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This PowerPoint file is a supplement to the video
presentation. Some of the educational content of this
program is not available solely through the PowerPoint
file. Participants should use all materials to enhance
the value of this continuing education program.
®
Transferring Your Patient
Kim Schober RN, MSN
Nurse Manager
Trustpoint Rehabilitation of Lubbock
Lubbock, Texas
Radiologic Technology/Nurse Aide/Nurse Assistant/Nursing/General Staff Education I 10721/43121/36221/43221
Patient Transfers: Goals
• Identify different types of patient transfers: stand pivot,
squat pivot, sliding board,andHoyer(mechanical)
• Identify howto determinewhichtypeof transfer isbest
for thepatient’scondition
• Identifypatientandhealthcareprovidersafety
precautionsfor thetransfer before, during, andafter the
transfer
• Identify criteria for usingone- andtwo-person transfers
• Discuss floor transfers
Safety First: Survey the Situation
• Thepatient
— patient size
— cognitive ability
— Weakness? Oneside
weaker thananother?
— Corestrength?
— Dizziness?
— Orthostatic
hypotension?
— nausea
— Upperbodystrength?
— Legstrength?
— Medical precautions in
place?
 sternal
 hip
 weight-bearing
Safety First: Survey the Situation
• Whatcan thepatient dofor themselves? Don’t do
forthe patientwhatthey candofor themselves!
• Whatisthepatient wearing?
Safety First: Survey the Situation
• What areyoutransferring toandfrom?
— bedto chair/chair tobed
— bedto bed
— bedto bedside commode(BSC)/BSCto bed
— wheelchair to bed/bed towheelchair
— wheelchairtoilet/toilet towheelchair
— wheelchair to shower/shower towheelchair
— wheelchairto vehicle/vehicle towheelchair
Safety First: Survey the Situation
• What equipmentneedstogowiththe patient?
— IVpoles/pumps
— Foley catheter
— oxygen tanks andtubing
— monitors
 cardiac
 pulseoximeter
— feeding tubes
— chest tubes
Safety First: Set Up
• Equipment
— moveall equipmentto thesideof thebed/chair you
will betransferring to
— check all equipment to ensure theyare lockedprior
to transfer
 wheelchair
 bed
 BSC
 shower chair
 mechanical lift
Safety First: Set Up
• Equipment
— alwaysposition theequipmentsothat the patient will
move TOhis/herstronger side
— wheelchairs
 remove orswingawayarmandlegrests if possible
 alwayslock thewheelspriorto the transfer
 turnthefrontwheelsonthewheelchair forwardto
prevent thechair frommoving tothe sideif it begins to
slip
Safety First: Set Up
• Equipment
— gait belts are best used aroundthewaist, butcanbe
placedabove chest onpatientswithlarge
midsections/incisions/colostomy bags,etc.
— beds
 should belowenoughsothepatient canplacebothfeet
onthe ground, BUTnottoolow
 place thebedFLA
T(lowertheheadandstraightenthe
legelevation)
Safety First: Set Up
• Patient
— non-skid shoes orsocks
— gait belt
— proper Hoyer slingif using
Safety First: Set Up
• Howmanystaff are neededfor aSAFEtransfer?
— CanI safely lowerthis patient tothe groundif he/she
begins tofall duringthetransfer?
 consider patient factors
 consider your physical factors
— alwaysusetwo-person transfer if patient is “max
assist” orif youareunsure of thepatient’s ability
Safety First: Staff Safety
• AlwayswearPPE(personalprotective equipment)
asappropriate
• Keepthepatient close toyou
• Bendat theknees if youmustlift/lowerapatient
• If youmustlowerapatientto theground,guidethe
patientdowngentlyusingyour legasaguide
Safety First: Staff Safety
PROTECTYOURSELF!DONOTtry tolift apatient by
yourself if youdonot feel safe! Impropertransfer
techniquesleadtostaff injuries!
Safety First: Patient Education
• Education/verbal run-through
— introduceyourself
— tellthepatientwhyyouaretransferring/whereyou
are going/how longyouwill begone
— verbally tell the patient whatyouexpect fromthem
duringthetransfer
— it maybe helpful the demonstrate thetransfer to the
patient
Safety First: Patient Education
• Education/verbal run-through
— ask thepatient if theyhave anyquestions/fears prior
to thetransfer
— reassurethepatient that youwillbesurethepatient
issafe throughout thetransfer
Safety Tips for a Good Transfer
• Blocking/guardingjoints
— assisting personcanhelp apatient transfer by
placing theirknees infront of orbesidethe patient’s
weakknee(s)sothepatientisunabletobendthe
knee
— blocking canassist thepatient tostay inthe
standing position and/or helpthemloweror raise
easier
Safety Tips for a Good Transfer
• Scootto the edgeof the surface thepatient is
transferring FROM
• Use “noseover thetoes” toget thepatient’sweight
off their bottom,andontotheir feet!
• NEVERpull onapatient’s armsorlift thepatient by
their arms
Safety First: Contingency Plan
• Knowwhatyouwill doif somethinggoeswrong!
