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Nurses are still getting injured while catching a falling patient. Use the EPD for improved safety during epidurals.
CategoriesPatient Handling

Safety Standards Improved During Epidurals

by sphmedicaladmin

Epidural positioning devices are making it much easier, more comfortable, and safer for patients while also improving safety for and medical professionals during epidurals or spinal blocks. Whether it’s a soon-to-be mother in the labor and delivery unit or a patient being prepped for a total knee replacement in the surgery department, an epidural chair can make all of the difference.

What is an Epidural Positioning Device?

Known as an EPD for short, this medical device is intended to help optimally position a patient in the ideal position to administer spinal anesthesia. The epidural chair places patients in a seated, well-supported, forward leaning position to promote easy access to the lumbar, thoracic, and cervical areas of the spine. It provides an adequate level of support for patients of all different sizes and weights. This flexed spine position enables optimal access for the anesthesiologist.

What Makes an EPD Great for Patients Epidurals and Spinal Blocks?

Patients who opt for epidural pain relief can greatly benefit from having their epidural administered while they’re in an epidural chair. Traditionally, patients are supported via a stack of pillows propped up on a bedside table with wheels that don’t lock and are held in place by nurses. While this offers some level of support, patients feel more comfortable being supported by a solid chair structure.

If a patient faints or moves unintentionally, without using the EPD, the nurse has to catch the falling patient. The epidural chair provides the necessary safety and support for the patient and eliminates the manual handling required by nurses. Of course the EPD prevents them from falling to the floor and become injured. This makes using these chairs the best way to offer optimal safety for patients who are undergoing an epidural in the labor and delivery unit or a spinal block in the surgery department.

How are EPDs Beneficial to Medical Staff That Perform Epidurals?

Traditionally, patients who need to undergo epidural pain relief will require multiple nurses to hold them in place during the procedure. Nurses have to bear the weight of the patient and be capable of quickly responding to any unexpected responses, like fainting or jolting movements.

This puts nurses at risk for minor and severe musculoskeletal injuries. An epidural positioning device works to take that strain off of the nursing staff and allows the chair itself to support the majority of the patient’s weight. This means fewer nurses are needed to handle the patient during this particular medical procedure. The fewer nurses involved, the more efficiently the nursing staff can work to provide patient care to all patients on the unit. The EPD provides a new standard of safety in the hospital. With the EPD nurses can work more efficiently in a repeatable process that improves both nursing safety and patient safety.

More Epidural Pain Relief Will Be Requested by Patients

As researchers commonly pour through statistics to learn more about spinal anesthesia techniques and trends that lead to improved patient outcomes, one fact has become increasingly clear. According to a published medical article in Anesthesiology, the number of women who opt for epidurals during delivery has increased significantly by 10% from 2008 to 2018.

It’s commonly thought that the rise in patient education about the birthing process has led many pregnant women to ask for this form of spinal pain relief. As education levels continue to rise, it’s predicted that the percentage of women opting for epidurals during delivery is going to increase even more.

With more epidurals being requested for birthing deliveries and spinal blocks for specialized ortho surgeries, it’s more important than ever before to invest in an EPD. This medical device will go a long way in creating a safer environment for both your patients and nurses alike.Improve patient safety with EPD

CategoriesPatient Handling

Safe Positioning During Epidurals

by sphmedicaladmin

Epidural Pain Relief: Positioning Device

An Epidural Chair is a positioning device that helps keep patients and nursing staff safe. The EPD provides safe positioning during epidurals by reducing risk of injury and providing a comfortable and stable position throughout epidural or spinal block injections and other similar procedures. The EPD is a massive improvement over manual positioning techniques, where nurses would provide an unstable bedside table with a pillow to lean on and then somehow position the patients feet on a stool or chair. The old fashioned manual handling method of positioning patients presents many risks to staff and patients that the Epidural Chair solves with ease.

