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Standard Surgical Positioning Association of (标准的外科协会的定位)
AST Standards of Practice for Surgical Positioning
Introduction
The following Standards of Practice were researched and authored by the AST Education
and Professional Standards Committee and have been approved by the AST Board of
Directors. They are effective April 1, 2011.
AST developed the Standards of Practice to support healthcare facilities in the
reinforcement of best practices, related to positioning the surgical patient on the OR
table. The purpose of the Standards is to provide information that healthcare workers
(HCWs) in the perioperative setting can use to develop and implement policies and
procedures for positioning the surgical patient on the OR table. The Standards are
presented with the understanding that it is the responsibility of the healthcare facility to
develop, approve, and establish policies and procedures for positioning the surgical
patient on the OR table, according to established healthcare facility protocols.
Rationale
The following are Standards of Practice related to surgical positioning of the patient. The
goal of the surgical position is to provide optimal visualization of, and access to, the
surgical site that causes the least physiological compromise of the patient, while also
protecting the skin and joints. When the patient has been administered anesthetic agents,
the ability for the patient to communicate pain and pressure to the surgical team has been
eliminated; therefore, the team now becomes responsible for the patient to ensure the
positioning has been conducted in a safe manner, and the integumentary,
musculoskeletal, respiratory and circulatory system functions have been preserved.
The three components of safe positioning of the surgical patient on an OR table include
knowledge, planning and teamwork. The team should be knowledgeable in applying the
principles of patient positioning in the OR, including attention to safety principles,
because they pertain to the unique physiological qualit
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