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The SPH Medical EPD improves patient safety
CategoriesPatient Handling

Epidural Trends and the Epidural Chair

by sphmedicaladmin

Current Epidural Trends in Hospitals and the Epidural Chair

Now more than ever in Labor and Delivery departments and in General Surgery areas the trend is to utilize the Epidural Chair to improve patient comfort and safety.  Equally important is the opportunity to improve safety for nursing and Anesthesia staff.  It is well known that the experience of childbirth is extremely painful for the mother. Modern medicine has advanced to provide mothers with epidural anesthesia for pain during labor. Epidural pain relief can make the child birthing experience less traumatic and exhausting for the mom. Epidural anesthesia depends on the technical abilities of the anesthetist. This requires assessing the risks that are present for the patient, positioning the patient for safe administration, and gathering the necessary staff to help with positioning. An often overlooked factor in patient outcomes in regard to pain relief is the ergonomics that nurses must respect during patient positioning to prevent themselves from developing musculoskeletal injury from repetitive patient positioning over their career. We will discuss these points in this article.

Proper positioning of the patient for safe and effective epidural pain relief can be understood with respect to the anatomy of the spinal column. The spinal cord is protected by the vertebral column. When a patient flexes their core, the posterior vertebral column spinal processes spread apart, allowing direct access to the dural sac that covers the spinal cord for anesthesia administration. Often, the nursing staff must help the patient remain in a still-flexed position to allow for safe administration. Depending on the patient’s body habitus, it can be difficult for nursing staff to hold the patient without compromising their own ergonomics. Patient positioning during administration of spinal anesthesia is very important.  EPD, commonly known as an epidural chair, has been implemented to help place patients flexed, allowing for effective anesthesia delivery.  The epidural positioning chair also doesn’t require nursing staff to put their bodies in stressful contortions, minimizing musculoskeletal injuries in the workplace.

Epidural pain relief is often significant to some expecting moms as they fear the pain during labor. Although it is a commonly performed procedure, epidural anesthesia does not come without its risk. Because the medication is being delivered near the dural sac and spinal cord, there is a risk of medication being administered within the dural sac. Risks seen during epidural anesthesia include a severe drop in blood pressure. Other side effects include difficulty urinating, nerve damage, nausea, vomiting, and infection.

Prevent Injury to the Spinal Cord

Injury to the spinal cord can also occur, with paralysis being a possible outcome. It is essential to understand these risks to help minimize negative outcomes. The Epidural chair helps decrease this risk by allowing the patient to be put in a fixed position that won’t disturb the anesthetist. Safety and reliability are of utmost importance in healthcare, and the EPD can provide proper positioning with adjustments in respect to the patient’s body habitus. Although there are many factors that go into the safe delivery of anesthesia, the utilization of an epidural chair can help mitigate the risk with respect to the proper positioning of the patient.

EPD can be used outside of the labor and delivery floor. With respect to spinal blocks and spinal taps, the chair is used because both procedures require the exact positioning. Spinal taps come with similar risks and can be mitigated similarly with the use of the chair. Often time patients who may need a spinal tap for therapeutic or diagnostic purposes must have a risk assessment which includes the ability to position the patient properly. In the pediatric population, a chair is not as helpful as children often require some form of sedation to help with patient positioning because of their age. In the adult population where body habitus is varied, an EPD chair that can be adjusted to reproduce the same position can help improve patient outcomes.

The Epidural Anesthesia

Epidural anesthesia can also be used to supplement general anesthesia for surgery and to help with pain alleviation during post-operative recovery. Surgeries that occur in the lower extremities can often be excruciating in the post-operative recovery period. Supplemental pain relief can help the patient feel more comfortable, and reduced pain perception can help a patient recover faster by complying with post-operative therapy. The utilization of an Epidural Positioning Device can help mitigate a safe and quick administration of a spinal block even in spite of staff not being able to be present for patient positioning. This kind of anesthesia helps reduce the usage of opioids for patients who refuse or patients with a history of opioid abuse.

Overall The utilization of an epidural positioning chair can help deliver safe and reliable anesthesia while reducing the risks of the procedure, the requirement of staffing, and the risk of musculoskeletal injuries. This chair can be utilized in similar procedures such as the spinal tap or even thoracentesis, which shows promising application outside of just epidural anesthesia. This trend to improve patient and staff safety using the EPD is increasing. Word is spreading in clinical circles that the simplicity and ease of use of the EPD drives compliance and therefore reduces risk, a very positive trend indeed.