The EPD is a revolutionary, modern patient positioning device that can typically be found in three hospital departments including Labor and Delivery, Surgery, and Imaging. In the Labor and Delivery unit expectant mothers are positioned safely for an epidural injection to reduce the pain of labor and childbirth. The surgery department is using the EPD for Spinal Blocks which are now commonplace for ortho surgeries. Those patients about to undergo surgery for a total knee often get a Spinal Block and the hospital staff are faced with positioning them safely just like the L&D patients. The imaging department is typically using the EPD to position patients during Thoracentesis; a procedure that involves draining the plural cavity between the lungs from excess fluid. In all cases the Epidural Chair provides a stable and comfortable platform that improves staff safety by removing the manual handling, positioning, and static holds. It also prevents unexpected reflex movement and spinal block by using the device’s adjustable features.

Importance of Safe Positioning During Epidurals

Proper positioning involves properly maintaining a neutral body alignment and flexed spine position to open up the vertebral spaces to enable correct needle placement while avoiding unexpected patient movement.

Stable, Comfortable, and Safe

Preparing for childbirth or a joint replacement can’t be described as comfortable. However hospital staff try their best to make patients feel comfortable and safe. In the past the nurse assisting the patient would be doing all patient care tasks manually, meaning that they would be pushing, pulling and holding patients to achieve the proper positioning. Now nursing and anesthesia technicians have the EPD. The EPD provides a stable platform for the patient to lean on and hold rather than the nurse.  It improves patient comfort with the soft padded surfaces and reduces patients’ anxiety. Patient safety and staff safety are improved with the SPH Medical Epidural Chair.

Maintaining Patients’ Dignity

As patients are getting larger and heavier hospital staff are faced with patient care tasks that put them at risk of injury.  Often times patients of significant size feel self conscious about their weight and the need for extra hospital staff to assist them compared to normal sized patients. Using the right type of assistive tools like the SPH Medical EPD. The EPD has a 600 lb weight capacity enables nursing staff to use one standardized device for all patients and provides safe positioning during epidurals.  It no longer has to be an exception or all hands on deck call to other staff members to come and help support this patient. The use of the EPD can improve a patients’ sense of dignity and satisfaction about the care they received in the hospital.

Maximum Visibility and Access

The EPD helps the patient achieve the optimum position for needle placement and reduces the risk of complications below.Improve Patient and Nurse Safety with EPD

Risks to the Patient

Epidural injections are typically safe, but they have certain side effects that affect people differently. The side effects include:

  • Low blood pressure. Your blood pressure may fall slightly after having an epidural. In some patients, the situation escalates, increasing the odds of other dangers to a subject.
  • Inadequate pain relief. The injection may not block your pain entirely.
  • Breathing problems. This is common in patients with respiratory-related complications.
  • Temporal nerve damage. Though uncommon, the needle can damage the nerves when handled wrongfully.
  • Infections. They are primarily skin-related conditions around the injected area.

The EPD Provides Safe Positioning During Epidurals:

  • Patients’ Fear and Anxiety resulting in sudden movements.  Nurses supporting a patient manually are at risk of injury when a patient makes a sudden movement in the wrong direction.
  • Holding or supporting patients – ie static holds
  • Applying counter-pressure
  • Trying to hold onto a patient and the bedside table and a stool all at the same time
  • Catching a falling patient

Transmission of infections is a concern in hospital and surgical departments. Hospital staff have infection prevention nurses that develop evidence based plans for the hospital and every department. Using an EPD has been an essential tool during the era of COVID-19. It allows for a fewer nurses to provide safe positioning during epidurals with minimal contact and it is easily cleaned and disinfected.

SPH Medical and Safe Positioning During Epidurals

In conclusion, the Epidural Positioning Device, or Epidural Chair, is a valuable if not essential tool that can improve both patient safety and nursing safety in multiple hospital departments.

