Demonstrate proper patient positioning for surgery in the low lithotomy position with the arms tucked
Learner Task: Demonstrate proper patient positioning for surgery in the low lithotomy position with the arms tucked.
Educator Checklist: Surgical Positioning
Mark the appropriate column to indicate whether the learner included each element in his or her response. When completed, tally the “Included” column to calculate the learner’s score.
| Body | Included =1 | Not Included =0 |
| Positions buttocks at edge of bed, no sacral pressure | ||
| Makes sure patient centered on bed | ||
| Arms | Included =1 | Not Included =0 |
| Makes sure arms are tucked | ||
| Positions arms so they are pronated, thumbs up or thumbs in | ||
| Checks that there is no hyperflexion or hyperextension of elbow | ||
| Checks that there is no hyperflexion or hyperextension of wrist | ||
| Checks that arms are padded | ||
| Checks that fingers are safe | ||
| Legs | Included =1 | Not Included =0 |
| Makes sure that lithotomy leg rest clips at level of the greater trochanter or anterior superior iliac spine | ||
| Positions heels snug in the boot, weight of patient’s leg on the heel, heel at back of boot | ||
| Makes sure that ankle, knee, hip, umbilicus, opposite shoulder all in alignment | ||
| Makes sure there is no pressure on posterior calf | ||
| Makes sure there is no pressure on lateral aspect of leg | ||
| Makes sure there is no hyperflexion or hyperextension of hips | ||
| Makes sure there is no hyperflexion or hyperextension of knees | ||
| Is sure to limit abduction and external rotation |