Chapter 3. Safe Patient Handling, Positioning, and Transfers Show
Positioning a patient in bed is important for maintaining alignment and for preventing bed sores (pressure ulcers), foot drop, and contractures (Perry et al., 2014). Proper positioning is also vital for providing comfort for patients who are bedridden or have decreased mobility related to a medical condition or treatment. When positioning a patient in bed, supportive devices such as pillows, rolls, and blankets, along with repositioning, can aid in providing comfort and safety (Perry et al., 2014). Patient Positions in BedPositioning a patient in bed is a common procedure in the hospital. There are various positions possible for patients in bed, which may be determined by their condition, preference, or treatment related to an illness. Table 3.6 lists patient positions in bed. Table 3.6 Patient Positions in Bed
Moving a Patient up in BedWhen moving a patient in bed, perform a patient risk assessment prior to the procedure to determine the level of assistance needed for optimal patient care. If a patient is unable to assist with repositioning in bed, follow agency policy regarding “no patient lifts” and the use of mechanical lifts for complex and bariatric patients. See Checklist 25 for the steps to move a patient up in bed. Checklist 25: Moving a Patient Up in Bed
Watch these three videos for more information about how to move a patient up in bed. Take this Repositioning a Patient in Bed, Caregivers at Head course to learn how to move a patient up in bed, with caregivers at the head of the bed. Take this Repositioning a Patient in Bed, Caregivers Facing Each Other course to learn how to move a patient up in bed, with the caregivers facing each other. Take this Repositioning a Patient in Bed, Diagonal Technique course to learn how to move a patient up in bed, with the caregivers standing positioned diagonally. Positioning a Patient to the Side of the BedPrior to ambulating, repositioning, or transferring a patient from one surface to another (e.g., a stretcher to a bed), it may be necessary to move the patient to the side of the bed to avoid straining or excessive reaching by the health care provider. Positioning the patient to the side of the bed also allows the health care provider to have the patient as close as possible to the health care provider’s centre of gravity for optimal balance during patient handling. Checklist 26 describes how to safely move a patient to the side of the bed. Checklist 26: Positioning a Patient to the Side of the Bed
Which of the following best describes the Fowler position?What is Fowler's position? In medicine, Fowler's position is a standard position where the patient is seated in a semi-upright position at an angle between 30 and 90 degrees, with legs either bent or straight.
When should an EMR use the Fowler's position?Fowler's position - used for patient with difficulty breathing; semi- sitting position. supine with feet raised 6-12 inches in the air; only use with non suspicion of injury. patient is stable and situation is not urgent; you have adequate time and personnel to move.
What term is used when an EMT is discussing the safest and most efficient methods for using your body as a device to accomplish lifting and moving of patients?C. D. A- Body mechanics are defined as the safest and most efficient methods of using your body to gain a mechanical advantage.
When lifting and moving patients what should be kept straight and locked?An important key to preventing injury while lifting or moving is: not compensating when lifting with one hand. To prevent injury while lifting or moving a patient or heavy equipment, avoid leaning to either side, and keep your back straight and locked.
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