The document provides information on safe patient handling and transfer techniques for healthcare providers. It discusses common complications from immobility like pressure ulcers and contractures. It also addresses that low back pain is the most common work-related injury for healthcare workers, with nursing having high rates of injuries from patient lifting. The document outlines principles of safe transferring, different transfer techniques, and bed mobility maneuvers. It emphasizes using proper body mechanics and equipment to prevent injuries.
1) Patient transfers involve safely moving a patient from one surface to another using proper techniques and assistive devices.
2) There are different levels of transfer based on a patient's participation and need for assistance.
3) Many risk factors must be considered for safe transfers, including a patient's medical conditions, physical abilities, communication skills, and environment. Assistive devices can help reduce risks.
A transfer involves moving a patient from one surface to another in a safe manner. Proper planning, safety precautions, and assistance levels must be considered. The OT's role is to teach patients and caregivers to perform transfers as independently and safely as possible while protecting the patient from injury. Factors like cognition, strength, balance, and endurance impact a patient's ability to transfer independently.
The document discusses proper techniques for lifting, moving, and positioning patients. It describes how to assess patients' needs and abilities before moving them, as well as correct body mechanics for nurses to employ, such as maintaining balance and a broad stance. Specific techniques are covered, including pulling, pushing, and pivoting patients. Different considerations are outlined for infants, children, and elders. Various patient positions like Fowler's position and lateral position are also defined. The goal is to safely move and position patients while preventing injuries to both patients and nurses.
The document provides guidelines for safely transferring and lifting patients to prevent injuries. It emphasizes using proper body mechanics, communication during transfers, and getting assistance for heavy patients or awkward lifts. Specific tips are given for different transfer techniques, including using draw sheets, wheelchairs, and a one-person transfer method. Warm up exercises are also recommended before transfers to prevent strains. Overall the focus is on protecting both patients and caregivers from injuries during moves by following standardized safety procedures.
Section 2 assisting with moving and transfers-1baxtermom
This document provides guidance on safely assisting with moving and transferring patients. It outlines how to prevent injuries by using proper body mechanics and friction-reducing devices. The number of staff and type of equipment needed depends on the patient's dependence level and weight. Mechanical lifts are recommended for heavy or fully dependent patients. Specific techniques are described for moving patients in bed, to the side of bed, turning, sitting on the edge of bed, and transferring between surfaces. Safety is emphasized, including assessing the patient's needs and abilities and having enough space to move freely.
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.
The document discusses safe patient handling techniques including proper transfer and positioning of patients. It emphasizes applying principles of safety, maintaining patient independence, using assistive equipment, and collaborating with other staff. Special considerations are given to teaching patients and caregivers, and caring for pediatric or older adult patients.
This document provides guidance on safely lifting and moving patients to prevent back injuries. It describes proper body mechanics for lifting, such as keeping the back straight, lifting with legs, and avoiding twisting. Different grips for lifting are explained as well as techniques for moving patients up and down stairs, carrying on a litter, and transferring to different surfaces. Emergency moves are described for unsafe situations as well as special considerations for elderly and obese patients.
1) Patient transfers involve safely moving a patient from one surface to another using proper techniques and assistive devices.
2) There are different levels of transfer based on a patient's participation and need for assistance.
3) Many risk factors must be considered for safe transfers, including a patient's medical conditions, physical abilities, communication skills, and environment. Assistive devices can help reduce risks.
A transfer involves moving a patient from one surface to another in a safe manner. Proper planning, safety precautions, and assistance levels must be considered. The OT's role is to teach patients and caregivers to perform transfers as independently and safely as possible while protecting the patient from injury. Factors like cognition, strength, balance, and endurance impact a patient's ability to transfer independently.
The document discusses proper techniques for lifting, moving, and positioning patients. It describes how to assess patients' needs and abilities before moving them, as well as correct body mechanics for nurses to employ, such as maintaining balance and a broad stance. Specific techniques are covered, including pulling, pushing, and pivoting patients. Different considerations are outlined for infants, children, and elders. Various patient positions like Fowler's position and lateral position are also defined. The goal is to safely move and position patients while preventing injuries to both patients and nurses.
The document provides guidelines for safely transferring and lifting patients to prevent injuries. It emphasizes using proper body mechanics, communication during transfers, and getting assistance for heavy patients or awkward lifts. Specific tips are given for different transfer techniques, including using draw sheets, wheelchairs, and a one-person transfer method. Warm up exercises are also recommended before transfers to prevent strains. Overall the focus is on protecting both patients and caregivers from injuries during moves by following standardized safety procedures.
Section 2 assisting with moving and transfers-1baxtermom
This document provides guidance on safely assisting with moving and transferring patients. It outlines how to prevent injuries by using proper body mechanics and friction-reducing devices. The number of staff and type of equipment needed depends on the patient's dependence level and weight. Mechanical lifts are recommended for heavy or fully dependent patients. Specific techniques are described for moving patients in bed, to the side of bed, turning, sitting on the edge of bed, and transferring between surfaces. Safety is emphasized, including assessing the patient's needs and abilities and having enough space to move freely.
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.
The document discusses safe patient handling techniques including proper transfer and positioning of patients. It emphasizes applying principles of safety, maintaining patient independence, using assistive equipment, and collaborating with other staff. Special considerations are given to teaching patients and caregivers, and caring for pediatric or older adult patients.
This document provides guidance on safely lifting and moving patients to prevent back injuries. It describes proper body mechanics for lifting, such as keeping the back straight, lifting with legs, and avoiding twisting. Different grips for lifting are explained as well as techniques for moving patients up and down stairs, carrying on a litter, and transferring to different surfaces. Emergency moves are described for unsafe situations as well as special considerations for elderly and obese patients.
