Proper Body Mechanics Techniques for Patient Transfers, and ...
Proper Body Mechanics Techniques for Patient Transfers, and Bed Mobility Athens-Limestone Hospital Kevin Steen General Safety Rules Plan the activity Maintain neutral spine Brace abdominals, keep head and shoulders up
Get as close to patient as possible Get help or assistive equipment whenever possible General Safety Rules Pivot or side step-Do Not Twist Make sure path is clear Properly position chair/bed/equipment Transfer patient to stronger side unless otherwise instructed Bend your knees, use your legs when
lifting. Do not lift with straight legs General Safety Rules Have the patient assist you as much as possible. Know their status Provide clear directions to patient on what you are about to do, and their role assisting. Use a draw sheet for bed mobility if patient can only minimally assist. Adjust the bed to make transfers easier
General Safety Rules Whenever possible, use your body weight and momentum to move patient rather than muscle a patient up. Place feet shoulder width apart or one foot in front of another to make a wide base. Do not lean over patient. Back Injury: Prevention Proper lifting techniques and transfer training
Proper body mechanics can greatly decrease the risk for injury for both health care worker and the patient B.A.C.K Back Straight Avoid Twisting Close to Body Keep Smooth
Proper Patient Transfer Techniques Types of Patient Transfers Independent One or Two person Supine to sit Stand Pivot Slide board Mechanical lift Slide Sheet
Bathroom: commode or tub transfers Tips for Safe Transfers Always use a Gait Belt for added security Provides comfort for patient and a better handle for health care provider Know patient before attempting transfer Read chart to find limitations, precautions, etc get the full picture first
Make sure path is clear of clutter and enough space is provided for safe transfer Patient Lifting Transfer technique similar to lifting technique just lifting a person vs an object Keeping center of gravity (COG) low will provide more leverage in performing transfer
Transfer: Sliding Patient up in bed Explain to patient what you are going to do Make sure head of bed is lowered fully, move pillow up to where patients head will be
Have patient cross arms and lift head Use draw sheet/incontinence pad to decrease shearing force Use proper body mechanics and lift on 3 Make sure you position patient comfortably following transfer Transfer: Supine to Sit To get patient from laying down to sitting at the side of bed Explain the procedure of what you will be doing
Use proper body Mechanics Support the patients body and bring them from supine to sitting at the edge of the bed Avoid pain as much as possible Sit with patient to ensure safety, then when ready position them for comfort or prepare for transfer Supine to Sit
Dependent patients: Move patient by body segments; lower legs, hips, shoulders, head, etc to scoot them closer to edge of bed, use draw pad for moving trunk Support shoulders while legs are close to EOB, use proper body mechanics and lift shoulders as legs lower Support patient in sitting Supine to Sit
Patients who need min/mod assist: Have patients move toward EOB by scooting their legs, have them do bridges to scoot hips and trunk, and lift their neck and shoulders Once close to EOB, support patients shoulders and assist them to sit Patients should use legs to dig into side of bed to help pull to sitting Supine to Sit: Log roll Patients who need supervision:
Have patient bend knee and reach arm across body As knee falls across body and arm reaches patient will roll onto their side Once in sidelying, pt will use arm and opposite elbow to push themselves up as their legs come off the side of the bed Sit to Stand Have patient scoot to edge of chair Pull feet back toward them so knees are over
the toes Patients will use arm rails/chair rails to push up on Use gait belt for better grasp/safety Can use a count of 1-2-3, have patient lean forward as they push up; nose over toes
Steady patient and ensure no dizziness Transfer Demonstrations Sit to Stand nose over toes Chair to Wheelchair Slide board vs stand pivot Stand Pivot Weight bearing precautions patient CVA
Ambulation Use of gait belt Use of an assistive device as appropriate: Walker Cane Crutches Surfaces: Even and Uneven inclines/declines
change in surface (tile to carpet to grass) Proper use of Assistive Device Walkers: Kept close to the body, patient should stay within the frame of the walker Cane: To be used on the weak side (acts as a supporting leg) OR used on strong side to decrease weight bearing (lean away from bad leg) Crutches: Slow paced,
not good for the elderly Wheelchair transfers Prepare WC: Place WC near bed/chair Remove leg rests, swing them away if needed to remove tripping obstacle Remove arm rests if needed Lock Wheelchair Wheelchair Transfers
Stand-Pivot (supervision assist) Stand to side of patient out of the path of the WC Using gait belt, assist in standing; once standing, have patient reach toward far arm rest of wheel chair Hand is placed securely on arm and bottom is turned toward seat, patient reached back with other arm to secure other arm rest and slowly lowers to seat Position patient for comfort Wheelchair Transfers Stand Pivot (min to mod assistance)
Remove arm rest closest to patient Stand in front of patient, use good body mechanics Use gait belt to assist patient to perform sit to stand transfer Have patient reach toward arm rest and aim bottom to WC, guide hips with gait belt and slowly lower into seat Replace arm rest, position patient comfortably Wheelchair transfers
Slide Board transfer Remove arm rest closest to patient Have them shift their weight to place board under one side of their bottom with the other end of slideboard onto WC Pt will slowly scoot along slideboard with hand on board to secure until in seat, have them shift weight in order to gently remove board Always use gait belt to guide pt and assist with lifting Replace arm rest and position pt comfortably
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