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NOTE: It is recommended to apply anti-embolism stockings and sequential
compression stockings to the patient in the prone position prior to surgery to promote
venous return and reduce the potential of pedal edema. This should be done at the
direction
of
the
recommendations.
7.8 Transferring The Patient
7.8.1
Position the patient transport stretcher with the patient parallel to the
Jackson Spinal Surgery Top. The support pads should be adjusted to the
approximate location to the anatomical landmarks prior to transferring the
patient, i.e., the iliac crest aligned to the center of the hip pad (Figure 42).
7.8.2
To facilitate the patient transfer, raise the patient transport stretcher so that
it is approximately level with the top of the support pads.
7.8.3
Roll the patient onto the Jackson Spinal Surgery Top into the prone position
while supporting the head, torso and legs during the transfer.
7.9 Positioning Of The Head
7.9.1
Support the patient's head securely using one of the five options detailed in
section 7.7.
7.10
Positioning Of The Arms
7.10.1 Attach the articulating arm boards to the Jackson Spinal Surgery Top. The
mounting bracket of the arm board may be positioned above or below the
head support plate; position the arm board parallel to the table top (see
Figure 36).
7.10.2 Place the arms in the TLC arm cradles provided in the patient care kit.
Position the arms on the articulating arm boards and secure with the contact
closure straps provided. The arms should be flexed at the shoulders no
greater than 90 degrees and at the elbows no greater than 90 degrees (see
Figure 43).
Hyperextension of the shoulder may cause compression of the brachial plexus
resulting in a potential nerve or vascular injury.
7.11 Positioning Of The Chest
7.11.1 The chest pad should contact the patient so the top edge of the chest pad is
at the patient's supra-sternal notch. With ideal positioning, the chest pad
should contact the patient so the load is borne predominantly by the
superior aspect of the chest on the sternum. This position will also protect
the breasts and muscles from bearing the primary load of the upper torso.
When the chest is positioned in such a manner, proper patient ventilation is
facilitated. To reposition the chest pad with a patient on the table, slightly lift
the patient and slide the pad along the frame until the desired location is
achieved. Gently lower the patient back onto the pad. Confirm the chest
pad cover is in the proper position without fold or creases.
MIZUHOSI 2009
attending
physician
and
according
Warning:
33
to
the
manufacturer's
NW0504 Rev. D
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