1. PERIOPERATIVE NURSING CARE OF THE MORBIDLY OBESE PATIENT

2. SAFETY CONCERNS & SPECIAL EQUIPMENT
HIGH BMI/ BARIATRIC PATIENT HAVE RIGHT TO BE TREATED W/ COMFORT, DIGNITY, RESPECT & PRIVACY
CULTURE OF SAFETY FOR BOTH PATIENTS AND CAREGIVERS
IDENTIFY MECHANICAL LIFTING EQUIP & APPPROVED PATIENT HANDLING TECHNNIQUES.

3. ASSESSMENT OF HIGH BMI/ BARIATRIC PT
SENSITIVE TO PATIENT PERCEPTION-
BEDS, GURNEYS, WHEELCHAIRS THAT FIT
TALK TO THEM ABOUT WHAT TO EXPECT
ASSESS AS ALL PATIENTS PLUS:
GERD/CIRCULATION/ RESPIRATORY
HIATAL HERNIA, SLEEP APNEA,
ABDOMINAL GIRTH/JOINT ISSUES
ANESTHESIA – WEDGE/ DIFFICULT INTUBATION CART
DVT PREVENTION
PHYSICAL ASSESSMENT
CO-MORBIDITIES: DIABETES/ CAD

4. ROOM PREPARATION/ POSITIONING
OR BED CAPACITY IN SPECIFIC POSITION
STANDARD (1000#)/ REVERSE (#500)
SAFETY STRAPS, GENERALLY AT LEAST TWO SETS
TRANSFER SYSTEM ALREADY ON BED
AWARE OF ANESTHESIA NEEDS
US DOPPLERS
GLIDE SCOPE
LINE PLACEMENT
WEDGE PILLOW
EXTRA PILLOWS, GEL PADDING , EGGCRATE

5. POSITIONING CONSIDERATIONS
SUPINE:
ARMBOARD –ULNA/ HYPEREXTENSION/ NEUTRAL POSITION
SAFETY STRAPS – THIGHS/ LOWER LEGS
PILLOW UNDER KNEES – NEED HEEL PROTECTION
REVERSE TRENDELENBERG- FOOTBOARD
ARMSLEDS W/ PADDING IF NEED TO TUCK
FOLEY INSERTION – GET ASSISTANCE TO ACHIEVE PROPER TECHNIQUE
LITH:
CANDY CANE – DO NOT LET LEG REST AGAINST POLE
CREATIVE SIZING FOR ALLEN STIRRUPS
HISTORY OF HIP INJURY/ TOTAL JOINT REPLACEMENT
PRONE:
LARGE GEL ROLLS/ RESPIRATORY/ PADDING/ PRESSURE POINTS
ARMS MOVED CAREFULLY TO NEUTRAL POSITION
LATERAL:
AXILLARY ROLL/ PADDING/ ALIGNMENT INCLUDING HEAD/NECK
PRESSURE POINTS – EAR,SHOULDER, HIP, LATERAL TO TOES

6. INFLATED PATIENT TRANSFER PAD

8. ALLEN STIRRUPS

9. CANDY CANE STIRRUPS

10. PNUEMATIC LIFT FOR LITHOTOMY

13. TYPES OF BYPASS

14. TAKE HOME
PROVIDE SUPPORTIVE & RESPECTFUL ENVIRONMENT OF CARE FOR ALL PATIENTS, REGARDLESS OF BMI! IDENTIFY MECHANICAL LIFTING EQUIPMENT AT YOUR INSTITUTION! GET HELP, SAVE YOUR BACK!