Contact Hours: 3.00
Available Purchase through: 8/31/2013
Examination and evaluation must be completed by 9/30/2013 in order to receive contact hours.
The lithotomy position is used daily in the OR to position patients for vaginal,
rectal, and urologic procedures. Use of this position requires a careful nursing
assessment to ensure that the patient can tolerate having his or her legs placed in
the stirrups and to ensure that no pressure points exist for the duration of the
surgery. Caring for a patient who is morbidly obese and who requires surgery in
the lithotomy position can be especially challenging, and the possibility of
injury to the patient or staff members should be considered. A case study
involving the care of a patient who weighed almost 600 lb undergoing surgery in
the lithotomy position demonstrates ways to provide safe care for this type of
challenging patient. AORN J 92 (September 2010) 297-309. © AORN, Inc, 2010.
Key words: lithotomy position, morbidly obese patients, alternate stirrup use.