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1 AliMed Helping people help people Patient Positioning Guide COMPLETE PATIENT POSITIONING FOR EVERY PROCEDURE AliMed.com Call: Fax: \ \

SUPINE POSITIONING Patient Positioning Patient Transfers AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone 93 1555 AliMed

placement Covers Make your transfer device work like new 9-209 Short 9-478 Med. 9-477 Long O.R.

2 SUPINE POSITIONING Patient Positioning Patient Transfers AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone AliMed Patient Transfer Device Our most popular patient transfer device Short Med Long AliLite Supine Headrest Stable support for the head, contoured for greater pressure distribution Azure Sacral Support Low-profile dual layers conform to body contours and mimic tissue AliMed Patient Transfer Device Replacement Covers Make your transfer device work like new Short Med Long O.R. Accessories Hygienic Donut Covers Clark Socket Plus EZ-On Snaps anywhere along table rail, accepts flat or round posts Covers for Gel Table Pad Single-Patient-Use Armboard Straps Safely holds patient s arms in place Gel Repair Kit Repairs minor nicks and tears in gel positioners Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures

SUPINE POSITIONING AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance 95-118 AliGel Armboard Pad Anti-shear protection for the arm 93 0239 AliGel Ulnar Nerve

shear 95-365 VeriClean Table Strap Secure patients with the only high-level, fully disinfectable O.R.

3 SUPINE POSITIONING AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance AliGel Armboard Pad Anti-shear protection for the arm AliGel Ulnar Nerve Protector Provides full access to IVs A-Line Support Splint Holds the wrist steady for more consistent insertions AliGel Torso Overlay Pad Protects patient s back and sacral area from shear VeriClean Table Strap Secure patients with the only high-level, fully disinfectable O.R. strap on the market AliGel Dome Positioners Semi-circular design provides pressure protection under knees Arm Cradles Single-patient-use foam for nerve protection Side Rail Mounted Mayo Stand Secures to the side rail, removing tripping hazards AliGel Heel Cups Gel protects the heel and ankle from pressure during surgery Autoclavable Magnetic Instrument Pad Never drop another instrument

LATERAL POSITIONING Patient Positioning Lateral Positioner Built-in headrest and axillary support assist in proper spinal alignment 93 1875 AliLite Horseshoe Head protection with reduced ocular

Accessories AliGel Patient Positioning Chest Rolls Protects against excessive pressure on delicate tissues and nerves 91-392 6"W x 20"L Multiple sizes available Hygienic Donut Covers 93 7280 Covers

4 LATERAL POSITIONING Patient Positioning Lateral Positioner Built-in headrest and axillary support assist in proper spinal alignment AliLite Horseshoe Head protection with reduced ocular pressure risk Patient Transfers AliMed Patient Transfer Device Our most popular patient transfer device Short Med Long O.R. Accessories AliGel Patient Positioning Chest Rolls Protects against excessive pressure on delicate tissues and nerves "W x 20"L Multiple sizes available Hygienic Donut Covers Covers for Gel Table Pad AliMed Patient Transfer Device Replacement Covers Make your transfer device work like new Short Med Long Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Autoclavable Magnetic Instrument Pad Never drop another instrument FREEDOM Clark Socket Snaps anywhere along table rail, accepts flat or round posts, with marked 5 increments for accessory placement Gel Repair Kit Repairs minor nicks and tears in gel positioners A-Line Support Splint Holds the wrist steady for more consistent insertions Side Rail Mounted Mayo Stand Secures to the side rail, removing tripping hazards

LATERAL POSITIONING AliLite Horseshoe Head protection with reduced ocular pressure risk 93 1553 AliMed Reusable

Armboard Pad Anti-shear protection for the arm 93 0239 Pivoting Armboard Supports the arm at any angle along the

AliGel Knee Crutch Pad Protects the knees while in lateral position 95-942 AliGel Heel Cups Gel protects the heel

Stand Foot pedal allows for easy height adjustment without breaking the sterile field 93 0526 AliGel Heel

