In lifting or transferring a patient, what is the rule of thumb?
Chapter 3. Safe Patient Handling, Positioning, and Transfers Show
Transfers are defined as moving a patient from one flat surface to another, such as from a bed to a stretcher (Perry et al., 2014). Types of hospital transfers include bed to stretcher, bed to wheelchair, wheelchair to chair, and wheelchair to toilet, and vice versa. Patient Transfer from Bed to StretcherA bed to stretcher transfer requires a minimum of three to four people, depending on the size of the patient and the size and strength of the health care providers. Patients who require this type of transfer are generally immobile or acutely ill and may be unable to assist with the transfer. Checklist 29 shows the steps for moving patients laterally from one surface to another. Checklist 29: Moving a Patient from Bed to Stretcher
Take this Lateral Transfer Sliding Board course for more information on sliding board transfer. Transfer from Bed to WheelchairPatients often need assistance when moving from a bed to a wheelchair. A patient must be cooperative and predictable, able to bear weight on both legs and take small steps. If any of these criteria are not met, a two-person transfer or mechanical lift is recommended. Always complete a patient risk assessment prior to all patient-handling activities. See Checklist 30 for the steps to transfer a patient from the bed to the wheelchair (PHSA, 2010). Checklist 30: Bed to Wheelchair Transfer
Special considerations:
Video 3.6Take this Standing Step Around Transfer course to learn the method for a bed to wheelchair transfer.
What are the principles followed when lifting and moving a patient?Clear communication, eye contact, position feet firm on a level surface and a comfortable distance apart, lift with legs with back straight, bend at knees, minimize twisting, keep weight close.
What are the proper body mechanics when transferring patients?While lifting, keep your back in a neutral position (arched normally, not stiff), knees bent, weight balanced on both feet. Tighten your stomach and back muscles to maintain a correct support position. Use your arms to support the person. Again, let your legs do the lifting.
When lifting the patient you should use your muscles in your?Use your arm and leg muscles to lift an object, rather than using the muscles in your back. Hold objects close to your body at waist level when you carry something heavy.
What part of the body is important when transferring a client?Position your body close to your loved one to decrease strain on your back. Before movement, contract your abdominal muscles to protect your back. Use your knees and your lower body during transfer to decrease strain on your back.
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