Improve Epidural Safety with the EPD
CategoriesPatient Handling

Equal Safety for Patients and Nurses During Epidurals

by sphmedicaladmin

The epidural positioning device is used in Labor and Delivery Unit to improve the positioning of patients during epidurals and in the surgical area for spinal blocks. Its main function is to provide support for the patient during the procedure and to minimize risk of injury to the caregiver. Epidural pain relief provides comfort for patients by reducing back pain by positioning them properly. It also helps in increasing the speed and accuracy of epidural injections. The device can be used in sitting, reclining, standing, or lying down.

Risks of Epidurals and Spinal Block Procedure to Patients

The surgery department is using the EPD to position patients for Spinal Blocks. Surgeons are now opting to use Spinal Blocks for their patients and many common surgical procedures due to the fast recovery time. Perioperative staff are now busier than every administering them. In addition to the manual patient handling required by surgical staff to position patients without them moving suddenly, Spinal Block procedures involve many risks to patients. These risks are often caused by wrong positioning during the procedure. Patients can be positioned in any way. However, if they are not placed correctly, there is a risk of injuring some parts of the body, like nerve endings and blood vessels that transport oxygen to different parts of the body.

The risks include:

a) Nerve damage

Injury to nerve endings is the most common problem during epidural injections procedures. The damage can cause numbness and pain in patients’ legs, arms, or spine.

b) Blood vessel damage

Direct injury to blood vessels that provide oxygen to different body parts occurs by wrong positioning during the procedure. The damage can cause problems with blood flow and lead to severe medical conditions.

c) Back pain and discomfort

Inaccuracy of injections can cause back ligaments, tendons, or muscle tissues. This may lead to severe pain in these parts. There is a risk of injuries if patients lie down while they get epidurals instead of sitting upright position where weight distribution favors the accuracy of epidural needle placement.

d) Procedure time increase

Incorrect patient positioning during the procedure causes slow speed and accuracy in injecting medicine into the body or blocking the spinal cord. It increases the actual procedures time, which hospitals have to pay more money for longer treatments, which is mostly not affordable.

Benefits of Proper Positioning During Epidurals

The use of epidural positioning device in the surgery department helps position patients precisely so that the risks associated with incorrect positioning and stability are minimized.

The benefits of using this device are:

a)Increased accuracy of injections

EPD helps properly place an epidural needle into the spinal cord, which results in more accurate injections. This means a faster procedure with less pain and discomfort for patients.

b) Reduced back pain

The device helps in reducing back pain and discomfort by comfortably positioning patients. It makes the procedure less painful for them, and they can relax during the treatment.

c) Reduced risk of nerve and blood vessel damage

When patients are positioned correctly with the epidural chair, there is a reduced risk of injuring nerve endings or blood vessels. This decreases the chances of injury that might cause numbness, pain, or lesions.

d) Reduced procedure time

The device helps reduce the duration of epidural injection procedures by increasing the accuracy of injections. It reduces costs for patients as the hospital will not charge them more money for more extended treatment. Also, it is beneficial from hospitals’ point because they don’t have to pay more money for more lengthy procedures.

e) Improved patient comfort and satisfaction

The use of epidural positioning device during epidurals provides the maximum possible comfort level for patients during the procedure. The epidural pain relief device improves patients’ overall experience with this treatment to be satisfied with it. Also, increased injections accuracy helps them reduce back pain and discomfort, which makes them feel better during the treatment.

Risks to Nurses

Nurses are also at risk during both the epidural and the spinal block procedures if the patient is not positioned correctly and supported well to avoid movement.
Some of the risks to nurse are:

  • Back pain and discomfort
  • Neck and shoulder pain
  • Strains and Sprains
  • Severe musculoskeletal injuries that affect their ability to work in the future
  • Carpal tunnel syndrome. This is a condition where the nerves around the wrist get compressed and results in pain, numbness, and tingling sensation in the fingers.

Nurses Leaders are recommending that their nurses should use the EPD to minimize these risks and provide better patient care. The device helps in the safe and accurate positioning of patients, which reduces the chances of any injury or discomfort. It makes their job easier, and they can provide better care to patients with less risk.