References:

Comparing Three Different Modified Sitting Positions for Ease of Spinal Needle Insertion in Patients Undergoing Spinal Anesthesia by Sussan Soltani Mohammadi, Mohammadreza Piri, and Alireza Khajehnasiri 2017

The EPD is used for Thoracentesis
CategoriesPatient Handling

Epidural Chair for Epidural Safety

by sphmedicaladmin

Epidural Analgesia for Pain Relief During Labor and Delivery

Epidural injections or epidural anesthesia is defined as regional anesthesia that blocks pain in a specific area of the body. To perform an epidural injection, the anesthesiologist utilizes a hollow needle to place an epidural catheter, which is a small and flexible plastic tube, into the space between the spinal column and outer membrane of the spinal cord (epidural space). This is in the middle or lower back. The area that the catheter will be placed will first receive a local anesthetic. As a result of the epidural injection, the nerve messages are blocked, which in turn causes numbness and also epidural pain relief in the lower half of the body. In terms of applications, epidural anesthesia is usually used for legs and lower belly surgeries, for helping control pain after chest and belly related major surgeries, as well as for relieving pain during labor and delivery. This is a complicated procedure so epidural safety is extremely important.

With respect to labor and delivery, a lot of women decide on having the epidural injection in order to cope with the severe pain during the whole birthing process. In this case, an epidural pump is utilized where pain relief drugs are continuously administered through the epidural tube mentioned earlier. The pain during labor is relieved as long as the drugs are being constantly pumped into the body. When the pumping is stopped, the entire feeling will come back within a few hours.

Epidural Pain Relief and Epidural Safety

In addition to epidural pain relief, the main pros for having an epidural injection during labor and delivery is being able to rest and relax, which helps a lot of women have a positive birthing experience.  Another main advantage for taking an epidural is that it helps women be more alert, which in turn allows them to take an active role during their birthing process. Last, but not least, recent research shows that epidural injections may play a role in reducing postpartum depression in a certain number of females.

With the high frequency of epidural injections occurring in during labor and delivery units across the country, it’s important to consider the manual patient handling involved in positioning patients and the safety risks for patients and nurses alike.  A device that should be considered is the epidural chair or the epidural positioning device (EPD). Patented in 2001, the epidural positioning device reduces risk of injury to nursing staff and improves patient comfort. The EPD features a 180 degrees adjustable face rest, a six position adjustable armrest allowing patients to comfortably rest their arms, an adjustable torso support to promote spinal flexion, and a height adjustable foot rest.  The EPD is not just for labor and delivery. The EPD is currently considered the standard of care by surgical staff to administer spinal blocks prior to total hip and knee surgeries. With the functional design and obvious safety benefits the SPH Medical EPD has become the standard of care wherever spinals and epidurals are performed.

From a clinical perspective, anesthesiologists are using the epidural chair permits to encourage lumbar, thoracic and cervical flexion, positioning patients in both a correct and comfortable manner and importantly a stable, safe and secure position as well. The stable positioning supported by the Epidural Chair reduced the risks of complication while the anesthesiologist places the epidural. Thanks to the EPD, nursing staff are not having to hold patients in a static position, apply counter pressure, or manually handle patients. A number of recent studies have shown that the comfort and satisfaction levels of a large number of female patients that received the epidural analgesia were significantly higher when the epidural positioning device was used.

Reduce Risk of Injury in The Labor and Delivery Unit

Healthcare workers and patients are placed at risk of injury in the labor and delivery unit when staff members are manually handling patients.  Whether it is holding, lifting, boosting or pushing the patient in a proper position, the patient not being able to change his or her position and follow the staff instructions, or even the patient being nervous, unpredictable or maybe nauseous and dizzy, positioning patients can be a very challenging task.

In point of fact, when handling patients during epidural injections, a large number of nurses are at risk of micro tears in their joints and vertebral discs that could eventually lead to injuries. Fortunately, thanks to the epidural positioning device, nurses and healthcare workers not only avoid these safety risks and challenging situations, but are also free to perform other imperative tasks.

CategoriesPatient Handling

Epidural Chair for Thoracentesis

by sphmedicaladmin

Why use the Epidural Chair for Thoracentesis

Thoracentesis is an invasive procedure used to diagnose and medicate pleural effusions, during the treatment of a condition whereby excess fluid accumulates in the pleural space. Thoracentesis is used to manage symptoms like pain and shortness of breath. It relieves pressure in your lungs and provides epidural pain relief. The procedure also establishes the cause of the excess fluid found in the pleural space. Conditions such as tumors, lung infections, and heart failure are some of the causes of pleural effusions. This article offers you valuable information on the thoracentesis procedure and how the epidural chair can help the process.

Why is proper positioning important?

Patients are often encouraged to sit upright when the medical personnel performs the procedure. Sometimes women in pain during labor are encouraged to rest their hands on a pillow placed on a bedside table. It helps pulmonologists and sonographers access the posterior axillary space. That is a dependable part of the thorax and offers epidural pain relief to them.

Proper positioning is also vital for the safety of sick people. Hospitals should be guided by principles of Ergonomics when looking into their positioning. Ergonomics looks into the creation of tasks suited to worker’s capabilities. When used in handling the sick, it incorporates safety procedures and mechanical equipment used to move and lift them so that health care employees avoid manual exertions. Moreover, patient handling ergonomics maximizes their comfort and safety during movement.

