Patient Positioning

[@davidp2888]

I've spent more time on an OR table as a patient than I care to discuss (34 procedures over 54 years). Thanks for making these informative and really interesting videos, Shane.

[@helpmyspaghettiiseatingme]

I hope you’re doing okay ❤️

[@tintin6455]

Hope you are well ❤

[@funmilayo.a9895]

I am a Nurse Educator, and I have been using your videos for our new Nurses in the OR. I just want to say your videos are so helpful and informative; better than the AORN videos. Certainly, not boring! I have watched a lot of videos, many are quite far from standard practice but your videos are pretty much the standard practice and straight forward. Thank you so much.

[@adrianoliva7919]

Bro I'm so glad you posted again

[@kjsworld4920]

This was very informative for a 1st time surgery patient. Thank you.

[@mynattimynatti4139]

Definitely needed this and its funny that my class is having a test on this Tuesday

[@amandadewitt1238]

I just had my positioning test this morning 😂

[@simonanyangu3674]

Going for prac Next week, much important lecture🙏

[@ritaree4239]

👏🏿👏🏿👏🏿 "The More You Know" nailed it!💯

[@scottgranger5862]

perfect timing. going over this in med term now. I know when I had an ortho operation, I was in a or designated specifically for ortho procedures. I can definetly talk about arm placement. I had an injury to my right index finger in which both my tendons were sliced and needed to be repaired. It was like a two-hour procedure in which both my arms were extended. my right arm obviously because that was the arm they were working one and my left arm because of the iv placement.My first iv actually had to be replaced because it came out due to poor placement. I came out of surgery with a huge cast, two bruises from the ivs and a large scar that extends my whole finger. luckily she decided not to do exploratory surgery to locate the second tendon and just ket it die off or I would have a scar extending my whole palm.

[@DrAdnan]

I remember helping the nurses, techs, and anesthesiologists set up on obgyn. Nice video!

[@AMR2125]

Thank you for these videos! They are so informative! Can you post a video of books that are needed for the schooling?

[@panagvang1888]

New grad OR nurse here...your videos are super helpful 😢 thank you!

[@hannahghoul7889]

Im currently finishing my prereq courses for my surg tech program and i have to write a paper in my psychology class asking current surg tech questions about the job. If you could please take some time to answer these few questions id greatly appreciate your input. 1. What was the most stressful or challenging surgery in which you participated? How did you cope with the stress?

-How do you manage your stress -Does having routines help with stress? -Do you have any type of routine before or after a case? 1. If you have a disagreement with a surgeon or another staff member, how do you handle it? 
-Have you ever been in a situation where because you were 'lower' then someone, that you didn’t feel like you were being heard? If so how did you resolve it. 

 1. How do you deal with people from other cultures or who shared different values/ views then you? -Have you ever dealt with or experienced prejudice in your workplace, whether that be with a coworker or patient.

[@chaircatsup5832]

I just want to let you know that you're a great help to my education, I've yet to experience being on the field due to the pandemic but your videos give me a sneak peek at what it's like. So thank you! Edit: I just found out my professors use your videos as a reference as well, so congrats! expect more views from students from my university this semester. lol

[@paulfelixokoth7927]

i like your teaching and do enjoy your lesson

[@RobMBG]

Thanks Bud. I loved the beginning it looked like the table was doing the robot! Lol. Thanks for the good content.

[@juvairiyapk8161]

Really helpful.. Thnkzz for all your videos

[@karlacharrez3712]

How physically fit do you have to be to be a surgical tech ? I’m fairly small 5ft and I weight 100lbs and I’m not sure if I could be a st

[@dianaflores4070]

Thanks very helpful 😊 Currently in a surgical technology program in NC

[@Kristonia69]

Just got accepted into the program at my alma mater!! Thanks for making these vids. I'm sure they will be of great importance this coming fall. What really pushed me was seeing a wrench that was cut from around a man's penis. The surgery nurse who dropped it off to me in the lab was just as shocked as I was. I was more than shocked though, I was inspired.

[@kfirie]

Question is all the positioning done when the patient is already under?

[@AsadKhan-lm6yr]

Your teaching style is excellent!!!!