The epidural chair helps in improving safety and comfort for patients getting an epidural injection in the surgery department. It helps reduce back pain and discomfort by positioning patients correctly, improving procedure time by increasing the accuracy of injections, and overall patient satisfaction.

The EPD should be appropriately used to avoid risks related to incorrect patient positioning. Nurses in the labor and delivery unit can also use this device to position themselves correctly while working so that they are less likely to get injured during the procedure.

The EPD improves nursing and patient safety
CategoriesPatient Handling

Staff Safety During Epidurals and Spinal Blocks

by sphmedicaladmin

No Room for Error When It Comes To Staff Safety

It’s hard to imagine health care without anesthesia or analgesia. Even after 175 years, they’re a medical marvel that no one takes for granted. Technology and innovation may evolve at lightning speed, but there are still no shortcuts during epidurals and spinal blocks. Whenever anesthetists place a needle in a patient, they summon all their knowledge, training, skill, experience and powers of concentration. Where the spinal cord and nerve roots are concerned, there’s no room for error. Simply put, if epidural placement is inaccurate, pain is the least of anyone’s worries.

Positioning the Patient: What’s the Problem?

There’s more to getting pain medicine to the right place than most people realize. Before the needle can be positioned, the patient must be positioned. That’s almost always easier said than done, especially when the patient is elderly or feeble, has difficulty following instructions, or outweighs the assisting nurse. That last scenario is quite common and highly problematic.

In 2016, according to the U.S. Bureau of Labor Statistics, nurses were injured on the job at a significantly higher rate than full-time workers in other occupations. Fifty-one percent of injuries involved muscle strains, sprains or tears, and more than a fourth of those were back-related. The average recovery time away from work was seven days.

Work-related MSDs, or musculoskeletal disorders, are injuries caused by lifting or overexertion. In 2016, MSDs accounted for a whopping 44 percent of RNs’ occupational injuries.

Needless to say, if nurses go down, the whole system goes down. Maybe you’ve never given or received epidurals and spinal blocks. If not, you’re probably thinking, “How hard can it be to tell a patient how to sit?”

Well, it’s a little like telling a ballerina to hold a picture-perfect arabesque while the photographer tries different angles.

That’s an extreme example, but the point is this: Patients are asked to assume an unnatural position and sustain it throughout a tricky procedure that can’t be rushed. Incredibly, some rather primitive methods are still employed.

The Perils of Manual Positioning

To achieve the ideal position, it’s not uncommon for staff members to prop up patients on rickety bedside tables and unwieldy pillows. Nurses and anesthesiologists who lack state-of-the-art equipment must be resourceful.

With any luck, the bedside table won’t collapse or tip. Hopefully, the pillows won’t slip to the floor with the patient close behind. Women receiving epidurals before hard labor, even those who avoid injury, are in no mood for such nonsense. The assisting staff member could easily become the next patient.

Given all the things that could go wrong with manual positioning, it’s easy to see why EPD use is becoming more widespread.

The Epidural Positioning Device

For epidurals and spinal blocks it is necessary, the EPD (epidural positioning device) is a godsend. The design takes several things into account:

  • Ease and accuracy of epidural placement.
  • Patient stability and comfort.
  • Weight support up to 600 pounds.
  • Portability.
  • Staff safety.

The epidural positioner is not just a luxury item any more than a seat belt is a nice accessory for a car. EPDs make it easier for anesthesiologists to do their job. EPDs keep nurses healthy and on top of their game. EPDs help patients receive first-rate care with optimal outcomes. Given all those benefits and more, EPDs are increasingly considered necessary.

The Epidural Positioner in Thoracentesis

EDPs are widely used in labor and delivery, surgery and orthopedics. They are even useful in radiology departments.

Thoracentesis, also known as pleural tap, is a procedure to remove excess fluid in the lungs. A little fluid is appropriate for lubrication; it keeps the membranes involved in breathing from rubbing together. However, too much fluid interferes with lung capacity. Labored breathing and pain result. Excess fluid can also interfere with imaging or diagnosing disease.

