All the principles should be followed while transferring patient to OT table; EXCEPT:

Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Medical & Surgical Nursing

Medium

Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Explanation

The question asks for the principle that is an exception during the transfer of a patient to the OT table.
Ensuring safety in the recovery room or post-operative ICU is a crucial nursing responsibility, but it belongs to the post-operative phase of care.
The transfer to the OT table is part of the pre-operative and immediate intra-operative phases.
Therefore, post-operative safety measures are the correct exception in this context.

Option A: Ensuring a safe transfer from the patient's bed to a transportation device like a stretcher is the first essential step in the process of moving the patient to the operating theatre.
Option B: Safely moving the patient to the pre-operative area or holding bay is a key stage in the journey towards the operating room.
Option C: Preventing falls when moving the patient from the stretcher to the OT table is a critical, immediate safety measure at the final point of the pre-surgical transfer. This is an intra-operative safety principle.

Clinical Relevance

Nursing practice connection: Use the key finding related to Phases of perioperative care and principles of safe patient transfer to guide bedside assessment, documentation, and the next nursing action.
Patient safety is the highest priority during any transfer. Nurses act as patient advocates, ensuring safety protocols are followed at every step and during every handoff.
Key nursing actions include verifying patient identity, checking for allergies, ensuring IV lines and catheters are secure, and using appropriate transfer equipment and staff.
Communication using tools like SBAR (Situation, Background, Assessment, Recommendation) is vital during handoffs between the ward nurse, transport staff, and OT team.

How to Approach the Question

First, identify the negative keyword 'EXCEPT'. This means you are looking for the option that does not fit with the others.
Next, analyze the core subject of the question: 'transferring patient to OT table'. This defines a specific timeframe.
Break down the surgical process into a mental timeline: pre-operative (before surgery), intra-operative (during surgery), and post-operative (after surgery).
Categorize each option based on this timeline. Options A, B, and C all occur before or at the moment of arriving at the OT table (pre-operative/intra-operative).
Identify the option that falls outside this timeframe. Option D, 'safety in recovery room', clearly belongs to the post-operative phase.
The option that belongs to a different phase of care is the correct answer to an 'EXCEPT' question.

Concept Tested & Keywords

Concept Tested: Phases of perioperative care and principles of safe patient transfer.
Stem keywords: transferring patient, OT table, principles
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks for the exception among the given principles.

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E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 111-113

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 pp. 106-108, 69-71