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AORN J. 2018 Dec;108(6):663-674. doi: 10.1002/aorn.12423.
Physical stressors that occur with patient and equipment handling in the OR (eg, moving or lifting patients, carrying heavy instrument sets, prolonged standing) can contribute to musculoskeletal disorders for perioperative personnel. In addition to increasing patient safety, safe patient handling and movement (SPHM) programs have been shown to reduce the risk and severity of injuries, workers' compensation costs, and personnel fatigue and to increase health care workers' morale and quality of life. The AORN "Guideline for safe patient handling and movement" provides guidance for implementing an SPHM program. This article discusses key takeaways from the guideline, including forming an interdisciplinary team to oversee the SPHM program, selecting safe patient handling technologies and equipment, and assessing the unique needs of each patient to develop an individualized plan for SPHM. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
手术室中患者护理和设备操作时出现的身体应激源(如移动或抬起患者、搬运沉重的器械套件、长时间站立)可能会导致围手术期工作人员出现肌肉骨骼疾病。除了提高患者安全性外,安全患者护理与移动(SPHM)计划还被证明可以降低受伤风险和严重程度、减少工伤赔偿成本以及减轻人员疲劳,并提高医护人员的士气和生活质量。AORN的《安全患者护理与移动指南》为实施SPHM计划提供了指导。本文讨论了该指南的关键要点,包括组建跨学科团队来监督SPHM计划、选择安全的患者护理技术和设备,以及评估每位患者的独特需求以制定个性化的SPHM计划。围手术期注册护士在撰写和更新政策与程序时,应查阅完整指南以获取更多信息和指导。