How long is the procedure?

Thoracentesis is performed in a hospital by pulmonologists and sonographers. It usually takes 10 to 15 minutes. However, if an individual has a lot of fluid in their pleural space, it takes more than 15 minutes.

Why are nurses at risk of injury during this procedure, and why does the EPD benefit them?

One of the worst risk factors for nurse injuries during thoracentesis lies in moving and lifting patients. Manual handling of the sick is amongst the leading cause of back injuries, especially in nurses. Most American states require hospitals to adhere to the Safe Patient Handling program. This program evaluates high-risk tasks in inpatient units like pushing, pulling, lifting, and prolonged static holds. It establishes solutions centered on lessening the risk.

A nurse usually assists the patient to get into the proper position by moving around the bedside tray table and using the stool to offer support to their feet. During labor pain, they use a pillow to place the hands to ensure that they are comfortable. Nurses may trip if the bedside table is not locked securely. Therefore, risky positioning can contribute to unnecessary injury to patients and medical staff.

The Epidural Positioning Device benefits nurses in several ways. One of them is positioning the patient in a comfortable position that provides epidural pain relief faster. The nurse can help other health care personnel with other duties as they are not limited to holding the patient.

The device ensures that the sick person sits in the epidural chair steadily. That puts the nurse at ease when performing this procedure. It correctly positions the person who is ill since it is adjustable. Consequently, It helps the nurse to put them in the most optimal position. The epidural chair ensures there is no movement, which is crucial to nurses when conducting the procedure.

How does the Epidural Chair (Epidural Positioning Device) Help position Patients During Thoracentesis

The Epidural Positioning Device helps to solve risk factors attributed to administering the procedure and manual patient handling challenges. It assists in patient positioning to minimize unsafe manual patient handling that is being performed every day during this procedure. The EPD ensures a comfortable and relaxed flexed spine position for the patient while maintaining a stable position. Medical personnel recommend it for more than Thoracentesis including women in pain during labor, pain centers, and operating rooms. It also offers pain relief in the epidural as well as spinal relief.

The stand offers adjustable foot support to assist in patient positioning. It also has an adjustable mount for the epidural device that consists allows it to be attached directly to an operating table. The epidural chair reduces risk of errors, avoids accidents, improves patient comfort, and lowers injury risks to staff. These factors contribute to medical personnel satisfaction and patient outcomes. They are a comfortable and efficient option that guarantees the happiness of the sick and nursing staff.

CategoriesPatient Handling

Epidural Chair and Pain Relief

by sphmedicaladmin

The Epidural Chair, Reduce the Risk of Complications

Pain during labor is among the most common reasons that people get an epidural with over half of women in the US electing to receive epidural anesthesia. It is important to administer an epidural properly to ensure adequate pain relief and to reduce the risk of complications. Learning more about epidural pain relief and the epidural chair can help to ensure that you make an informed decision.

When an Epidural is Used

A doctor might recommend an epidural when you are in labor, for long-term pain relief for certain types of back and neck pain and to anesthetize you for certain surgical procedures. During surgery and labor, an epidural gives you continuous relief from your pain for your lower body. While you will not lose all feeling, it reduces the sensation of pain enough to keep you comfortable.

For neck or back pain, an epidural injection may be used that delivers numbing medicine and steroids to the painful area. The pain relief that you get lasts for up to a year for some people, but for others, it lasts for a few weeks. Your doctor might recommend these injections when you go through physical therapy to keep you more comfortable or instead of powerful pain medications.

Why is Proper Positioning Important?

The right position is critical for fast administration and for patient safety and comfort. Proper positioning can be especially challenging during labor since the patient’s episodic pain can make it harder for them to get into position and stay there until the epidural is complete.

When using an epidural chair or EPD, it allows the patient to naturally get into the proper position. It also gives them a structure to hold onto so that they can remain still enough for safe and proper insertion of the needle. This helps to ensure greater safety and it makes it easier to get the patient pain relief faster.

What is the Risk to the Patient?

If an epidural is not administered properly, there is the risk of injury to the patient. You could experience longer lasting tingling and numbness in your feet or legs. These effects could mean that nerve damage has occurred. For some people, these effects can last for several weeks. Should nerve damage be present, you might need further medical treatment.

Another risk is an epidural abscess affecting major nerves in the area and your spinal cord. Permanent nerve damage is possible if the infection goes untreated. In the most severe cases of an untreated epidural abscess, bodily function loss is possible.

Why Are Nurses at Risk of Injury During an Epidural?

During an epidural, nurses will help to position the patient and take care of any mobilization. This could include static holding of patients. All of these activities can stress the nurse’s body and even put them at risk for things like muscle strains. In the most severe of cases, ruptured spinal discs are possible due to abnormal twisting of the body.

