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Improve Spinal Block Safety as well as Epidural and Lumbar Puncture safety with the Epidural Positioning Device
CategoriesPatient Handling

Advancements in Spinal Block Safety

by sphmedicaladmin

 

The Epidural Positioning Device Improving Spinal Block Safety

There have been many advancements in Safe Patient Handling over the recent years. One very simple advancement has been the SPH Medical Epidural Positioning Device. This simple tool offers improved patient comfort and safety while positioning patients in the ideal flexed spine position. Most importantly it protects the caregivers, nurses, and anesthesia techs that use it and prevents staff injuries. When patients have surgery like a hip or knee replacement or go into labor before delivering a baby, they are commonly given pain relief via an epidural injection or spinal block. Any hospital unit can utilize an epidural positioning device (EPD) to improve a patient’s stability and comfort while they are receiving a spinal block. This device, also known as an Epidural Chair, decreases the risk of musculoskeletal injury to clinical staff as they position a patient to provide an epidural procedure as well as improves spinal block safety. Using this specialized equipment makes it easier for nurses, anesthesiologists, and other health care professionals to engage in safe patient handling practices at all times.

Many surgeons who perform complete knee or hip replacements prefer to recommend spinal blocks rather than general anesthesia for their patients. This treatment allows patients to start moving right away as they recover from surgery. The epidural positioning device can safely position patients in a seated position during many different types of procedures. Nursing staff and other qualified medical professionals in a Surgery Department or Labor and Delivery Unit can make adjustments to the device so that it can accommodate a variety of body types.

Safety and comfort improved with the EPD for Spinal Blocks, Epidurals, Lumbar Puncture and Thoracentesis

Safely Perform an Epidural or Spinal Blocks with the EPD

When a patient is seated at bedside or on a stretcher supported by an Epidural Chair, medical professionals can safely perform a spinal block or epidural procedure without difficulty. Funny enough, it’s not actually a chair as it has no seat! The patient actually sits on the bed or gurney and The EPD is brought over to them to provide support. As a patient leans forward against the EPD, the device promotes an ideal degree of thoracic, lumbar, and cervical spinal flexion that makes it easy for an anesthesiologist to insert a needle between their vertebrae. The specialty chair supports the patient so that staff members will never need to use their own weight to stabilize, hold, fix, or balance their body. Nurses and other clinical professionals who bear the weight of their patients can suffer sustained physical stress that can damage their own joints after a period of time. An unstable, large, or medicated patient can easily harm a staff member via improper physical contact. Using this specialized chair also decreases the chance that a patient or staff member will be injured from a slip or fall. Injuries can also be caused when sliding or rolling furniture or equipment strikes or collides with a patient or staff member.

An Epidural Chair can greatly benefit a hospital’s orthopedic surgery department or labor and delivery unit. This device is easy to add to any inventory of essential equipment. Keeping and using an epidural positioning device may increase spinal block safety and decrease a hospital’s risk of liability. According to researchers at Stanford University, the number of annual epidural procedures undertaken in the United States is increasing. The journal Anesthesiology published a report in 2018 stating that from 2009 to 2015, a large percentage of the 17 million women who delivered babies received a spinal analgesic. 68% of women who were at a normal weight and 76% of women who were overweight received this epidural treatment during labor. In 2008, 10% fewer pregnant women received the same epidural procedure. As spinal blocks become more frequent, patients and staff face greater chances of experiencing accidental injury, doing harm to equipment, wasting time, and enduring unfortunate or unsatisfying situations. Adding an EPD to a hospital’s depository of specialty equipment promotes safety and well-being for staff and patients and enhances the overall healthcare experience.

Sources:

Anesthesiology September 2018, Vol. 129, 448–458.

Tracie White. “Epidurals increase in popularity, Stanford study finds.” Scope 10K, Stanford Medicine, 26 Jun. 2018. Accessed 3 May 2022.

Alexander J. Butwick, Cynthia A. Wong, and Nan Guo. “Maternal Body Mass Index and Use of Labor Neuraxial Analgesia: A Population-based Retrospective Cohort Study.”Anesthesiology, Vol. 129, Sept. 2018, ASA Publications. Accessed 3 May 2022.

Spinal Block Safety is improved with the SPH Medical EPD.
CategoriesPatient Handling

Staff Safety During Spinal Blocks

by sphmedicaladmin

In the past, patients who required analgesia given through an epidural or spinal blocks often required a handful of nurses and other clinical staff to conduct the procedure safely. Patients were held manually in a seated position with a flexed spine, often necessitating multiple medical professionals to support, provide counterpressure, or in some cases, catch a falling patient. Each of these manual patient handling tasks put the staff at risk.  But now both patients and staff can successfully experience an epidural or spinal block procedure safely with the use of an epidural positioning device or EPD.

