I have a personal 'policy' that I don't usually have my postop abdominal sx pts move themselves over from stretcher to bed if I've accompanied them to the floor. I think it's not only cruel,but it can easily stir up a whole lot of unnecessary pain in a previously decently comfortable postop belly -that's a lot of use of abdominal muscles as you can imagine. Some floor nurses disagree, "well,I'm getting them up to the BR anyway!" - two completely different circumstances imo. Now,I
am protective of my back, and I don't like hauling all the "heavily laden" pts around either,so I always ask for the slider board/sheet and three-four people, if at all possible. I think it's the least we can do for our pts.
Of course,if it's a fit,young person post lap-appy whose been quite comfortable,maybe tap blocked + narcotic - they'll zip across - fine and dandy. But for those older,heavier, pts and bigger procedures....no way. Not all of my colleagues see it this way.
What's your practise?
P.S. I never have my PM/AICD/back sxs shimmy over either.
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