How Does an Epidural Chair Benefit Nurses?

 

An Epidural Positioning Device takes a lot of stress off of the nurse’s body when preparing and helping a patient during an epidural. Nurses can adjust the EpiduralChair and once they help the patient into the proper position, they do not have to worry about static holding. All of this increases the nurse’s safety and makes everything more comfortable for the patient and the nurse.

 

Whether you have pain during labor or you are getting certain minor surgical procedure, epidural pain relief can make a big difference. To reduce discomfort during the epidural insertion, an epidural chair can make a big difference. It can also make the process go faster so that you get relief from your pain.

CategoriesPatient Handling

Epidural Pain Relief and Patient Safety

by sphmedicaladmin

Epidural Pain Relief: Positioning for maximum safety

An epidural, is often used throughout the U.S. to relieve pain during contractions and delivery without restricting the mothers’ ability to have control and strength to push the baby out. For an epidural, medicine is administered through a tube inserted by the anesthesiologist in the lower back. A mixture of anesthetics and analgesics can be included in the epidural for women who are delivering vaginally. The medicine will cause a loss of sensation in the lower extremities and the mother is still awake and alert. The epidural provides the needed pain relief for the mother to bear down to push the infant through the birth canal successfully. For women who are having a cesarean delivery, the anesthetic dose in the epidural can be increased. This type of epidural causes a loss of feeling in the lower half of the woman’s body. Epidural pain relief may also be necessary for some patients after delivery.

Why Is Proper Positioning Important For an Epidural?

The patient’s position is very important for the epidural to be administered properly, reduce the risk of side effects, and adequately reduce pain during labor. Nursing safety is also an important concern during patient positioning and epidural placement. There are two typical positions for the patient to be positioned in for optimal placement. First, there is the side lying position. In this position the patient should lay on their side in bed to allow the Doctor to access the spine. The second position is a sitting position at the edge of the bed leaning over a pillow with knees raised to create sacral curvature. The legs are typically raised by having the patient put her feet on a stool.  Medical staff will assist the patient to ensure she is in the correct position before and during the epidural block.

For maximum safety and secure positioning, the nurses can bring in an epidural chair. The epidural chair, also known as an EPD, or epidural positioning device makes it more comfortable for the patient and safer for everyone. The EPD ensures that the patients’ back is curved and they are fully supported without having to lean on a nurse! The EPD has a head rest, arm supports, a central pad that extend toward the patients chest to promote spinal flexion, and a foot plate for support. All these components are adjustable to fit the needs of each patient. Proper positioning of the body reduces the risk of error or complications when the epidural is placed.

Avoiding manual patient handling is important for nurses to remain safe during the Epidural procedure.  The EPD Solves this problem.  In the image below the nurse is supporting the patient and putting her neck back and shoulders at risk.

Stools that don’t lock can create unnecessary risks for patients and nurses.

The epidural is performed under local anesthesia using a sterile technique. When the nerves of the skin are numb from the local anesthetic, the epidural needle is inserted between the spine area of the lumbar vertebra to get to the “epidural space,” which is just outside of the spine. This space contains the spinal nerves and cerebrospinal fluid. When anesthetics are administered to this area, the pain of childbirth is reduced. Most of the time, epidural pain relief is continuous, which means the medical staff will place a soft, small catheter or tube into the epidural space with a needle. A sterile dressing is used to secure the tube to the patient’s back. This constant flow of medication is continuously administered to the patient during labor and delivery to reduce pain and discomfort.

What Are the Risks to the Patient?

Epidurals are generally safe, especially if the patient was sitting in an epidural chair to receive the medication. However, in some cases, patients can experience:

  • Nerve pain
  • Significant drop in blood pressure, which can cause nausea and lightheadedness
  • Itchy skin
  • temporary loss of bladder control
  • General sick feeling
  • Headaches

Once the epidural anesthesia begins to wear off, it is common for patients to feel numbness in their legs until the medicine has completely worn off, which can take a few hours. It is best for the patient to sit or lie down until feeling in the legs is restored. Patients will often feel tingling in their legs after the epidural is removed, but this symptom is temporary. Patients are advised not to operate machinery, consume alcohol, or drive for 24 hours after the epidural is removed.

How Does an EPD Reduce the Risk or Injury to Nurses Administering the Epidural?

An epidural positioning device not only makes medication administration more comfortable for the patient but also keeps nurses from sustaining work-related injuries, MSD’s. When a nurse has to statically hold the patient in position, support the patient or catch a falling patient, this could cause injury to the nurse. Using the EPD means that the patient is properly supported and in the ideal position every time. The EPD becomes a standard of care. Using the EPD that will position the patient comfortably so the nurse can provide effective care as efficiently as possible with the best possible outcome.