[@terriportie8641]

Good morning , thanks for another great video. 🤗

[@alimate1025]

Great explanation keep up the good work

[@Whit-09]

Thanks to your videos I finally decided I’m going for surgical tech! You’re an inspiration and great professional. Again, thanks for your vids

[@lorifrederick2367]

Thanks for another great video. Been on those beds conscious and unconscious. (Have had a lot of skin biopsies.) You're right, those beds are really comfy. Last one I had, I was in the lateral position, pillows tucked all around, waiting for frozen sections done on my arm and back. I almost fell asleep. Well a couple months ago, comes time to get a new mattress.....being really picky, told the hubby and salesperson that I wanted something like the bed in the OR. The looks they gave me....oy!

[@terrancesampson5141]

You always do a great job 👍🏾👍🏾👍🏾👍🏾👍🏾👍🏾👌🏾👌🏾👌🏾👌🏾👌🏾🇺🇸🇺🇸🇺🇸🇺🇸

[@تركيعلي-ل5ر]

amazing teacher

[@kightremin]

This is a very good channel, it needs more attention

[@Insightsofkalisha]

Thanks for sharing. I am CST about 1 year now but I can’t find a job. Most places are looking for experience. Anyway I watch your videos to keep myself up to date

[@nyakwezidiana5629]

Nice presentation

[@croweater75]

Nice one bud.... great heads up for newbies, well done

[@ryanprince1890]

I love your videos! we watch them all the time in the surgical tech program I just started. Could you please do a video on pharmacology and intraoperative drugs?

[@sus3858]

i had surgery this last tuesday and i was so surprised at how comfy the OR table was!

[@sierraschoep1501]

really? bc whenever i have surgery its so uncomfortable. the table is just flat and hard.

[@AnaSanchez-mi2eb]

Thank you 😊Very Educational 👍👍

[@richardtirado7136]

Thanks bro, i loved your videos. I am an OR RN and CNOR for 10 years.

[@johnzylali4002]

What position do you use for a brain surgery?

[@jeprox718]

Supine, but there are special attachments to the bed that secure your head. The attachments depend on the type of brain surgery and the surgeon's preference. The two main bed attachments used for brain surgery are the Mayfield/Gardner skull clamp or the horseshoe headrest. Sometimes they just use a gel donut as a pillow.

[@instantnowon]

Very informative.

[@jaimee1399]

Very informative,thank u

[@pragatikuchankar7603]

Thx it helped me a lot

[@rapunzel39]

Very nice demonstration! Do your doctors ever use chest rolls for prone cases? I’m surprised they don’t use vac pacs, aka bean bags, for lateral position cases. Do they also utilize axillary rolls for lateral position? That’s a nice OR table! What brand is it, and what is the weight limit?

[@ccoop3774]

Chest rolls are used. There are gel ones, foam ones, blankets, etc. It often depends on your crew on what you use. You learn the anesthesiologists and what each one prefers, same for the surgeon. Some docs don't want to be called back until it's time to cut and some are there to assist in positioning. We had a small chart in each OR suite stating each bed and their weight limit. I have had to push 2 beds together with a stirrup on each side for a patient. Oh, the bean bags. They're still used. It depends on the procedure. Sometimes the bean bag doesn't work and you have to use pillows, fowm and tape.

[@rapunzel39]

c coop I understand. It is the same where I work now, and at every hospital I have worked in before. I’m just surprised bolsters and vac pacs weren’t included in this positioning overview. As for wanting to know the brand of table, our OR tends to replace tables every few years. They just replaced most of ours with a table that has huge wheels, and it’s nearly impossible to position the feet of the mayo stand under it to a point where you aren’t too close or too far away. It is also difficult to change out the table attachments.

[@SurgicalTechTips]

chest rolls or gel pads on the chest for all prone cases. The main thoracic Dr I work with stopped using bean bags b/c he felt they did more damage then good, we haven't had any issues with taping. We usually use silk tape . 2 strips across the hip between the ASIS and greater trochanter, 1 strip across the calf, and 1 strip across the shoulder going down the arm to the armboard. Wish I could snap a pic of it. He doesn't use a axe roll for his thoracic stuff, but will for hearts. I know our bed is Steris, the weight I believe is 600lbs max when the table is slid caudad all the way, and 1200lbs when centered...ill have to double check that though.

[@rapunzel39]

Surgical Tech Tips Thank you!

[@ccoop3774]

@@SurgicalTechTips We couldn't use the bean bag for XLIFs.we did place an axillary roll, lots of silk tape pillows and egg crate.

