Epidural Positioning Chair in Labor and Delivery
CategoriesPatient Handling

Leading Epidural Safety

Patient and caregiver comfort and safety are at stake when performing spinal blocks before ortho surgeries and epidural placements for expectant mothers. These tasks are so common place in the Pre-Op area of the surgery department and on labor and delivery floors that nursing staff and nursing leadership often don’t consider the risk to their staff and patients.  Safety can be dramatically improved by using the original epidural positioning device. The device provides epidural safety by allowing nurses to position their patients restfully and properly, encouraging lumbar, cervical, and thoracic flexion.

What is an Epidural Positioning Chair?

Epidural positioning chairs came into existence about two decades ago. Invented by a renowned anesthesiologist, these chairs took some inspiration from modern-day massage chairs but have been designed to work in the clinical environment.  They’re created to offer stability, comfort, and accurate positioning in mind.  The chairs are used to ensure correct patient positioning during many different types of procedures. The chairs are widely used to position patients of size and obstetrics, increasing their comfort and safety.  The EPD or epidural positioner offers adjustable arm supports, a tilting and adjustable cushion for the face and head, and chest cushion that provides support and promotes the optimal flexion.  For patients using the EPD, their body position is stabilized which minimizes risk of errors by the anesthesiologist.  We’re finding new uses for the EPD in other areas of the hospital to support patients like the imaging department for Thoracentesis.  The adjustability of the EPD makes it adaptable to many different healthcare settings.

Where Is Epidural Positioning Device Used?

The device is primarily utilized in labor and delivery unit, pain centers, operating rooms, labor rooms, and surgery department units. The device has a variety of uses in the surgery department and also the device is used in medical centers where spinal and epidurals are conducted.  The EPD is the revolutionary alternative to manual positioning, which offers less stability, increases complication risks and puts staff at risk when trying to support or hold a patient in position.  The benefits of the device in departments such as labor and delivery unit where is often utilized have been measurable. The busy surgical department uses the device to prep patients for common ortho surgeries with spinal blocks, while nurses on the labor and delivery unit use it to position patients for epidural placement.  As mentioned above, the EPD has also found its way over to the imaging department where Ultrasound technicians are responsible for prepping patients for Thoracentesis.  The EPD is quickly becoming the standard of care in all three of these hospital departments.

What Are the Benefits of Epidural Safety?

Caregivers and nurses use epidural chairs in preoperative environments to position patients properly and seamlessly position their bodies steadily and comfortably. Unlike the manual task of positioning patients for a spinal block or epidural, which require holding stools or patients steadily so they don’t move an inch which clearly increases risk of injury to the caregiver, an epidural chair is comfortable and ergonomic. With these chairs, the risk of musculoskeletal injuries is significantly reduced by allowing the EPD to provide the support, not the nurse.  The following are the main benefits of using epidural positioning devices for epidural positioning.

  • The epidural chairs minimize strains, sprains and risk of musculoskeletal injuries
  • They encourage thoracic, lumbar, and cervical flexion, maintaining a stable and comfortable position
  • It maximizes patient comfort while some safe distancing for staff
  • Correct positioning increases the potential for needle placement accuracy, minimizing the risk of complications.
  • The EPD improves patient confidence, security, and satisfaction

Features of the Epidural Positioning Chair – the EPD

When considering the epidural positioning chair, you should consider the following features

  • Well-designed and portable with wheels that easily lock in place
  • A comfortable and adjustable face rest designed to attain and maintain perfect cervical flexion
  • Ergonomically designed armrest to offer enough stability and comfort to a patients’ arms
  • Lightweight and stable design
  • Adjustable and relaxingly designed footrest
  • 600lb weight capacity
  • Adjustable torso support to offer quality thoracic and lumbar flexion

The possible applications of epidural positioning chairs and the benefits the EPD can deliver to a healthcare facility are numerous. Patient and staff injuries and high risk of complications have been common issues medical facilities deal with regularly. With these efficient and effective positioning devices in place, the staff injury cases have been virtually eliminated while patient complications have significantly reduced. For the industry leading EPD used for Epidurals, spinal blocks and thoracentesis, along with any other safe patient handling to reduce workplace injuries, healthcare facilities must contact SPH Medical.

