Patient transfer involves moving a patient from one surface to another for continuation of care. There are various types of transfers that depend on the patient's condition and abilities, including one-person or two-person standing pivots, transfers using boards, and sit-to-stand transfers. Proper preparation, communication, documentation, stabilization of the patient, and choice of transfer mode are important elements to consider. Modes of transfer can be intra-hospital shifts within the same facility or inter-hospital shifts using ground ambulances or air transport like helicopters. Equipment, monitoring, and safety techniques are vital to ensure safe transfer of the patient.

2. Patient transfer
kinesiology

3. Name: Humna
•BSOT Semester 3
•DHPT, UOL
•Presented to : Mam Ambreen sadaf
•Topic :
• Patient transfer

4. What is patient transfer?
•Transfer is defined as moving of patient
from one flat surface to other flat surface.

5. •When a patient is severely ill, there is a
situation when he will be transferred to
another health care unit for the continuation
of care.
•The transfer of a patient is with the records
and may be of short duration or long
duration.

6. Elements of patient transfer:
•Stabilizing of patient
•Maintaining proper communication
•Shift reporting involves educating nurses
•Determine the proper mode of transfer.
•Keeping proper documentation

7. Types of
patient
transfer
There are many types of
patient transfer:
• One person standing pivot
• Two persons standing pivot
• One person assist with
transfer board
• Two persons assist with
transfer board
• Sit to stand
• Mechanical track

8. One person standing
•The patient can bear the weight on one leg
•Is co operative and predictable
•Can sit with minimal support one the side
of bed.

9. Two person standing
•Can assist with weight bearing but is
inconsistent
•Two person transfer with a gait belt, or transfer
with slide board.
•Is co operative and predictable.

10. Sit to stand:
•Can actively participate with some ability to
stand.
•It is reliable , and it is predictable.
•Does not have severe limb contractures or
injuries.

11. Mechanical transfer
•Cannot be reliably stand.
•It is unpredictable
•It is too heavy for two persons.

12. Approach to patient transfer:
•The patient can be transferred by following
steps
•Communications
•Provision of elevator
•Proper documentation regarding clients ability
,transfer needs, and physical stability.

13. •Nurse should be prepared with all aspects in
case of illness .
•Try to maintain eye contact with patient and
communicate while transfer in progress.
•Assure that the path of transfer is clear and is
without obstructions
•The client should be transported from the
shortest distance route.

14. •Get assistance if lifting the person is awkward.
•Proper handover to the next health care unit or
next nurse of the patient to be.

15. Body position considerations
•Consider patients weight
•Know your limitations
•Lift without twisting
•Communicate with partner
•Position feet one in front of other.
•Flexed at hip
•Bend at knees.

17. Patient position
•Patient with chest pain
•Position of comfort as long as hypotension does
not occur.
•Patient with spine injury
•Immobilized on long board to lock spines.

18. Patient position:
•Patient with stroke
•Elevated legs 8 to 12 inches
•Pregnant patient
•Left lateral recumbent
•Supine fetus on vena cava

19. Modes of transfer of patient
•There are two modes of transfer of patient
•Intra hospital shift:
•This includes patient transfer from same
medical facility in the same hospital.
•Inter hospital shift:
• Shifting of the patient to the other medical care unit
i.e through land or air transport.

20. Modes of transfer:
•Ground transport:
•This is done by different types of ambulances.
•Basic life ambulance equipped with enough
staff and monitoring devices . There are no
life threating conditions in there

21. •Advanced life support ambulance can provide
•Support services cardiac
monitoring, administration of intravenous fluids.
•MICU these are specialized vehicles
with specialist equipment for the critically ill
patient.

22. Air transport
•Fixed wing or aero plane type air ambulance. It is
usually used for long distance inter hospital patients
transfer about 240km distance.
•Rotor wing or helicopter can be used for short
distance ab out 80km .receiving hospital with the
facility of helipad.

23. •The main aim of the transfer is maintaining the
continuity of medical care.
How to stabilize pre transfer
• A proper and meticulous preparation and
stabilization should be done before transfer .
• His airway breathing should be clear, heart
rate should be normal, disability should be
checked and associated problems should be
resolved.

24. Accompanying the patient
•It is usually recommended atleast two helpers to
stay with the patient.
•It includes the patient who can be managed at
the ward of hospital.
•Patients who needs observation, or intervention,
for failure of single organ.
•Patients with requirement of respiratory care.

25. Drugs and monitoring:
•A proper monitoring is necessary for the provision
of all life saving drugs.
•The ambulance must be equipped with all the
drugs and devices like
•Ventilation, oxygenation, heamodynamic
monitoring. Infusion drugs.
•Relaxants, sedatives, and
analgesics are compulsory medicines.

26. Equipment
•The available equipment should be
•Testing kits
Blood pressure monitor
Blood sugar testing machine
Oximeter
ECG monitor

27. •Ventilators
•Monitors
•Pace makers
•Syringes pumps
•Suction apparatus
•Peripheral nerve stimulator

28. Documentation:
•The documentation transfer of patient is most
important.
•The documentation includes name of
the patient, his condition, and reason
for transfer, and reference of hospital.

29. Techniques for safe transfer
•Only transfer when necessary
•Get as close as to the surface you want to
move to. Lock you wheels if transferring from
wheelchair
•Lean your trunk forward your shoulder as
close to your body as possible about 30 to 45
degrees.

30. •Alternate leading arms and directions to keep
your arms muscles balanced and reduce the
strain.
•Maintain ideal body weight the more stress you
transfer on shoulder and arms.

31. Common problems with solutions
•Access the patient monitoring cable.
Take time packages make check before you
leave.
•Dilation of pupil .
Increase ventilation, increase MAP, give 100ml
mannitol

32. Problems and solutions
•Cough strain on respiratory track
Sedate and paralyze
•Ambulance running out of petrol
Make them check before leaving .
Also do not lose your any situation and don’t
panic otherwise the patient may be disturbed.

33. References
• https://books.google.com/books?id=uxtuAQAACAAJ&dq=e
quipments+for+patient+transfer&hl=en&sa=X&ved=2ahUK
Ewi4-vLI0Pz0AhXPBWMBHQzYCXMQ6AF6BAgCEAE
•Slide share slides for patient transfer