Securing arms during steel reverse trendelenberd

[mhy12784]

In the last few weeks my organization has two arm/ulnar injuries after cases where the patient was in very steep reverse trendelenberd. Our current process involves using velcro and wrapping the arms in kerlix (on top of egg crate on the arm boards) for these cases. Does anyone do anything better or use products / positioning devices designed to avoid these problems?

[Rose_Queen, BSN, MSN, RN]

You don't tuck the arms? My facilty requires arms to be tucked in steep trendelenburg positioning. Since that requirement was added, we have not had nerve injuries.

[QueenElisaRocks]

We wrap the elbows in either a foam egg crate elbow pad or a gel elbow pad...and then we tuck the arms. We often foam/gel pad the hands as well to guard from them accidentally slipping and coming into contact with any metal on the bed or stirrups (if used). Hope that helps!!

[mhy12784]

We never tuck at all

Do you use eggcrate or foam when positioning any/most surgical cases? Or is that another bizarre habit of my facility, we use foam for everything

[Rose_Queen, BSN, MSN, RN]

We never tuck at all

Do you use eggcrate or foam when positioning any/most surgical cases? Or is that another bizarre habit of my facility, we use foam for everything

Here a foam there a foam everywhere a foam. We use the pink pad without a sheet on it as well for robotics with steep tburg. It's actually a brand name.