5 LATERAL POSITIONING AliLite Horseshoe Head protection with reduced ocular pressure risk AliMed Reusable Armboard Strap Safely keeps patient s arm on the armboard, easy to clean with disinfectant AliGel Armboard Pad Anti-shear protection for the arm Pivoting Armboard Supports the arm at any angle along the table plane AliGel Full-Length Overlay Pad Protects patient s back and sacral area from shear AliGel Knee Crutch Pad Protects the knees while in lateral position AliGel Heel Cups Gel protects the heel from pressure AliLite Prone/Lateral Positioner Promotes proper spinal alignment Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking the sterile field AliGel Heel Protector Pads Protect the heel and ankle from pressure Autoclavable Magnetic Instrument Pad Never drop another instrument

PRONE POSITIONING Patient Positioning AliLite Prone Headrest Protect optic nerve and facial tissues with room for intubation tube, up to 50%

Transfers AliMed Anti-Stat Patient Shifters One of our most popular patient transfer devices 9-077 Narrow Aqua 9-076 Standard Aqua 9-719

AliSlide Half Shifters Easily transfer patients in any position even those with tubes and lines 93 1827 Arm Cradles Single-patient-use foam

Accessories AliLite Prone/Lateral Positioner Promotes proper spinal alignment 93 2990 Vertical Horizontal Wall Hangers Adjust able pegs

9-704 Vertical 75134 Horizontal Covers for Gel Table Pad 92 5806 Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk

6 PRONE POSITIONING Patient Positioning AliLite Prone Headrest Protect optic nerve and facial tissues with room for intubation tube, up to 50% lighter than gel alone AliLite Chest Rolls Allow for proper patient ventilation, up to 50% lighter than gel alone Patient Transfers AliMed Anti-Stat Patient Shifters One of our most popular patient transfer devices Narrow Aqua Standard Aqua Standard White Conductive Black A-Line Support Splint Holds the wrist steady for more consistent insertions Thin and flexible AliSlide Half Shifters Easily transfer patients in any position even those with tubes and lines Arm Cradles Single-patient-use foam for nerve protection As featured in Outpatient Surgery O.R. Accessories AliLite Prone/Lateral Positioner Promotes proper spinal alignment Vertical Horizontal Wall Hangers Adjust able pegs accommodate most shifters, allowing for vertical or horizontal storage. Solid oak, clear finish. Mounting hardware included Vertical Horizontal Covers for Gel Table Pad Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Gel Repair Kit Repairs minor nicks and tears in gel positioners FREEDOM Clark Socket Snaps anywhere along table rail, accepts flat or round posts, with marked 5 increments for accessory placement

PRONE POSITIONING AliGel Prone Headrest Protect optic nerve and facial tissues, room for intubation tube 92 5815 AliGel Armboard

the knees 93 1560 Versa-Board One armboard for lateral, prone, supine, and Fowler s positions 93 2508 AliGel Dome Positioners

5827 AliGel Full-Length Overlay Pad Protects patient s skin from shear 95-930 Autoclavable Magnetic Instrument Pad Never drop

7 PRONE POSITIONING AliGel Prone Headrest Protect optic nerve and facial tissues, room for intubation tube AliGel Armboard Pad Anti-shear protection for the arm AliLite Contoured Pad Contoured to give a greater level of pressure reduction to the knees Versa-Board One armboard for lateral, prone, supine, and Fowler s positions AliGel Dome Positioners Use under the foot to reduce the risk of footdrop AliGel Contoured Chest Rolls Allow for proper patient ventilation AliGel Full-Length Overlay Pad Protects patient s skin from shear Autoclavable Magnetic Instrument Pad Never drop another instrument Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking the sterile field

LITHOTOMY POSITIONING Patient Positioning AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone 93 1555 Stirrup Pad Protects ankles from nerve damage and

Pad Anti-shear protection for the arm 93 0239 AliMed Anti-Stat Patient Shifters One of our most popular patient transfer devices 9-077 Narrow Aqua 9-076 Standard Aqua 9-719 Standard White 9-182