[@melissarainchild]

Helped me tru my upcoming exams, thanks :)

[@RebelRed]

Hi not sure if this channel is still active but it’s a great resource! Would love to see a video on safe peri operative care of bariatric patients

[@jessemee]

I’m planning to be an OR nurse and your videos are so practical and informative! Thank you!

[@heatherthompson9938]

👋 thanks for sharing 👍 sometime I wake up sore the next day. I had back and side surgery.

[@armoredtoo1156]

So helpful! Thank you!! 😀

[@paigerideout6996]

Thanks, Shane!

[@clownfishocd6550]

Thank you!! for making these great teaching videos, they help me very much.

[@petesoebekti2022]

happy new year to you Shane and your family i hope you guys have a wonderful new year :)

[@sotero5674]

Ty for this! So helpful!

[@juliawedrychowska262]

I forgot I was subscribed to you and I was so confused when I got the notification

[@wiccagoddess6022]

Really well made video. Table looks interesting, I'd probably feel comfy. Never been on one yet. Maybe one day

[@Pionike]

How to the cpr on those soft squishy bed?

[@jeprox718]

The padding on OR beds is not as soft as they look and very firm. The closest thing I can compare them to are the kicking bags they use in martial arts. We've done plenty of successful CPR on OR tables.

[@rolandkronqvist1034]

8:34 "Oooh, I can't believe I'm doing this!" :D

[@Trinity4me]

Equipment placement in relation to the bed for different surgeries would be a great video!

[@ccoop3774]

That's why the preference cards should be detailed and kept updated. You should be able to read that card and know where the anesthesia equipment, boom, bed, tables etc need to be.

[@rapunzel39]

c coop With the advent of computerized preference cards, that is easier said than done. In my workplace, only the charge nurses can get into the program to make edits, and they don’t always get the job done, or get it right, even if you give them written, detailed instructions.

[@ccoop3774]

@@rapunzel39 That's how it was done where I worked. Any of us could make changes or corrections to the card. Then it was turned in to be formally changed. It's amazing the number of people that never bothered to make any changes to the cards. I mean the group that does, say, totals mostly. Then a couple of people out of that group go on vacation and all Hell breaks loose!

[@rapunzel39]

c coop Do you remember the old “recipe cards” we used before computers changed everything? They were always written in pencil, and anyone could edit them. I once took a blank one, and, just for fun, made a preference card for myself. A few years ago, I found it, and had one of the gals in the office recreate it on her computer. She made me a stack of prints, which I use to make my own notes for big cases. I also give them out to the young students I precept...they love it!

[@rapunzel39]

Oh, and all hell would break loose if one of those old recipe cards got lost!

[@frostrap]

Fascinating information! Thanks for sharing.

[@HA-00]

PLEASE..... tell us more!! Love your videos!

[@Giulio1708]

What about the CPR performed on a soft bed like that? I always saw "tables" in OR, not beds

[@jeprox718]

All OR tables/beds are padded like that. It's not as soft as it looks and is actually way firmer than a hospital bed.

[@Phoenixhunter157]

Giulio17 you put a backboard under the patient when doing cpr.

[@Giulio1708]

@@Phoenixhunter157 ​ I see, thank you. Here where I'm studying they're a bit different. They're padded, but pretty firm and hard. Maybe it's a different type we use or just the video showing them softer than they are

[@sajidparvez2659]

Very much informative 👍

[@jarrettpelkey1127]

Nicely done

[@sajahasan3789]

Your videos are so helpful. I started my surgical tech program but I failed one of my classes 😢( I did pass the class with B- the school wants a B from me to pass), but Im going back in January to finish the program. I learned so much from your videos specially when they closed schools this year and I had to teach my self and learn everything. It was a good experience but I was upset because my teacher wasn't helpful as your videos. I wish you do videos of how to preparing for the test specially when English its my second language. Thank you again

[@thedoggamer16]

When you get surgery do they strap you in

[@Tker1970]

I had a TT and neck dissection last month. Read the surgical notes after. They set me up then rotated the table 180 degrees. Didn't understand why they just didn't start that way.

[@juansantiago9786]

Thank you for doing these videos!

[@kamerondiaz9192]

Have you ever used Anki? If so what was your experience?

