presentation for moving and shifting the patient

1. VIKAS PATIDAR
MSc. 1st year

2. Moving and lifting of the patients means shift or transfer the patient from
one place to another place with use of different types of devices.
For example-.Wheel chair, stretcher.
When the patient is not able to move or lift own self.
DEVICE USED
 Wheel chair. or arm chair.
 Wheel bed.
 stretcher

3. stretcher
Wheel bed
Wheel chair

4. DEFINITION:- Assisting patient to a chair from the bed.
PURPOSE
 To enable change of position without injury
 To maintain good body mechanics.
INDICATION
 Pre-operative patient.
 Anemic patients.
 Old-age patients.
 To shift the patient to washroom.
 For shifting the patient from ward to the investigation area.

5. 1. Provide the privacy.
2. Explain the procedure.
3. Adjust the bed at working height.
4. Fanfold the top linen.
5. Change the wet linen.
6. Offer the bedpan.
7. Remove all comfort devices.
8. Clamp the catheter. Attach the IV pole to then device.
9. Position foot stool if needed.

6. 1. Critically ill patients
2. Spinal injury and fracture patients.
3. Caesarian patients
4. Head injury patients.
5. Semi conscious ,unconscious and coma patients

7. CAESARIAN CRITICALLY ILL PATIENT
COMA HEAD INJURY
SPINAL CORD INJURY

8. DEFINITION:- shifting a helpless patient from bed to stretcher or from
stretcher to bed
PURPOSE
 To transfer patient safety.
 To maintain proper body alignment.
INDICATION
 Critically ill patients.
 Caesarian patients
 Head injury patients.
 Semi conscious, unconscious and coma patients.
 Post operative patients cardio vascular, spinal injury and fracture
patients.

9.  Check the diagnosis of the patient.
 Check the level of the consciousness and ability to follow
instructions.
 Check the ability of the self care.
 Check the abilities and limitations such as paralysis
,fractures, and splints.
 Check the presence of the muscle, skin and bone lesions
and attachment e.g. catheters and I.V. connections.
 Check numbers of personnel required

10. VIKAS PATIDAR
MSc. 1st year

11. Cleansing a wound or a incision and applying sterile
protective covering using aseptic technique.

13.  To protect the wound from the contamination
with microorganisms.

14.  To promote wound granulation and healing

15.  To support or splint the wound site.

16.  To promote thermal insulation to the wound
surface.

17.  To provide for maintenance of high humidity
between the wound and dressing.

18.  To promote physical, psychological and aesthetic
comfort

19. STERILE CLEAN
1. Artery forceps-1
2. Thumb forceps-1
3. Cotton swabs.
4. Gauze pieces.
5. Gallipot for cleaning
solution.
6. Surgical pad.
7. Kidney tray.
8. Sterile scissors.
9. Disposable sheet
10. Surgical tape
1. Clean gloves
2. Sterile gloves
3. Normal saline
4. Ordered medication
5. Adhesive plaster
6. Bandage scissors
7. Plastic bag
8. Mackintosh
9. Culture tubes

22. 1. PRE PROCEDURE :- preparation of environment /
articles/ patient
2. INTRA PROCEDURE :- inform the patient about
procedure.
3. POST PROCEDURE:- replace the article and
recording and reporting.

23.  Assess the wound like size color shape size and exudates and
documented it
 Advice patient and relative to take high protein diet for faster wound
healing.
 Take precaution from other disease which worse wound healing like
control on diabetes/ smoking etc
 Assist in dressing and vital monitoring.
 Keep the patient clean and dry
 Avoid massaging on bone areas
 Change position very 2 hurly
 Send the pus culture and record the findings
 Assess the patient BMI and advice for daily ROM
 Provide proper skin assessment and care with documentation