8 LITHOTOMY POSITIONING Patient Positioning AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone Stirrup Pad Protects ankles from nerve damage and shear Versa-Board Multi-axis armboard for proper arm positioning A-Line Support Splint Holds the wrist steady for more consistent insertions Patient Transfers AliGel Armboard Pad Anti-shear protection for the arm AliMed Anti-Stat Patient Shifters One of our most popular patient transfer devices Narrow Aqua Standard Aqua Standard White Conductive Black Thin and flexible Azure Sacral Support Low-profile dual layers conform to body contours and mimic tissue AliSlide Half Shifters Easily transfer patients in any position even those with tubes and lines As featured in Outpatient Surgery O.R. Accessories Hygienic Donut Covers Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Covers for Gel Table Pad Clark Socket Plus Slide-On Accepts flat or round posts Gel Repair Kit Repairs minor nicks and tears in gel positioners Side Rail Mounted Mayo Stand Secures to the side rail, removing tripping hazards

LITHOTOMY POSITIONING Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking

Autoclavable Magnetic Instrument Pad Never drop another instrument 93 2620 AliGel Donut Gel donut reduces

back and sacral area from shear 95-365 AliGel Contoured Armboard Pad Anti-shear protection for the arm 93

9 LITHOTOMY POSITIONING Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking the sterile field Pivoting Armboard Supports the arm at any angle along the table plane Autoclavable Magnetic Instrument Pad Never drop another instrument AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance AliGel Torso Overlay Pad Protects patient s back and sacral area from shear AliGel Contoured Armboard Pad Anti-shear protection for the arm Lithotomy Boot Pads (Pair) T-Foam boot pads protect the feet from pressure, compatible with Allen Stirrups

FOWLER S POSITIONING Patient Positioning Patient Transfers AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone 93 1555 AliMed Patient Transfer Device Our

9-728 Long AliLite Standard Armboard Pad Protects the patient s arms with gel and foam 93 1551 A-Line Support Splint Holds the wrist steady for more consistent insertions 95-985 AliGel Contoured

10 FOWLER S POSITIONING Patient Positioning Patient Transfers AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone AliMed Patient Transfer Device Our most popular patient transfer device Short Med Long AliLite Standard Armboard Pad Protects the patient s arms with gel and foam A-Line Support Splint Holds the wrist steady for more consistent insertions AliGel Contoured Headrest Contoured for a more stable support AliMed Patient Transfer Device Replacement Covers Make your transfer device work like new Short Med Long O.R. Accessories Hygienic Donut Covers Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Covers for Gel Table Pad Clark Socket Plus Slide-On Accepts flat or round posts Gel Repair Kit Repairs minor nicks and tears in gel positioners Side Rail Mounted Mayo Stand Secures to the side rail, removing tripping hazards

FOWLER S POSITIONING AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance

Autoclavable Magnetic Instrument Pad Never drop another instrument 93 2620 AliGel Armboard Pad Anti-shear

easy to clean with disinfectant 93 1902 Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment

2508 AliGel Heel Protector Pads Protect the heel and ankle from pressure 95-789 AliGel Full-Length Overlay

11 FOWLER S POSITIONING AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance AliMed Narrow Headrest Allows improved access to head of surgical table during surgery Autoclavable Magnetic Instrument Pad Never drop another instrument AliGel Armboard Pad Anti-shear protection for the arm AliMed Reusable Armboard Strap Safely keeps patient s arm on the armboard, easy to clean with disinfectant Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking the sterile field Versa-Board Multi-axis armboard for proper arm positioning AliGel Heel Protector Pads Protect the heel and ankle from pressure AliGel Full-Length Overlay Pad Protects patient s back and sacral area from shear AliMed Foot Extension Padded board comfortably supports feet

REVERSE TRENDELENBURG POSITIONING Patient Positioning AliLite Supine Headrest Stable support for the head, contoured for greater pressure distribution 93 1874 AliLite Head Donut Contoured for greater

Aqua 9-719 Standard White 9-182 Conductive Black AliGel Heel Protector Pads Protect the heel and ankle from pressure with gel 95-789 Nissen Straps Secure patients while retracting the thighs 93 0798

Accessories Hygienic Donut Covers 93 7280 Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures 93 3292 Covers for Gel Table Pad 92 5806 Autoclavable