[@TimHadler-f6y]

What cand is surgrey do you bo

[@edgar309lira79]

We are starting to set up minor and major back tables. Help please

[@TheLibra926]

Any tips on what to study first..i will start in August at an accredited school

[@farhiyodahir6061]

Thanks alot

[@PolarRoller37]

Hi there. Another great video. I was wondering if you could do a video on cardiac pans/procedures and setup. I’m interested in joining a heart team and would like to see what the set up looks like. Thank you.

[@adyo92]

Hi Shane. I just started my clinicals for Surgical Tech at USC Keck in California. I'm considering moving to Henderson, NV after I graduate which will be in January. I was wondering if you knew the approximate starting pay rate for a newly graduated Surgical Tech over there. Also hoping you can give me a few pointers in places to apply for a job over there. Thank you!

[@ghadeerabuyassen61]

Thank you . Can you make a video about the most common medication in the operating room plz

[@areebsaqib811]

Thanks man ❤

[@melissasullivan5899]

Another excellent lesson! Thank you.

[@stevenmendoza1212]

Would it be possible to become a forensic tech with a surgical tech certificate?

[@janicepamute7420]

Thank you sir

[@seeme111]

How do u keep a patient from sliding off when u tilt them?

[@ccoop3774]

It depends on the position. There's safety straps, silk tape, velcro straps, foot boards, etc.

[@marklin6243]

There are some belts with velco to keep the patient from sliking off.

[@TimHadler-f6y]

I just got surgrey tools for Christmas and my birthday

[@bluespinel12]

What is the position of a urology case

[@michelleesposito4884]

thank you for the video :)

[@immaculavilson-paul8181]

Great. Tips ,thank you.

[@alibahari9519]

that was really practical and intresting ... thank by the vay...

[@maryc5905]

Thank you for making these videos!! They are so helpful. Could you possibly make a video on how to put on the OR table arms, setting up the egg armshell pads, etc? I know they are pretty basic tasks, but I find that I am always confused about this. I just started my surgery rotation, and would like to be better oriented with proper OR positioning! Thanks!

[@chanthao730]

Do one on all the Ortho beds. Those can be tricky with all the attachments.

[@alibahari9519]

that was great! keep going dude...

[@BrawlFreak786]

had a nose surgery recently probably in the supine position

[@zuesdelrey4348]

What are your thoughts on Public Colleges vs Private Career Colleges?

[@abhishekupadhyay7400]

Thank you sir it is of a great help 👌👍

[@brandiembry5751]

How does one go about becoming a first assist if you don’t live near any of the program institutions?

[@Mnfacts9256]

Hi Bro ! I am a medical student and your videos effective and Awesome. Please continue and post videos soon .. Also make a video about sutures Thank you .. 🌸

[@metakoerner-vollrath9879]

I am also a stomach sleeper but since I have back ache, it hard for me to stand up again

[@cskiles318]

Thank you

[@ianshelton6662]

Do a video of the Anaesthetic machine please!

[@LynnDeatherage-q3k]

The seni head up cases for breasts surgery and other head surgery cases. That neat.

[@ninao6504]

I think It’s Kraske position , not Kransky

[@IAMdevilwomen]

interesting! I go in for ulnar nerve transposition on the 19th of this month...am scared to death, surgery doesn't scare me, but getting into the or sets off a panic attack, and when they put the mask on my face it triggers a anxiety attack so bad my bp goes haywire

[@valentin3690]

Can you show us the different OR tables? :)

[@ianshelton6662]

What position would you use in the OR for Wisdom Teeth?

[@jeprox718]

supine or reverse trendelenberg

[@Deklein2ft]

With so much spine surgery and the use of Mayfield Bed, please do a video on turning a patient & Neuro-surgical Sensing got to the point

[@ryanmcvey2295]

Shane great job!

[@drzackhidig1360]

I’m emergency surgeon resident , mostly I ask the nurse or anesthesiologists to help me positioning when ever I need a different position during the operation.

[@papayaw5679]

Great Job. For the lithotomy position, i believe it’s more convenient to remove the head piece of the bed and put it at the feet. So that when you put them in stirrups or in position, you have their 'butt' exactly where you want it at the edge of the bed. This helps the surgeon with easy access and same for anesthesiologist (so they don’t have to stretch their circuit to secure their airway). Thank you 👍🏾