Transferring, Lifting, Re-Positioning

safe patient transferring, lifting, and re-positioning

1. Chapter 11
Safe Patient Handling,
Transfer, and Positioning

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2. Apply principles of safe patient transfer
positioning
Safely and correctly position and move patients
to reduce risks related to immobilization
Always use safe patient-handling techniques
Lifting and Moving Patients
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3. When lifting a patient, the nurse will:
A.Bend deeply at the waist.
B.Twist her feet to the left.
C.Keep her knees straight.
D.Tighten stomach muscles.
Quick Quiz!
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4. Use proper body mechanics
Safe patient-handling techniques increases level
of independence for the patient
Teaching both proper body mechanics and the
use of safe patient-handling equipment is more
effect than using just one
Know patient’s movement ability
Principles for Practice
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5. Increasing mobility and activity level is the
patient’s choice
Develop a plan of care, assess:
Patient’s knowledge
Cultural beliefs
Attitude about loss of independence
Willingness to participate in activity
Patient-Centered Care
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6. •Independent health care settings have highest rate
of injury and illness
•It is critical to train health care staff on devices,
equipment, and handling policies
•Most organizations have “no lift” policies, in which
they require use of lift devices
•Knowledge of positioning techniques and proper use
of equipment reduces injuries to health care workers
Evidence-Based Practice
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7. 1. Know how physiological influences on body
alignment and mobility affect patients throughout
the life span.
2. Control factors that can indirectly affect body
mechanics by making the environment safe.
3. Determine a patient’s level of sensory perception
(vision and hearing) as this affects a patient’s
ability to cooperate during transfer and lifting
procedures.
Safety Guidelines
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8. 4. Loss of sensation increases vulnerability to the
hazards of immobility because of the inability to
sense pain or the need for repositioning.
5. Use assistive equipment and devices to transfer
and position patients safely.
Safety Guidelines (Cont.)
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9. Transferring is a nursing skill used to help the
patient attain positions to regain optimal
independence
Physical activity is beneficial for the patient
Maintain safety of patient and nurse
Be aware of patient circumstances
Obtain assistance, if needed
Using Safe and Effective Transfer
Techniques
Skill 11-1
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10. The task of effective transfer techniques can be
delegated to trained nursing assistive personnel
(NAP). The nurse is responsible to initially assess
patient’s readiness and ability to transfer
The nurse directs NAP by:
Assisting and supervising when moving patients who
are transferred for the first time
Explaining any patient factors that may affect safe
transfer
Explaining what to observe and report back to the
nurse
Delegation and Collaboration
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11. •Record procedure, including pertinent
observations
•Report to next shift or other caregivers
transfer ability and assistance needed; report
progress or remission to rehabilitation staff
Recording and Reporting
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12. Teaching
Teach family and patient transfer skills
Pediatric
When possible, transport child outside of the room by
stretcher, stroller, or wheelchair
Children confined to bed need to have dependent skin
surfaces assessed at least 3 times in a 24-hour
period
Special Considerations
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13. Gerontological
Fall prevention
Home care
Have caregiver practice transfer in hospital before
taking the patient home
Home should be hazard-free and accessible for the
patient
Special Considerations (Cont.)
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14. A patient who recently suffered a nonhemorrhagic stroke
is having difficulty following the nurse’s instructions for
transfer from bed to chair. Which of the following
answers can explain why the patient is having difficulty
with this instruction?
A.The patient does not like the nurse directing her on what to do.
B.It is not advisable for this patient to get out of bed after a stroke.
C.The patient has suffered short-term memory loss and is confused.
D.Lunch is being delivered in an hour and the patient prefers to eat in
bed.
Quick Quiz!
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15. This procedure builds on the principles that you
learned in Skill 11-1: Using Safe and Effective
Transfer Techniques
Maintain patient safety
Check wheelchair locks and footplates before
transferring the patient
Wheelchair Transfer Techniques
Procedural Guideline 11-1
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16. The task of transferring a patient to or from a
wheelchair can be delegated to NAP
The nurse directs NAP by:
Assessing and supervising when moving patients who
are transferring for the first time
Explain any patient factors that may affect safe
transfer
Delegation and Collaboration
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17. Can the skill of transferring a patient to or from a
wheelchair be delegated to NAP?
A.Yes.
B.No.
Quick Quiz!
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18. Correctly position patient
Maintain body alignment, comfort, circulation, and
balance
Cause no restrictions to circulation
Follow agency’s safe handling algorithms
Use appropriate repositioning devices
Moving and Positioning
Patients in Bed
Skill 11-2
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19. This skill can be delegated to NAP
The nurse directs NAP by:
Explaining about any moving and positioning
restrictions
Designating specific times during a shift that NAP
must reposition the patient
Providing information regarding the patient’s needs
for body alignment
Delegation and Collaboration
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20. •Record procedure and observations (e.g.,
condition of skin, joint movement, patient’s
ability to assist with positioning)
•Report observations at change of shift and
document in nurses’ notes
•Record times and position changes of patient
throughout the shift
Recording and Reporting
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21. Teaching
Instruct caregiver in patient positioning, signs and
symptoms of complications
Provide opportunity for return demonstration
Gerontological
Reposition older-adult patients every 1 to 2 hours;
maintain range-of-motion (ROM) exercises
Special Considerations
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