The Epidural Positioning Device for safety
CategoriesPatient Handling

How to Improve Staff Safety During Epidurals and Spinal Blocks

When most people think about the effectiveness of modern healthcare, they think about innovative robotic surgeries or new medications. While these advancements certainly are relevant, they are not the only advancements that improve patient outcomes and increase staff safety during epidurals or procedures. One of the most recent innovations is an epidural positioning device.

Known more commonly as an EPD, this device is designed to provide better support for patients during the administration of an epidural or spinal block. An epidural positioning chair is most likely to be employed by an anesthesiologist and nursing staff to provide optimal spinal, lumbar, or cervical flexion. The patients will also see direct benefits.

The need for proper positioning relates to how an epidural is administered. The epidural injection occurs in the space between the spinal column and outer membrane of the spinal cord also known, as the epidural space, in the mid to lower back. The flexed spine position opens up this space. Epidurals are perhaps best known as a tool for pain control or analgesia during labor and delivery. Spinal blocks are similar procedures. However, a spinal block is a single shot in the dural sac. The relief is fast and effective. That is why a spinal block is common in general surgery.

Staff Safety During Epidurals wit the EPD

Despite the large volume of these procedures, the process of positioning patients today remains a manual and risky process for nursing staff during epidurals. Traditionally, patients must be moved in either a side lying position or leaning over a woefully unstable bedside table with pillow to enable spinal flexion and to provide access to the spine. Often, nursing staff must manually position patients and hold them in place. This requires a lot of manual static holding, counter-pressure, and other manualManual Handling Patients during Epidural pushing and pulling, which puts the support staff at risk of a musculoskeletal injury. Over time, this can lead to muscle or joint disorders that cause long-term impairment or pain. The risk to staff is often overlooked on the Labor and Delivery unit where nursing injuries are increasingly problematic for both employees and costly for hospitals.

Moreover, this process can be quite uncomfortable for patients. The idea of getting a shot in the spine can already be unnerving for some patients. The manual process of being held in place can increase any associated anxiety. Plus, since the process is done manually, there is some risk of movement or error. Patients often have higher comfort levels when they feel stable, properly supported, and secure.Improve Patient Safety with EPD

In this manner, the EPD solves problems from both ends. With an epidural positioning device, patients can be properly positioned without manual patient handling that puts nurses at risk of injury. Instead, patients are comfortably positioned with adjustable arm rests, a face rest and a foot plate so they can comfortably remain still while the anesthesiologist has direct access to the spine. Patients are far more comfortable, and the risk of injury to staff is dramatically reduced.

Epidural Positioning Chair

The applications for the epidural positioner are vast. They can easily be incorporated into the labor and delivery unit for expectant moms. The EPD has also gained a great deal of popularity in surgical departments across the globe. These positioners can be used to help patients prepare for common joint replacement surgeries where spinal blocks are a normal part of the standard of care.

Now, the positioners are even being purchased for use in imaging departments. There is a growing consensus that the use of a positioner can be useful during a thoracentesis. This unique procedure requires the doctor to insert a needle through the chest wall. The needle is then directed to the space between the lung and the chest wall. In some conditions, fluid can accumulate in this area. This is known as pleural effusion, and it can make it difficult to breathe. A thoracentesis, therefore, will ease the pressure on the lungs while also making it easier to diagnose the cause of the fluid buildup.

The EPD Providing Staff Safety

Given the precise positioning needed to complete a delicate procedure like a thoracentesis, the use of a positioner has obvious benefits. It is easier to get the patient into the correct position, and the positioner ensures that the patient does not shift or move during the procedure. When the process involves the use of needles in a sensitive area, secure precision is preferable.

In the end, medical advancements come in all shapes and sizes. While a positioner may not seem as dramatic as some breakthroughs, the benefits of the Epidural Positioning Chair cannot be overstated. To improve staff safety during epidurals and to increase patient comfort, the advantages make a clear argument for increased usage and broader implementation. New applications are continuing to be discovered, and it is clear that the EPD deserves a place in hospitals worldwide.

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