procedure Semi Prone






Positioning

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Semi Prone Positioning

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EQUIPMENT  Small Pillows X3

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Procedure Semi Prone Positioning

















NO PROCEDURE


1 Greet client


2 Explain the purpose of the procedure

3 Perform hand hygiene


4 Prepare equipment


5 Lock the bed wheels and provide privacy


6 Raise the bed to a comfortable working height


7 Remove the pillow lie patient flat

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Procedure Semi Prone Positioning

















NO PROCEDURE


8 Cross the patient’s arm over the chest. Cross the leg.


9 Shift the patient to the edge of the bed.

10 Straighten both arms, tuck in the further arm under the patient’s body


11 Place pillow alongside patient’s abdomen


12 Hols patients shoulder and hips and turn the patient.


13 Straighten the arm and leg nearer to the nurse


14 Flex the other arm and leg

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Procedure Semi Prone Positioning



















NO PROCEDURE




15 Place a pillow under patient’s head. Ensure patient


is in normal body alignment.



16 Make patient comfortable




17 Document and report