In any case, thoracentesis also requires careful patient positioning and needle placement. During Thoracentesis patients must be supported in a comfortable position over a prolonged period while drainage occurs. Radiologists and their imaging teams are thankful for the EPDs that make their jobs easier and prevent injuries.

The uses and benefits of the epidural positioner become more apparent all the time. This is one innovation that will be around for a while.

https://www.bls.gov/opub/mlr/2018/article/occupational-injuries-and-illnesses-among-registered-nurses.htm

CategoriesPatient Handling

Epidurals and Spinal Blocks

by sphmedicaladmin

Most Common Use of Epidurals

There are many times when a patient wants to be or needs to be awake during surgery. The classic case is the Caesarean section when a mother cannot have her child vaginally. She wants to see and hold her baby the moment it’s born. This procedure is possible with the use of an epidural block. By injecting numbing medication into the epidural space just above the spinal cord, the woman can have surgery and not feel pain. And she can hold her baby. The most common use of epidurals is to relieve pain during labor when combined with CBD.

In order to understand what happens in an epidural or a spinal block, you have to know a little about the anatomy of the spinal cord and the coverings of the cord, called meninges.

Anatomy

The spinal cord itself is a long rope in which the fibers are neurons. The cord gets smaller as it gets farther away from the brain. This is because the neurons leave the cord and go out to innervate various body parts.

The meninges are fibrous coverings over the cord to protect it and keep the cerebrospinal fluid inside. The CSF circulates from the brain down along the cord.

There are three layers that cover the cord. The pia mater is the one next to the cord. It is covered by the arachnoid mater, which, in turn, is enclosed by the dura mater.

The pia mater adheres to the cord tightly. It runs up into the brain, following the gyrae and sulci and carries the blood vessels that supply the cord.

Above the pia mater is an open space called the subarachnoid space. This is where the CSF is found. The arachnoid mater is the roof of the subarachnoid space. The arachnoid mater has no innervation and no blood vessels. The subdural space contains fat and the venous sinuses.

The dura mater is two layers. One forms the floor of the subdural space. The other is the lining of the bone of the spinal column, forming the roof. Between the two linings is the epidurals space.

Epidural Block and Spinal Block

Epidural Block
Unlike the subarachnoid and the subdural spaces, the epidural space extends all the way from the brain to the end of the spinal cord. Under sterile conditions, local anesthesia is injected into the skin and a needle is inserted through the skin of the back into the epidural space. A sterile catheter is placed within the space, angled down towards the patient’s feet. The needle is removed. The catheter stays in place as long as it is needed so that the patient can receive further doses of medication, if required. Epidural pain relief is highly effective.

Spinal Block
The spinal block is simpler. Under sterile conditions and local anesthesia, a needle is inserted into the subarachnoid space, where the CSF is. Medication is injected into the space and the needle is withdrawn. This is a one-time injection only.

Proper positioning of the patient is essential in either of these procedures. The needle has to be placed in a tiny space no more than 0.4 mm deep. That’s 0.015 inches. Finding that tiny space and not being off to the side at all requires the hands of an expert. Anesthesiologists generally do these procedures.

They often use an epidural positioning device or an EPD. This epidural chair holds the patient very still and in the perfect position for the procedure. An EPD helps immensely when the patient is having severe pain during labor.

Labor pain can be intense and labors can be long and hard. Many women desire the epidurals. But not everyone can be guaranteed to hold still during the catheter insertion. Injury to the meninges or even the spinal cord itself can occur if the patient moves suddenly during the procedure. Nurses have been injured as well, trying to hold women still when the labor pains hit. Using the epidural chair keeps the nurses safe and minimizes the risks to the patient.

Many Labor and Delivery units are using the EPD to help improve safety for new moms and their babies and equally as important to insure the safety of our nurses.

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