Epidurals are a safe choice for many women who want to manage the pain of labor and delivery. The procedure is recommended by Anesthesiologists for optimal pain relief.

Epidural Chair prevents injuries
CategoriesPatient Handling

Patients Can Feel Safer With The Epidural Positioning Device

by sphmedicaladmin

The Epidural Positioning Device, Positioning Patients Safety

What commonly comes to mind when you hear the word epidural is that someone is giving childbirth, and they need an epidural to help with the pain. For a mother in labor, an epidural provides anesthesia that creates a range of numbness from the patients navel to her upper legs.  This enables the patient to be awake and alert during childbirth, while allowing the patient to feel pressure.  However, labor and delivery rooms are not the only recommended place for epidural procedures. Patients also receive epidural treatment in general surgery and as an outpatient treatment in pain management clinics. Doctors use epidural injections to relieve pain during and after surgery and to manage chronic pain. Although epidurals help with the pain, many patients may refuse them. The primary concern or risk with an epidural is the concern about what could happen if the anesthesiologist does not insert the needle correctly. With the development of the epidural positioning device by an anesthesiologist, patients can feel safer and comfortable when receiving an epidural. The Epidural Chair, as its commonly known, helps keep their body in the proper position and stable during the procedure.

Conditions Normally Treated with Epidurals

Doctors commonly use epidural steroid injections to relieve pain associated with the following:

  • Degenerative disc disease is changes that take place over time as the discs in your spine began to break down. It can affect the surrounding nerves and cause pain.
  • Disc herniation is a condition that occurs when a disk between two vertebrae slips out of place, causing the surrounding nerves to become irritated and create extreme pain.
  • Osteoarthritis is a type of arthritis where the protective cartilage that cushions the ends of your bones wears down over time.
  • Radiculopathy is when the pain that travels to other parts of the body radiates from the spine caused by a spinal nerve and roots disease.

What is an epidural chair?

An epidural positioning device is an ergonomic stabilizing stand that can easily be adjusted to a patient’s body to provide them with enough support to keep them from moving during these common medical procedures. Anesthesiologists developed the EPD to position patients properly for correct placement and to reduce risk to caregivers. Before the availability of the epidural positioning device, caregivers had no choice but to position and hold patients manually, putting them at risk of a musculoskeletal disorder or other injuries. Patients were also at risk of falling off the bed or table! As the caregivers held the patients, the anesthesiologist would administer the epidural placement or spinal block and hope the patient did not move. If patients moved during the procedure, they were at risk of injury. Anesthesiologists were also at risk of being the subject of a lawsuit if something went wrong.

Benefits of the EPD:

  • Using an epidural positioner removes strain and injury risk to staff.
  • It allows the patient to be as comfortable as possible while preventing the invasion of their personal space than the traditional way caregivers positioned their patients.
  • The epidural positioner promotes bending of the neck, throat, and back area while keeping the person’s body stable.
  • The patient’s back remains immobile during epidural placement.
  • Reduces the risk of spreading infection throughout the facility.

With the epidural positioning device, caregivers can effectively position patients in operating rooms, labor and delivery suites, and other facilities where doctors perform epidurals and spinal block procedures.

Epidural Positioning Device and Thoracentesis

A more recent function of the EPD is that doctors are using it during thoracentesis procedures. Thoracentesis is the removal of excess fluid that has accumulated in the pleural space between a person’s lungs and the chest wall. The imaging department within the hospital typically sees these patients. A trained sonographer is tasked with positioning the patient and finding the correct intervertebral space to insert the needle. When preparing for the procedure, EPDs allow caregivers to position a patient to keep them stable and comfortable. Caregivers can adjust the machine to help support the patient’s chest, arm, head, and feet.

The epidural positioning device is suitable for operating rooms, labor and delivery suites, pain centers, or anywhere doctors perform epidurals. Because of the ability to adjust the device, it is ideal for patients of all body types and sizes.

EPD the Epidural Positioning Chair
CategoriesPatient Handling

Positioning Patients Safely with The Epidural Positioning Chair

by sphmedicaladmin

Positioning Patients Safely With An Epidural Chair or EPD

Are you tired of straining your back and arms? Do you have frequent musculoskeletal problems from attempting to hold patients in position? It’s time to let the Epidural Positioning Device (EPD) take the load off your neck, back, arms and wrists.

If you’re a nurse, nursing assistant, anesthesia tech, Nurse Manager in Labor and Delivery, or General Surgery this product is indispensable. It provides a secure, stable and comfortable support for patients who need an Epidural, spinal block, lumbar puncture. You might even be in the hospital imaging department holding patients in a similar position during thoracentesis. Imaging departments across the country are discovering that the Epidural Chair or EPD is a comfortable and ideal positioning device to support patients and avoid risk of injury to the ultrasound techs!

What Is an Epidural Positioning Chair?

