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How should the stretcher be oriented when necessary to use an elevator to transport a patient to the OR?

  1. Enter feet first, exit head first

  2. Enter side first, exit rear first

  3. Enter head first, exit feet first

  4. Enter head first, exit side first

The correct answer is: Enter head first, exit feet first

The stretcher should be oriented to enter head first and exit feet first when transporting a patient to the operating room. This orientation is crucial for several reasons. Entering head first allows the healthcare team to maintain control over the patient’s airway and vital signs, which are of utmost importance during transport. It also facilitates easier access to the patient's upper body should any immediate medical attention be needed. Additionally, this positioning allows the team to maneuver the stretcher more effectively through doorways and around corners without putting unnecessary strain on the patient. Exiting feet first upon arrival to the operating room ensures that the patient's head remains oriented toward the medical team, allowing them to continue monitoring the patient's condition as they maneuver the stretcher into position for transfer to the operating table. This approach aligns with best practices for patient safety and comfort during transport, minimizing risks associated with patient handling and positioning.