Chapter 13 Safe Patient Movement and Handling Techniques

Use ____________ and ____________ aids when possible

transfer, positioning

what should you avoid doing when lifting?

twisting

Stability can be achieved when

when a body's center of gravity is over its base of support

Always inform the patient of what

you are going to do and how you intend proceed.

A wider stance improves

your base support.

The purpose of a patient transfer is to

safely move a patient from one place to another.

Center of Gravity is typically at the level of which vertebra

second Sacral segment S2

Muscles of the torso are

stability muscles.

Standing with feet apart to increase the base of support improves

stability.

To minimize the severity of orthostatic hypotension, have the patient

stand slowly

The back should be kept

straight or in a position of slightly increased lumbar lordosis.

another name for a cart

stretcher

Always position a patient so that he or she transfers toward their ______ side

strong

Prior to a wheelchair transfer determine a patient's

strong and weak sides

ORTHOSTATIC HYPOTENSION is the

sudden drop in blood pressure caused by a change in a patient's body position

always work as a _________ even with the patient

team

Base of support is the area between

the feet, including the plantar surface area, in a standing position.

If a patient has symptoms of orthostatic hypotension, do not send them away and risk

the patient faint on the way to his or her room

Safety involves both the patient and

the people doing the transfer.

what are the 4 types of wheelchair transfers

1. Standby-assist transfer 2. Assisted standing pivot transfer 3. two-person lift 4. hydraulic Lift techniques

6 most common recumbent patient positions are

1. Supine 2. Prone 3. Lateral 4. Trendelenburg 5. Sims 6. Fowler's

6 Good Body Mechanics

1. Use good posture 2. Always keep your body's line of balance close to your center of gravity (below waistline) 3. Hold object close body 4. Bend your knees 5. Don't twist your trunk 6. Push rather than pull

Fundamental to good patient handling techniques are the concepts of (4 items)

1. base of support 2. center of gravity 3. mobility muscles 4. stability muscles

Symptoms of orthostatic hypotension include (4 items)

1. dizziness 2. fainting 3. blurred vision 4. slurred speech

how many people are usually needed for a cart transfer

3

how many types of wheelchair transfers

4

how many steps to an assisted standing pivot transfer

7

let the patient _______ as much as possible

assist

When lifting patients, keep the _______ stationary and let the ______ do all of the lifting.

back, legs

Standing with both feet flat on the floor improves the

base of support.

Lifting should be done by

bending and straightening the knees.

A hypothetical area of the body where the mass of the body is concentrated; gravity works from this area

center of gravity

a special sheet used for cart to bed transfer is called a

chuck

what is critical for success when using hydraulic lift techniques

communication

provide movement instructions to the patient ___________ during transfer

continually

Person at the head of the patient is responsible for

counting and initiating the transfer

Standing on "tiptoes" _________ surface in contact with the floor and __________ the base of support

decreases, narrows

talk with the patient and

explain what you are going to do

when is a hydraulic lift techniques used

for heavy patients

Patients with cognitive impairments, such as dementia, may

overestimate their transfer abilities and require assistance.

check with the _________ before any move is attempted

patient

Execute the transfer slowly enough for the

patient to feel secure.

Before executing the transfer, check the

patient's chart and verify whether he or she has a restricted weight-bearing status.

Holding heavy objects close to your center of gravity

permits easier and safer transfer

When performing a transfer

Let patients do as much of the work as possible.

After the patient is standing, help him or her to

pivot around to bed or x- ray table and to sit down.

Taking a transfer belt is a good practice when

planning to perform transfers.

Patients who bedridden for extended periods, ie... on backboards are susceptible to

Orthostatic hypotension

Radiologic imaging professionals who use proper transfer techniques can

reduce their injuries and minimize low back pain.

who is in charge?

RT

The base of support is the foundation on which

a body rests.

communication with patient and team members is critical to

safe and efficient transfers

Allow ample time, and

handle patients gently.

standby-assist transfers are used for patients who

have the ability to transfer from a wheelchair to a table on their own

The patient's center of gravity should be

held close. to the transferer's center of gravity.

why is a chuck better than a sheet

it does not stretch

what is needed for the patient to use a hydraulic Lift device

lift sling

before transfering from a cart make sure the wheels are

locked and immovable

Avoid __________ clothing on the patient.

loose

Extremity muscles are classified as

mobility muscles. arms and legs

For effective patient transfers and handling, technologists should use ____________ muscles for lifting and _____________ ______________ muscles for support.

mobility, stability Postural