Well, many think it’s a chair but the patient is really sitting on the bed or table. the EPD provides head, chest, arm and feet support for the patient. The EPD is a stable, portable device you can use every time you need to properly position a patient at bedside when preparing for epidural or spinal block. This occurs in many clinical environments both in and out of the hospital. For example, Epidurals are administered almost once per hour on busy labor and delivery floors. With the increase of total joint replacements we’re seeing even more spinal blocks being administered in peri-operative areas. They’re using the EPD too.

The old way of manually positioning patients is dangerous. Nurses are often asked to hold the patient in position and with heavier patients this presents an even greater risk to the nurse. You have probably tried stacking pillows, asking the patient to lean forward and arch their back. Then pushing a stool over to support their feet. You might even have your patient lean over a bedside table, but more than likely, that table has wheels that don’t lock and you’ve seen a patient more than once almost slip down to the floor! Now who is going to catch that patient? There’s a better way.

Using the Epidural Positioning Chair for Epidurals, Thoracentesis, Spinal Blocks and other pain management Treatments

Nurses, health care managers and health care facilities need a better solution, and the Epidural Positioning Chair provides it. It’s the standard of care used at leading hospitals to position patients for a variety of procedures without causing dangerous falls, sprains or injuries. It gives patients a more private, dignified way to receive a spinal block or other epidural therapy. Best of all, it makes your job as a caregiver safer.

The device is fully adjustable with a six-position armrest and 180-degree adjustable face rest. It’s easy to bring this device into operating rooms, labor and delivery rooms, pain clinics, birthing rooms, imaging departments, and physical therapy clinics. Keeping the EPD disinfected and clean is easy with disposable covers for the face rest.

Benefits of the EPD

  • Keeps patients stable by ensuring proper cervical, thoracic and lumbar flexion for stable alignment.
  • Allows you to position patients in a less intrusive, more private way.
  • Avoids injuries to health care workers.
  • Is wheeled for easy portability anywhere it’s needed.
  • Is fully adjustable to fit any patient.
  • Improves Patient Satisfaction

Thoracentesis has become a regular procedure both before during and after the COVID-19 epidemic. The epidural positioning device makes it easy to manage this predictable and frequent procedure. According to Mark E Brauner, DO Thoracentesis is generally performed with the patient sitting at the edge of the bed and leaning forward with arms resting on a bedside table. Side lying positions are reserved for those patients unable to sit. Our ultrasound techs need a safe work environment as well! The EPD provides safe support for patients who may experience syncope from a vasovagal response during thoracentesis.  Leading Pulmonologists at the City of Hope Medical Center in California are using the EPD for all Thoracentesis procedures.  The Techs and the patients love it too.

Studies on pregnant women receiving an epidural found women felt more comfortable and secure when their health care providers used a positioning device. Patient satisfaction went up substantially when compared to patient satisfaction when the women received treatment without the device.

Keeping our Healthcare Workers Safe

Back Injuries, Strains and other MSD’s are a serious concern among health care workers. According to the Association of Perioperative Registered Nurses (AORN), half of all nonfatal occupational injuries experienced by perioperative nurses are musculoskeletal and more than a quarter of these are back injuries.

The average preoperative room is a high-risk area that can cause many injuries to staff:

  • Shoulder, back and lower leg sprains from lifting patients.
  • Trips and falls from cords, wires and slippery floors.
  • Muscle strains from pushing around heavy equipment.
  • Leg and back strain from hours of constant motion.
  • Neck and Back injuries from frequent and predictable lateral transfers.

The EPD addresses many of these issues. It’s no wonder the device has become standard equipment in leading hospitals including Duke University Hospital, John’s Hopkins, Mayo Clinic, Kaiser Hospitals and VA Medical Centers.

This device is a win for everyone, and it will soon become an invaluable member of your L&D, perioperative, or Imaging team.

Please contact SPH Medical for more information or to request a quote.

If you’re ready to improve patient and staff safety this device can make an immediate and positive impact. SPH Medical is a national organization focused on Nursing and frontline caregiver safety.

CategoriesPatient Handling

Positioning Patients Safely with EPD

by sphmedicaladmin

Keeping Patients Safer and Reducing Injury to Caregivers

When it comes to positioning patients safely and reducing the possibility of injury to caregivers, the medical community has continually adopted new technology. The EPD is no different. Known formally as an epidural positioning device, this medical technology is successful in positioning patients safely for various procedures.

Most popularly used to position a patient for an epidural procedure, the epidural positioning device has provided many benefits for users and caregivers alike. The first and most obvious benefit is that this epidural positioner works to properly position and support a patient for a successful procedure.