— have thecall lightclose by
— knowwhereyouwillgoif the patient slips/legs
buckle
— if thepatient begins to fall, pullthepatient close to
youandlower thepatient to the ground
— don’t beafraid to slowlylowerthe patient tothe
groundif needed

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patient transfer.pptx nursing managemnet

  • 1. This PowerPoint file is a supplement to the video presentation. Some of the educational content of this program is not available solely through the PowerPoint file. Participants should use all materials to enhance the value of this continuing education program. ®
  • 2. Transferring Your Patient Kim Schober RN, MSN Nurse Manager Trustpoint Rehabilitation of Lubbock Lubbock, Texas Radiologic Technology/Nurse Aide/Nurse Assistant/Nursing/General Staff Education I 10721/43121/36221/43221
  • 3. Patient Transfers: Goals • Identify different types of patient transfers: stand pivot, squat pivot, sliding board,andHoyer(mechanical) • Identify howto determinewhichtypeof transfer isbest for thepatient’scondition • Identifypatientandhealthcareprovidersafety precautionsfor thetransfer before, during, andafter the transfer • Identify criteria for usingone- andtwo-person transfers • Discuss floor transfers
  • 4. Safety First: Survey the Situation • Thepatient — patient size — cognitive ability — Weakness? Oneside weaker thananother? — Corestrength? — Dizziness? — Orthostatic hypotension? — nausea — Upperbodystrength? — Legstrength? — Medical precautions in place?  sternal  hip  weight-bearing
  • 5. Safety First: Survey the Situation • Whatcan thepatient dofor themselves? Don’t do forthe patientwhatthey candofor themselves! • Whatisthepatient wearing?
  • 6. Safety First: Survey the Situation • What areyoutransferring toandfrom? — bedto chair/chair tobed — bedto bed — bedto bedside commode(BSC)/BSCto bed — wheelchair to bed/bed towheelchair — wheelchairtoilet/toilet towheelchair — wheelchair to shower/shower towheelchair — wheelchairto vehicle/vehicle towheelchair
  • 7. Safety First: Survey the Situation • What equipmentneedstogowiththe patient? — IVpoles/pumps — Foley catheter — oxygen tanks andtubing — monitors  cardiac  pulseoximeter — feeding tubes — chest tubes
  • 8. Safety First: Set Up • Equipment — moveall equipmentto thesideof thebed/chair you will betransferring to — check all equipment to ensure theyare lockedprior to transfer  wheelchair  bed  BSC  shower chair  mechanical lift
  • 9. Safety First: Set Up • Equipment — alwaysposition theequipmentsothat the patient will move TOhis/herstronger side — wheelchairs  remove orswingawayarmandlegrests if possible  alwayslock thewheelspriorto the transfer  turnthefrontwheelsonthewheelchair forwardto prevent thechair frommoving tothe sideif it begins to slip
  • 10. Safety First: Set Up • Equipment — gait belts are best used aroundthewaist, butcanbe placedabove chest onpatientswithlarge midsections/incisions/colostomy bags,etc. — beds  should belowenoughsothepatient canplacebothfeet onthe ground, BUTnottoolow  place thebedFLA T(lowertheheadandstraightenthe legelevation)
  • 11. Safety First: Set Up • Patient — non-skid shoes orsocks — gait belt — proper Hoyer slingif using
  • 12. Safety First: Set Up • Howmanystaff are neededfor aSAFEtransfer? — CanI safely lowerthis patient tothe groundif he/she begins tofall duringthetransfer?  consider patient factors  consider your physical factors — alwaysusetwo-person transfer if patient is “max assist” orif youareunsure of thepatient’s ability
  • 13. Safety First: Staff Safety • AlwayswearPPE(personalprotective equipment) asappropriate • Keepthepatient close toyou • Bendat theknees if youmustlift/lowerapatient • If youmustlowerapatientto theground,guidethe patientdowngentlyusingyour legasaguide
  • 14. Safety First: Staff Safety PROTECTYOURSELF!DONOTtry tolift apatient by yourself if youdonot feel safe! Impropertransfer techniquesleadtostaff injuries!
  • 15. Safety First: Patient Education • Education/verbal run-through — introduceyourself — tellthepatientwhyyouaretransferring/whereyou are going/how longyouwill begone — verbally tell the patient whatyouexpect fromthem duringthetransfer — it maybe helpful the demonstrate thetransfer to the patient
  • 16. Safety First: Patient Education • Education/verbal run-through — ask thepatient if theyhave anyquestions/fears prior to thetransfer — reassurethepatient that youwillbesurethepatient issafe throughout thetransfer
  • 17. Safety Tips for a Good Transfer • Blocking/guardingjoints — assisting personcanhelp apatient transfer by placing theirknees infront of orbesidethe patient’s weakknee(s)sothepatientisunabletobendthe knee — blocking canassist thepatient tostay inthe standing position and/or helpthemloweror raise easier
  • 18. Safety Tips for a Good Transfer • Scootto the edgeof the surface thepatient is transferring FROM • Use “noseover thetoes” toget thepatient’sweight off their bottom,andontotheir feet! • NEVERpull onapatient’s armsorlift thepatient by their arms
  • 19. Safety First: Contingency Plan • Knowwhatyouwill doif somethinggoeswrong! — have thecall lightclose by — knowwhereyouwillgoif the patient slips/legs buckle — if thepatient begins to fall, pullthepatient close to youandlower thepatient to the ground — don’t beafraid to slowlylowerthe patient tothe groundif needed