12 REVERSE TRENDELENBURG POSITIONING Patient Positioning AliLite Supine Headrest Stable support for the head, contoured for greater pressure distribution AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone Patient Transfers AliMed Anti-Stat Patient Shifters One of our most popular patient transfer devices Narrow Aqua Standard Aqua Standard White Conductive Black AliGel Heel Protector Pads Protect the heel and ankle from pressure with gel Nissen Straps Secure patients while retracting the thighs Thin and flexible AliSlide Half Shifters Easily transfer patients in any position even those with tubes and lines As featured in Outpatient Surgery O.R. Accessories Hygienic Donut Covers Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Covers for Gel Table Pad Autoclavable Magnetic Instrument Pad Never drop another instrument Clark Socket Plus EZ-On Snaps anywhere along table rail, accepts flat or round posts Foot Pedal Mayo Stand Foot pedal allows for easy height adjustment without breaking the sterile field Gel Repair Kit Repairs minor nicks and tears in gel positioners

REVERSE TRENDELENBURG POSITIONING AliGel Donut Gel donut reduces pressure

Protector Protect ulnar nerve from compression 95-787 AliGel Full-Length

Patient Positioning Roll Protects against excessive pressure on delicate

13 REVERSE TRENDELENBURG POSITIONING AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance AliGel Ulnar Nerve Protector Protect ulnar nerve from compression AliGel Full-Length Overlay Pad Protects patient s back and sacral area from shear AliGel Patient Positioning Roll Protects against excessive pressure on delicate tissues and nerves AliMed Foot Extension Padded board comfortably supports feet

TRENDELENBURG POSITIONING Patient Positioning Trendelenburg Stabilizer Keeps patients from slipping

AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone 93 1555

Overlays Single-patient-use foam overlays reduce the risk of cross-contamination 93 7133 Patient

9-728 Long AliMed Patient Transfer Device Replacement Covers Make your transfer device work like new

Accessories Hygienic Donut Covers 93 7280 Covers for Gel Table Pad 92 5806 Clark Socket Plus EZ-On Snaps

Prep-resistant ink helps reduce the risk of wrong-site procedures 93 3292 Autoclavable Magnetic

14 TRENDELENBURG POSITIONING Patient Positioning Trendelenburg Stabilizer Keeps patients from slipping while in steep Trendelenburg AliGel Armboard Pad Anti-shear protection for the arm AliLite Head Donut Contoured for greater pressure distribution, up to 50% lighter than gel alone A-Line Support Splint Holds the wrist steady for more consistent insertions Foam Table Pad Overlays Single-patient-use foam overlays reduce the risk of cross-contamination Patient Transfers AliMed Patient Transfer Device Our most popular patient transfer device Short Med Long AliMed Patient Transfer Device Replacement Covers Make your transfer device work like new Short Med Long O.R. Accessories Hygienic Donut Covers Covers for Gel Table Pad Clark Socket Plus EZ-On Snaps anywhere along table rail, accepts flat or round posts Mini Surgical Markers (100/case) Prep-resistant ink helps reduce the risk of wrong-site procedures Autoclavable Magnetic Instrument Pad Never drop another instrument Side Rail Mounted Mayo Stand Secures to the side rail, removing tripping hazards Gel Repair Kit Repairs minor nicks and tears in gel positioners

TRENDELENBURG POSITIONING Lithotomy Boot Pads (Pair) T-Foam boot pads protect feet and legs from pressure, compatible with Allen Stirrups 93 664602 SecureFit TPS

15 TRENDELENBURG POSITIONING Lithotomy Boot Pads (Pair) T-Foam boot pads protect feet and legs from pressure, compatible with Allen Stirrups SecureFit TPS Simple, secure, reusable with unobstructed chest and IV access AliGel Donut Gel donut reduces pressure while offloading the occipital protuberance

Safe Positioning Reduces Injuries in the O.R. Each year an estimated 1.3 to 3 million adults get hospital-acquired pressure ulcers, and up to 66% of these ulcers originate in the operating room.

preexisting conditions such as diabetes and obesity.

events that will not be reimbursed. 5 AliMed and our clinician partners apply extensive research and design to developing specific solutions to meet the surgical patients needs.