Traditionally, the caregiver had to position the patient for this procedure manually. This puts the caregiver at risk for injury or MSD.  The National Institute of Health breaks down the risks of workplace injury to Nurses who work on a Labor and Delivery unit.  One of the known high risk tasks for nurses identified by NIH is assisting with epidural procedures.  The best way to reduce risk of injury is to either modify the task or implement engineering controls so that the risk is removed. The EPD or Epidural Positioning Chair solves these manual handling problems. In addition, manual handling allows for less accurate positioning and more risk for complications during the procedure. Once the benefits of EPD were discovered by nursing staff and patients, its use expanded to support spinal blocks, lumbar puncture, and thoracentesis procedures in the imaging or ultrasound department.

Expanded Use For General Surgery

With the success of the epidural positioner for childbirth assistance, anesthesiologists have utilized this device for different types of spinal blocks. A spinal block is, essentially, spinal anesthesia that is used to numb the spine during certain procedures. The most common procedures for a spinal block include urinary tract, genital, and lower body procedures including total knee replacements.

Since a thoracentesis procedure requires inserting a needle into the pleural space, the EPD is a much-appreciated tool. The patient positioning with this device allows for an open area between the lungs and the chest wall where the surgeon can remove excess fluid to allow the patient to breathe significantly easier.

What Are The Benefits of The Epidural Positioning Device

As you’ve learned, the epidural positioning device has been employed in various types of medical procedures. From starting as a better way to positioning patients safety during an epidural procedure to being employed more recently in thoracentesis procedures, it’s very clear that this medical device offers many benefits for its users.

Manual epidural positioning is typically achieved with a chair and pillows. The caregiver would position the patient’s feet on a chair or stool. They would then place pillows underneath the patient’s upper body as they placed their weight on the pillows.

This isn’t a solid foundation as pillows can easily move out of position, and the height of the chair or stool is likely not ideal for all patients. The epidural positioning device comes with a solid foundation that won’t move. It can easily lock into position and offers adjustable foot platforms so that each patient can be in an ideal position for the procedure.

Eliminates Injury Risk To Caregiver

In Pre-Ops, ORs, and throughout other areas of the hospital, caregivers are manually positioning patients for epidural-like procedures. The typical scenario requires the caregiver to steadily hold a stool, table, and patient with their entire body throughout the procedure. This ensures the patient doesn’t move, resulting in patient injury.

Assisting the patient in holding the ‘mad cat’ flexed spine position puts the caregiver in an unhealthy position. This position can lead to musculoskeletal injuries for caregivers. In fact, hospital ergonomic teams have identified that these static holds, performed on a regular basis, can lead to musculoskeletal disease in caregivers.

Reduces Risk Of Complications

Given the unique, taxing nature of patient positioning during spinal blocks and epidural procedures, there is a high risk of complications. Without a reliable, ergonomic solution, like an epidural positioning device, caregivers are us

ing their own body positioning to hold the patient fast.

The patient, on the other hand, is relying on pillows to hold their positioning. As the pain sets in from the procedure, patients are very likely to move involuntarily. This further increases the risk of the procedure being compromised as the needle is not inserted into the spine’s proper place.

An epidural positioning device provides a solid positioning for patients. This positioning allows the caregiver to rely more on the device than their own body weight to hold the patient in the ideal position for the procedure. Overall, these benefits greatly reduce the risk of complications during epidurals and spinal blocks.

CategoriesPatient Handling

Promoting Staff and Patient Safety with an EPD

by sphmedicaladmin

Patient Safety with an EPD

Invasive procedures involving conscious patients are tricky. It can be difficult for a patient to maintain a static position during this important procedure. A sudden movement from the patient may cause unnecessary pain and discomfort. To reduce the risk of improper epidural placement and to eliminate the manual handling of the patient by the nurse, SPH Medical can improve overall safety and efficiency with an EPD.  One might not see an epidural placement as involving manual patient handling but this common procedure puts nurses and patients at risk every day. The strain of bearing a patient’s weight when holding them in position and applying counter pressure can cause neck shoulder and even back injuries to nursing staff.  Nurses and nursing assistants are twice as likely than other professions to deal with musculoskeletal disorders or MSD’s that keep them out of work.

Improving Epidural Placement

An epidural is a common way for an anesthesiologist to provide pain relief during labor and delivery. The doctor delivers a shot that goes directly into the space near the patient’s spinal cord. In some cases, patients receive a spinal block. In this case, a catheter delivers a regular stream of anesthetic to prevent pain for prolonged labor or surgical procedure.

To ease the procedure for both the doctor and the patient, it is best to have the patient in a position that opens the spinal vertebrae. In the past, staff would accomplish this by laying patients on their sides.

However, it is more effective for patients to sit upright and bent forward with a curved spine. Without the right equipment, holding this position might involve a staff member giving physical support. With an epidural placement device, or EPD, the patient can sit naturally and comfortably through the procedure.

How an EPD Works

When medical staff members are trying to get a patient in the proper position, they might use a surgical tray or bedside table and a footstool. When you are using equipment for a task for which it was not designed, there is an increased risk of tipping and injury.  Also, patients come in different shapes and sizes.  A shorter patient will need a higher footstool and lower bedside table tray to obtain the proper curve of the spine.

