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Rad 104 hospital practice and care of patients 7 safe patient movement and handling 2016

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Rad 104 hospital practice and care of patients 7 safe patient movement and handling 2016

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Rad 104 hospital practice and care of patients 7 safe patient movement and handling 2016

  1. 1. Hospital Practice & Care of Patient RAD 104 Safe patient movement and handling techniques
  2. 2. Objectives Define the terms related with body mechanics Describe Orthostatic Hypotension Describe the basic principals of proper lifting and transfer of patients Explain four types of wheelchair transfers Describe a cart to table transfer procedure Identify five standard patient position
  3. 3. Terminology • MSDS • OSHA • Orthostatic hypotension • Stability • Pivot • Mobility • Syncope • Bradycardia
  4. 4. Why ? • 2% of employees have work related back problem
  5. 5. Body mechanics Base of support refers to the area beneath a person that includes every point of contact that the object or person makes with the supporting surface.
  6. 6. Body mechanics Center of gravity is a hypothetical point around which the force of gravity appears to act. It is point at which the combined mass of the body appears to be concentrated
  7. 7. Body mechanics Line of Gravity an imaginary line that extends from the center of gravity to the base of support.
  8. 8. Principles of Body Mechanics: • have a stable base of support (e.g. widening the distance between the feet), • have a stable center of gravity (e.g. keeping the cumulative weight or load near to the center of the base of support), & • Have a stable line of gravity (e.g. center of gravity passes a perpendicular line to the center of the base of support. To avoid back injury
  9. 9. Mobility and stability muscles
  10. 10. • Caused by venous pooling in the legs and abdomen, loss of skeletal muscle pump, and impaired nervous system control of BP • May occur with position changes and can result in syncope, bradycardia, or asystole. Orthostatic Hypotension
  11. 11. Orthostatic Hypotension
  12. 12. Wheelchair Transfer
  13. 13. Standby assisted Transfer • https://www.youtube.com/watch?v=tjgJXCyFX5s
  14. 14. Two Person Left Top-Bottom
  15. 15. Side to Side Two Person Left
  16. 16. Cart (stretcher / bed) to Table Transfer
  17. 17. Principals for Safe Transfers
  18. 18. Important Tips • Provide privacy to the patient by closing the door of the x-ray room. • Explain to the patient the procedure and his/her role in the transfer to assure him/her and to make the cooperation easier and more certain • Never forget to lock the wheels of the wheelchair or the cart/ stretcher/ bed • Synchronize your efforts ( on 3 ,,, 1 - 2 -3 GO) • Determine which one is the stronger radiographer • Follow the Body Mechanics Principals • Do the same steps to transfer the patient from the x-ray table to the stretcher. • Allow the patient to help as much as possible. • Never forget to support the head and neck , especial in ER • Take care of loose arms and legs from getting caught midway
  19. 19. Patient Transfer • Fully Mobile Patients
  20. 20. Patient Transfer
  21. 21. Patient Transfer
  22. 22. Stretcher transfers:
  23. 23. Using Sliding Device
  24. 24. Alternatives
  25. 25. Patients’ Positions
  26. 26. Pressure points
  27. 27. Patient Safety and Comfort: Safety: • NO obstacles • clear fire exit signs. • Avoid Electrical , Chemical or Infectious hazards. comfort : • 1. waiting area. • 2. ventilation. • 3. adequate explanation of delays. • 4. Keep the waiting area neat/ clean, tidy and fresh and provide comfortable chairs. • 5. distract the children, patients, relatives
  28. 28. Patient Safety and Comfort: Safety: • NO obstacles • clear fire exit signs. • Avoid Electrical , Chemical or Infectious hazards. comfort : • 1. waiting area. • 2. ventilation. • 3. adequate explanation of delays. • 4. Keep the waiting area neat/ clean, tidy and fresh and provide comfortable chairs. • 5. distract the children, patients, relatives

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