Using an EPD in the Surgery Department

When spinal blocks are necessary to provide patient pain relief prior to a surgical procedure, multiple anesthesia techs, nurses or other medical professionals may be employed to make sure that a patient is positioned correctly. But using an epidural positioning device can ensure that the surgery department is following safe patient-handling procedures without putting staff at risk while helping patients remain in the correct posture for the spinal bock injection. Since the use of the device will require no additional staff members once the patient is engaged, surgical techs and staff can be utilized for their expertise rather than taking part in holding or securing patients before or after the spinal is administered.

Using an Epidural Chair in the Labor and Delivery Unit

Patients preparing to give birth are frequently shifted into a seated, flexedSpinal Block and Epidural Safety is Improved along with patient safety with the SPH Medical EPD position to receive epidural analgesia prior to giving birth. While tens of millions of epidurals are administered each year with their use only expected to escalate in the future, L&D staff are tasked with following safe patient handling guidelines that can be even trickier at the end stages of pregnancy. Many Labor and Delivery Unit facilities rely on the security of using an EPD as an injury prevention device for patients, nurses, OR techs and anesthesia techs. When a pregnant person must be secured in an uncomfortable or unstable position, like the seated and flexed position required for epidurals, they may require extra support from one or more staff members. Holding on, providing counterpressure or catching an unstable patient can hurt not only the patient but could easily injure a nurse or other medical professional needlessly when support from an epidural chair is available to provide stability.

Protecting Staff and Patients

Placing patients into the optimal cervical, thoracic or lumbar flexion is key to the successful administration of spinal or epidural medications. Patients undergoing hip or knee replacements, back procedures or delivering a baby all benefit from the correct placement of their medication or analgesic that will ensure their comfort before and during the procedure as well as promote a quick recovery afterward. But medical staff benefit just as much from the use of epidural chair equipment since they are now freed up from the physical requirements of holding and supporting patients who are undergoing this type of placement-sensitive procedure. Since ensuring patient safety is paramount for all medical professionals, those who assist in surgical and L&D situations where patients may fall or need physical support can avoid putting themselves at risk for their own injuries when a medical safety device like an epidural positioning device is utilized.

Contact SPH Medical to learn more about the EPD or request a quote.

Sources:

https://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_05.pdf

https://www.cdc.gov/nchs/data/nhsr/nhsr085.pdf

CategoriesPatient Handling

Improve Safety During Spinal Blocks

by sphmedicaladmin

According to MedlinePlus, a trusted online resource for up-to-date information related to diseases and a host of wellness issues, a spinal block is commonly prescribed to patients undergoing genital, urinary tract, or other lower body medical procedures. They are also prescribed to pregnant women, in addition to epidural anesthesia, before they are due to give birth in a hospital’s labor and delivery unit. Also known as spinal anesthesia, a spinal block is a type of neuraxial regional anesthesia that involves injecting a local anesthetic or opioid directly into the subarachnoid space to block pain signals that would otherwise travel to the brain. Spinal blocks do a terrific job of keeping pain at bay so that patients can get through a needed medical procedure. But they can sometimes pose a danger to patients and medical teams alike. Improving safety during spinal blocks can be done with an epidural chair or epidural positioning device.

Safety During Spinal Blocks: The Dangers They Pose to Patients and Medical Teams Alike

Studies show that spinal blocks can increase a patient’s chances of experiencing low blood pressure, meningitis or abscess, hematomas, difficulty urinating, seizures, and headaches. As far as medical teams are concerned, many suffer musculoskeletal injuries due to lifting, repositioning, or catching falling patients that have received spinal blocks. Most of these injuries involve back pain and back strain that is so severe that many say they can’t work for a few days following their injury. To further put this into perspective, in 2016, the 8,730 days-away-from-work cases filed by hospitals involved medical teams that suffered musculoskeletal injuries while tending to patients in a hospital’s surgery department or labor and delivery unit. An epidural positioning device (EPD), such as an epidural chair, could have helped medical teams in these hospitals avoid many of these injuries, as well as improve safety during spinal blocks and epidurals.

How an Epidural Chair Can Help Improve Hospital Safety

Manually positioning or moving patients from one location to another is the leading cause of injuries among nurses, operating room technicians, and anesthesiologists involved in treating the roughly 324,000 patients who receive spinal blocks each year. These injuries have motivated many hospitals to invest heavily in medical assistive devices to improve patient handling and lower the rate of injuries among hospital workers. One such device is the epidural chair. Also known as an epidural positioning device or an EPD, epidural chairs support the arms, head, chest, and feet of patients receiving spinal blocks. The support they provide minimizes the risk of falls and makes it much easier to transport patients from one location to another as needed for their medical treatments. Studies show that hospitals that use epidural chairs file fewer day-away-from-work cases than those that do not.

Conclusion

Whether we are discussing safety in a hospital’s surgery department or its labor and delivery unit, EPDs should be part of that discussion. And this is because they make epidural pain relief via spinal blocks easier and markedly safer for everyone involved.

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