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

1 Association of Surgical Technologists Disposable foam positioners To assist with infection prevention, AliMed offers disposable foam positioners in kits for easy storage, convenience, and to reduce

16 Safe Positioning Reduces Injuries in the O.R. Each year an estimated 1.3 to 3 million adults get hospital-acquired pressure ulcers, and up to 66% of these ulcers originate in the operating room. 2 Surgical patients are more likely to develop pressure-related injuries due to prolonged periods of patient immobility, poor positioning, compromised circulatory function under anesthesia, and preexisting conditions such as diabetes and obesity. 3 Nursing care costs and time can increase by 50% for each pressure ulcer acquired during a surgical procedure, 4, 5 and stage 3 or 4 pressure ulcers that occur after hospital admission are never events that will not be reimbursed. 5 AliMed and our clinician partners apply extensive research and design to developing specific solutions to meet the surgical patients needs. AliMed manufactures its positioners using premium materials with proven efficacy, 6 such as silicone and elastomer gels that mimic fatty tissue, expand pressure distribution, and reduce injury risk. 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. 1 Association of Surgical Technologists Disposable foam positioners To assist with infection prevention, AliMed offers disposable foam positioners in kits for easy storage, convenience, and to reduce cross-contamination risks. Additionally, AliMed provides a wide array of reusable foam positioners, including positioners with antimicrobial Protecta-Coat coating embedded with ionic silver particles and impervious to fluids. To meet the needs of customers seeking reusable gel for its durability and efficacy during long procedures, AliMed carries AliGel, AliLite, and Azure. All leverage viscoelastic polymers, materials recommended by AORN to reduce the incidence of pressure ulcers. 7 Protecta-Coat embedded with ionic silver particles AliGel contains an outer surface that is softer than skin AliGel the industry standard in positioning contains an outer surface that is softer than skin. The underlying gel moves with the patient to reduce shear and evenly distribute pressure. Additionally, AliGel retains its shape better than less dense gel positioners. With more than 100 shapes and sizes, you ll find a positioner for clinical needs. AliLite, AliMed s lightest gel positioner, features a durable combination of naturally antimicrobial silicone gel and lightweight foam with an anti-slip base for stability. Anatomical precontouring facilitates greater conformity between gel and the body s shape as weight is redistributed over a larger area, reducing the risk of pressure points. More than 50% lighter than comparable gel-only products, AliLite positioners are designed for easier handling by medical staff during patient positioning. AliLite, a durable antimicrobial silicone gel and lightweight foam with a stable anti-slip base Azure, AliMed s premium offering, consists of two independent silicone gel layers that work together to allow the positioners to conform to the patient s shape in a more contoured manner, with less settling. Azure positioners are ideal for use during long O.R. procedures. Azure consists of two independent silicone gel layers that work in combination Reduce the incidence of O.R.-acquired pressure ulcers by using the most effective pressure relief available. AiMed s positioning products protect bony prominences and minimize nerve pressure while promoting circulation and respiratory function. Use these products to attain secure access to the surgical site with the least physiological compromise of the patient. 1. The Association of Surgical Technologists Recommended Standard Practices for Surgical Positioning. AST April; 1:1 2. Lorenz JM. Geriatric Skin Care: VA healthcare system nurses assess, treat, and prevent pressure ulcers using a systematic, interdisciplinary approach. Adv Nurse. 2007; 9(11): Shoemaker S, Stoessel K. Pressure Ulcers in the Surgical Patient. Clin Iss. Kimberly-Clark Knowledge Network. 2007; Sanders W, Allen RD. Pressure Management in the Operating Room: Problems and Solutions. Managing Infection Control. 2006; 6(9): Maklebust J. Pressure Ulcers: Etiology and Prevention. Nurs Clin North Am. 1987; June; 22(2): Hoshowsky VM, Schramm, CA. Intraoperative Pressure Sore Prevention: An Analysis of Bedding Materials. Research in Nursing & Health. 1994; 17: Armstrong RN, Diana, Bortz RN, Pamela. An Integrative Review of Pressure Relief in Surgical Positioning. AST April; 1:1 #7097REV AliMed inc. All rights reserved. Printed in USA. AliMed.com Call: Fax: \ \

Pressure Redistribution Clinical Training. August 2014

Pressure Redistribution Clinical Training August 2014 Goal: To help clinicians better understand and execute proper patient pressure redistribution and positioning Contents (Click the link to move to that