An epidural positioner is a safe patient handling device designed specifically to perform this task. The standard model has an adjustable headrest and armrests that support the upper body, and adjustable footrests keep the lower body at the correct angle. Once everything locks into place, the sturdy device handles the weight of the patient. When an anesthesiologist gives an epidural or spinal block, he or she can rest assured that the patient will be still and well-supported during the procedure.

Additional Uses

As more anesthesiology departments began to adopt the use of an epidural positioner, other medical specialists saw potential applications. The same position that aids the placement of an epidural is also helpful during thoracentesis.

Imaging departments often carry out this procedure to treat pleural effusions. When there is liquid in the space between the lungs and chest wall, it makes breathing difficult. Guided by imaging equipment, a medical staff member inserts a hollow needle between the ribs of the patient to relieve the pressure and collect samples.

Once again, this is a procedure where the patient must stay in one position for an extended period. Using the epidural positioner helps separate the patient’s ribs and makes it easier to perform the insertion. The patient can stay in place without discomfort or requiring support from the staff.

Safety for Both Staff and Patients

At SPH Medical, we specialize in solutions that improve patient care and reduce risk of injury to both the patient and the caregiver. Procedures like an epidural or thoracentesis are more efficient and less stressful for patients when they are properly positioned.  Safe patient handling procedures prevent unnecessary staff injuries and lost time. For institutions, this leads to an overall reduction in frequency and severity of MSD’s to a very skilled workforce, our nurses.  Investing in Safe Patient Handling provides a well documented return on investment for everyone.  Having access to the proper assistive equipment means improved patient outcomes, and lower costs for the hospital.

CategoriesPatient Handling

Patient Positioning During Thoracentesis Solved

by sphmedicaladmin

Major Advancements in Safe Patient Positioning during Thoracentesis

Over the past two decades we have seen major advancements in patient care. This includes many new Safe Patient Handling Solutions developed to help our nurses and caregivers avoid the risk injury. Manual patient handling is one of the leading causes of back injuries for nurses. Many States have put laws in place to mandate that hospitals have a Safe Patient Handling program. This includes evaluating all inpatient units for high risk tasks that involve lifting, pushing, pulling, or prolonged static holds. Then the hospital should evaluate solutions to mitigate the risk. Here we are in 2020 and manual patient handling has not been eliminated yet!

We have been receiving phone calls from hospitals around the country describing a very common procedure. It is putting their ultrasound/imaging team at risk of injury on a daily basis. The procedure is called Thoracentesis and the issues are patient positioning during Thoracentesis.

Thoracentesis is also known as thoracocentesis or pleural tap. It is an invasive procedure to remove fluid or air from the pleural space for diagnostic or therapeutic purposes. A cannula, or hollow needle, is carefully introduced into the thorax, generally after administration of local anesthesia.

One Ultrasound Manager at leading hospital found our website and the EPD – or Epidural Positioning Device. She contacted us and thought this would be perfect for their situation.

Here’s a brief description:

This hospital sees both inpatients and outpatients for Thora’s (That’s short for Thoracentesis). They’re performing about 3-6 procedures per day, seven days a week.

A Nurse or LPN helps assist to position the patient. The patient is seated on a gurney or table. The Nurse brings over a stool to support their feet. Then moves a bedside tray table over in front of the patient. Next they stack the table with pillows so the patient can lean on it comfortably. But, the table does not lock and it is a tip hazard!

We found this reference card on the web describing the old fashioned manual positioning of patients during Thora’s

thoracentesis Nursing Care Patient Prep

Which patients are getting Thoracentesis? There are many types of patients with varying diagnoses that need to undergo this procedure. People get “plural effusion” which is fluid around the lungs. A large number of patients are cancer patients but many are also heart and infections.

Thoracentesis Procedure

Thoracentesis procedure

How are we solving this predictable procedure and all the manual patient handling – static holds, fall risk, etc? The SPH Medical Epidural Positioning Device is the key. It was designed by an anesthesiologist to help position patients properly and to open up the spine for ideal needle placement of an Epidural or Spinal Block. It has now become the standard of care for L&D and surgery departments. Now the Radiology/Imaging department has discovered it and we’re helping the ultrasound team and Pulmonologists position patients safely and efficiently.

We have few photos from a recent customer that has implemented the EPD. Here are the before and after photos. Please feel free to Contact us for more information about the EPD and Thora’s. We would be happy to connect you with to our customers who are now using the EPD for all of their Thora’s and creating a safer environment for their staff and patients.

Thoras Before

A Typical Thoracentesis set up with a stool and non-locking tray table with pillows.

Thoras After with EPD

Now with the EPD – Ergonomic patient positioning that supports the patient safely and eliminates manual handling!

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