Positioning patient on the table

  1. 0 Hi I would like to ask whose job would it be to position a patient during lumbar or cervical epidural injections, would it be the xray tech because he needs to shoot the picture or the nurse?

    thanks a lot! help is much appreciated!
    and if you have a link to your answer kindly paste it please
    thanks in advance
  2. Visit  kim_093089 profile page

    About kim_093089

    From 'New York'; Joined Nov '10; Posts: 38; Likes: 3.

    13 Comments so far...

  3. Visit  Susan317 profile page
    0
    Anesthesia has a big role here because they know where they are going to put the injection. Its almost impossible to do this without their help.
  4. Visit  ORoxyO profile page
    1
    Our radiology techs are not involved in positioning for any case. For blocks the nurse, anesthesia, and usually the surgeon position the patient.
    RN in training likes this.
  5. Visit  kim_093089 profile page
    0
    thanks a lot susan and roxy
    what state do you guys work?
  6. Visit  brownbook profile page
    0
    Why are you asking?


    I bring the patient into the room. Usually the MD, x-ray tech and scrub tech are already in there. Everybody helps position the patient? The MD may put the pillows where he wants them..... x-ray and I may assist the patient to a prone position.. OR....if I'm doing some paperwork stuff.. ...x-ray and the tech help the patient get into a good position.......the MD is right there he or she often helps.....And we all help readjust the pillows and patient once they are prone.

    Maybe we have a different setup than you do. It never entered my mind who would do it? Or that we need a reference or policy? We all help?

    Do you have an issue or problem, or just curious?
  7. Visit  Goobstress profile page
    0
    It is a team effort but of course surgeon is responsible for the positioning along with anesthesia and nurse. Radiology tech is only responsible for taking X-rays.
  8. Visit  brownbook profile page
    0
    Way off topic, but I am curious? We don't use an anesthesiologist for LESI's, CESI's, and similar procedures? Nurses give moderate sedation. You guys have an anesthesiologist for these procedures?
  9. Visit  Rose_Queen profile page
    0
    Quote from brownbook
    Way off topic, but I am curious? We don't use an anesthesiologist for LESI's, CESI's, and similar procedures? Nurses give moderate sedation. You guys have an anesthesiologist for these procedures?
    At my facility, it is anesthesia docs who specialize in pain management who perform epidural steroid injections. We do them under local, no anesthesia other than maybe a little Versed.
  10. Visit  brownbook profile page
    0
    Yeah that is how we do it. One reply mentioned the anesthesiologist and the surgeon?
  11. Visit  Goobstress profile page
    0
    Yes if it's being done in hospital setting due to legal issues they have gotten into before but I'm sure if you are in a surgery center setting you don't need anesthesiologist.
  12. Visit  Charls RN profile page
    0
    It is the nurse's role to position the patient depending if the doctor want to do it himself, but if not, you will be responsible for it and then before the procedure starts you should verify to the surgeon whether he agrees with it or would like to make some adjustments. You are the nurse, it is your room, so everything that goes inside the room is your call. The doctor may be the captain, but remember, you are your patient's advocate. The patient comes first before anything else.
  13. Visit  ORoxyO profile page
    0
    Quote from kim_093089
    thanks a lot susan and roxy
    what state do you guys work?
    Detroit, Michigan
  14. Visit  nar-es profile page
    0
    in my work place, its the nurse, anesthesiologist and RT. If more help needed, we page for nursing attendants.


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