8.6.1 Release the spinal surgery top from the upper most mounting hole of the
head end H-frame. Lower the spinal top until the weight of the top rests
on the patient.
patient's sternum. Couple the spinal surgery top at this level to the head
end H-frame with a T-pin (see Figure 49).
8.6.2 Release the spinal surgery top from the foot end H-frame. Lower the foot
end of the spinal surgery top until the hip pads contact and rest against
the patient's iliac crests. The thigh pads should compress lightly against
the patient's legs. Couple the spinal surgery top at the mounting hole
nearest this level to the foot end H-frame by using a T-pin (see Figure 49).
NOTE: Assess the compression of the patient at the chest and iliac crests.
8.6.3 Tighten the four (4) safety straps now that the patient is compressed.
8.6.4 Count to verify that all T-pins are in their locked position; four (4) each at
the head and foot ends for a total of eight (8) T-pins. Count to verify that
the four (4) safety straps are secure and in their proper position (see
Figure 49).
Prior to rotation, verify that all H-frames and T-pins are fully engaged and in the
locked position. Failure to follow the prescribed procedures regarding securing
T-pins and the use of patient safety straps may result in the patient being
dropped.
NOTE: The Anesthesiologist may choose to disconnect the patient's intravenous
infusions, monitoring devices and anesthesia circuit prior to the 180-degree rotation. If
not, these lines must be observed and controlled during the rotation.
1
2
3
4
Figure 49: Patient compressed and ready for 180 degree rotation
8.6.5 The attendant rotating the patient should be stationed near the patient's waist and
must firmly grip both table tops.
MIZUHOSI 2009
The primary contact is usually the chest pad on the
Warning:
COMPRESSION
1
2
=T-Pin count
40
3
4
=Safety strap count
5
6
7
8
NW0504 Rev. D