Surgical Patient Positioning Guide

This position is used for:

• Mastectomy (Breast Surgery)
• Upper limb and hand surgeries
• Cases where the patient is receiving IV fluids and the anesthesiologist requires frequent access to the arm

The patient lies in a supine position with one or both arms extended.

Additional Equipment Required:

• Arm board
• Padding for the arm board
• Wrist strap

Steps:

1. Position the patient on the operating table in a supine position, ensuring the affected side is near the table’s edge.

• If the axilla is involved, position the arm below the level of the arm board.

2. Ensure the arm board is securely attached to the operating table on the affected side.

3. Place the arm on the arm board and use additional padding if necessary.

4. Do not extend the arm beyond 45 degrees from the body to prevent nerve injury.

5. Use a wrist strap if permitted by the procedure or if the arm needs to remain extended for anesthetic access.

6. Turn the patient’s face toward the affected side and slightly tilt it backward.

7. Ensure the face does not rest on the unaffected side.