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Lifting and moving patient from bed

The document provides detailed guidelines for nurses on how to safely lift and move patients in various situations, including moving them to the side of the bed, turning them, and assisting with repositioning. It outlines step-by-step techniques for handling both helpless and semi-helpless patients, ensuring proper stance, body mechanics, and support throughout the process. The instructions aim to enhance patient safety and comfort while minimizing the risk of injury for healthcare providers.

Education◦
Nursing Path www.drjayeshpatidar.blogspot.com Lifting and Moving Patient from Bed A. MOVING TO THE SIDE OF THE BED 1. Stand facing patient at the side of the bed. 2. Assume a broad stance, one leg forward of the other with knees and hips flexed, bring arms to the level of the bed. 3. Place one arm under shoulders and neck pf patient and another arm under small of patient’s back. 4. Shift body weight from front to back foot, rock backward to a crouch position, bringing patients towards his side. Nurse’s hips come downwards as he rocks backwards. Patient should be pulled. B. HELPING THE PATIENT TURN ON HIS SIDE 1. Stand at the side of the bed towards which patient is to be turned. Place patient’s far arm across his chest and far leg over near leg, near arm is lateral to and away from his body. 2. Stand opposite to the patient’s waist and face side of the bed with one foot a step in front of the other. 3. Place one hand on patient’s far shoulder and one hand on his far hip. 4. Shift weight from forwarded leg to rear leg, patient is turned towards the nurse hips come downward. 5. Patient is stopped by nurse’s elbows, which come to rest on mattress at the edge of the bed. C. RAISING SHOULDERS OF THE HELPLESS PATIENT 1. Stand at side of the side of the bed and face patient head. 2. Assume a wide stance with foot next to bed behind the other foot. 3. Pass arm over the patient’s near shoulders and rest hand between patient’s shoulder blades. 4. Rock backward, shift weight from forwarded foot to rear foot, hips coming straight down.
Nursing Path www.drjayeshpatidar.blogspot.com D. RAISING THE SHOULDERS OF TH SEMI HELPLESS PATIENT 1. Stand at one side of the bed facing the head of the patient. Foot next to bed is to rear and the other foot forward. Provide wide base of support. 2. Bend knees to bring arm next to bed down to a level with a surface of the bed. 3. With elbow on the patient‘s bed grasps the nurse’s arm in the same manner. 4. Rock forward, shift weight from forwarded foot to rear foot to bring hips downward. Elbow remains on bed, which serves as fulcrum. E. MOVING THE HELPLESS PATIENT UP IN BED 1. Stand at the side of the bed and face the far corner of the foot of the bed. 2. Flex knees so that arms are leveled with the bed. Put arm under patient, one arm under patient’s head and shoulders, one hand under small of his back. 3. Rock forward. Shift weight from forwarded foot to rear foot, hips coming downward. Patient will slide diagonally across the bed towards the head and side of the bed. 4. Repeat from tuck and legs of patient. 5. Go to the other side of the bed and repeat number 1 – 3. Continue this process until patient is satisfactorily positioned. F. MOVING THE SEMI HELPLESS PATIENT UP IN BED 1. Patient flexes knees, bringing heels up to his buttocks. 2. Stand at the side of the bed, turn slightly towards patient’s head. One foot is stepped in front of the other foot closer to bed. Feet are directed towards the head of the bed. 3. Place one arm under patient’s shoulders, one arm under thighs. Flex knees to bring arms to the level of the surface of the bed. 4. Patient places chin on his chest and pushes with his feet. Nurse shifts weight from rear foot to forwarded foot. Patient grasps the head of the bed with his hands to pull on his own weight. G. HELPING THE SEMI HELPLESS: PATIENT RAISE HIS BUTTOCKS 1. Patient flexes knees and brings heels towards the buttocks. 2. Nurse faces the side of the bed and stands opposite to the patient’s buttocks. Assume a board stance. 3. Flex knees to bring arms to the level of the bed, place one hand under sacral area of the patient. The elbow is resting firmly on the 3 bed.
Nursing Path www.drjayeshpatidar.blogspot.com 4. As the patient raises his hips, the nurse comes to a crouching position by bending his knees while his arms act as a lever to help support the patient’s buttocks. Nurse’s hips come straight down. While supporting patient in this position, free hand can place bedpan under the patient’s sacral area. H. ASSISTING THE PATIENT TO A SITING POSITION ON THE SIDE OF THE BED 1. Patient is turned to the side towards the edge of the bed. 2. The nurse ensures that the patient does not fall out of the bed by raising the head of the bed. 3. Face the far bottom corner of the bed, support the shoulders of the patient with one arm and the other arm helps patient extend lower legs over the side of the bed top the rear of the other foot. 4. Bring patient to a natural sitting position on the bed; support the patient’s shoulders and legs over the side of the bed. Pivot body to lower legs of the patient. Patient’s legs are swung downward. Nurse’s weight is shifted form front to rear leg. I. ASSISTING THE PATIENT TO GET OF BED AND INTO A CHAIR 1. The patient assumes a suiting position on the edge of the bed, put on shoes/slipper and gown. 2. Place the chair at the side of the bed with back towards foot of the bed. 3. Stand facing patient with foot closer to the chair and a step in front of the other to give the nurse a wide base of support. 4. Place patient’s hands on the nurses shoulders and the nurse grasps patient’s waist. 5. Patient steps on the floor and the nurse flexes her knees, forwarded knee is against the patient knee. This provides patient’s knees bending involuntarily. 6. Turn with the patient while maintaining a wide base of support. Bend knees as the patient sits on chair.