This document provides instructions for safely transferring patients from bed to wheelchair. It outlines key safety considerations like ensuring rails are up, wheels are locked, and using a transfer belt. The main steps are: 1) getting ready by washing hands and explaining the procedure; 2) applying a transfer belt for stability; and 3) using proper body mechanics and communication during the transfer. Additional safety tips emphasize knowing the patient's abilities, using the right equipment, and reporting any issues.
The document provides guidelines for proper lifting and transferring techniques to prevent injury. It discusses basic biomechanics principles such as maintaining normal spinal curvature, positioning the center of gravity close to the object, and widening the base of support. Several specific lift techniques are described, including traditional lifts, one-leg stance lifts, half kneeling lifts, and stoop lifts. Guidelines are also provided for patient transfers, including use of gait belts, guarding techniques, and various transfer methods such as stand-step pivots and slide board transfers.
Moving, lifting, transferring of the patient
MOBILIZATION
FUNDAMENTAL OF NURSING
UNIT XII
DEFINITION: Moving and lifting the patient means transferring the patient from one place to another (or) changing the position of the patient.
PURPOSE: To prevent bed sores
Maintain good body mechanism
Perform procedures such as back care
This presentation provides nursing staff education on safely restraining patients when necessary. It aims to teach alternatives to restraints and safe restraint application and monitoring. Key points include obtaining proper physician orders, using restraints as a last resort, monitoring restrained patients every 15 minutes, and documenting care provided. The goal is to educate on restraint safety and providing a safe environment for restrained patients.
1. The document discusses lifting techniques and concepts like center of gravity, base of support, and line of gravity.
2. It outlines goals for patient transfers which include independence in activities of daily living and different environments or equipment.
3. Safety of the patient and nurse must never be compromised during transfers which require planning, instruction, and proper body mechanics.
This document provides an overview of safe patient handling (SPH) and discusses its importance in preventing musculoskeletal disorders in caregivers. It outlines key aspects of SPH including patient transfers, lifts, and the factors to consider in decision making. Ergonomic practices like proper postures and use of equipment are emphasized. While manual handling cannot be avoided, policies and risk management processes should prioritize worker protection. Both training and appropriate equipment are needed to effectively implement SPH. The responsibilities of a SPH team and goals of a SPH program are reviewed. Guidelines for specific patient cases and formulating recommendations to improve SPH are also presented.
This document discusses lifting and shifting patients using devices like wheelchairs and stretchers. It describes when lifting and shifting patients is needed, such as for pre-operative, anemic, elderly, gynecological, or critically ill patients. Proper techniques are outlined, including planning the movement, supporting the patient's head, shoulders, hips, thighs and ankles, taking help from others, encouraging patient participation, avoiding twisting or jerking, and preparing the environment, patient, equipment and self before and after the procedure.
Assist patient from the bed to chair or wheelchairNursing Path
1) The document provides instructions for assisting a patient from their bed to a chair or wheelchair. It outlines safety precautions like monitoring the patient's pulse and color during transfers.
2) The procedure involves placing pillows and blankets in the chair or wheelchair, assisting the patient to sit on the edge of the bed, and then standing and turning them to lower into the seated position.
3) Steps are described for returning the patient safely to bed, such as supporting them as they stand, sit on the edge of the bed, and lower back down while maintaining proper body alignment.
This document discusses safe patient handling for nurses. It notes that nursing has a high rate of work-related musculoskeletal injuries, especially back injuries, due to manual lifting and moving of patients. Proper body mechanics and ergonomics can help reduce injuries but are not always sufficient to prevent them. The best practice is to use patient lifting equipment whenever possible to reduce physical strain on nurses. Employers have a responsibility to provide a safe work environment and appropriate lifting equipment for nurses.
1) There are several methods for transporting an injured person depending on the severity of injuries and number of available assistants. These include carrying methods like cradle carry or fireman's lift with one assistant or two-handed seat, four-handed seat, or stretcher with two assistants.
2) Proper body mechanics should be used and the injured person should be reassured. The nature of injuries and distance to care should be considered before transporting.
3) Wheeled stretchers like trolley cots or ambulance stretchers are useful for transporting seriously injured individuals over longer distances.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
Falls are a major issue and collecting information about falls in the IIMS system allows for targeted prevention strategies. It is important to identify patient risk factors for falls through screening and put appropriate prevention measures in place, such as mobility aids, supplements for osteoporosis, and reviewing medications that could increase fall risk. Staff should communicate fall risks and prevention plans to ensure consistent care that keeps patients safe from falls.
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Orthotics are devices used to support or correct deformities and impairments of the foot, ankle, knee, and hip joints. A foot orthotic is customized to fit inside the shoe to correct foot alignment. An ankle-foot orthosis (AFO) consists of a shoe attachment, ankle control, and leg band to support the ankle. A knee-ankle-foot orthosis (KAFO) adds a knee control to an AFO. The most specialized orthosis is a total hip-knee-ankle-foot orthosis (THKAFO) which incorporates a hip joint and trunk band. Orthoses are customized to meet individual functional needs and goals.
Orthopedic surgery involves various procedures to repair bones and joints, from open reduction of fractures to joint replacement and amputation. Preoperative management focuses on optimizing patient health through nutrition, hydration, and infection control. Postoperative care monitors for complications like bleeding and swelling while preventing issues from immobility through careful nursing interventions.
The document discusses various types of wheelchairs, including attendant propelled chairs, manual chairs, power mobility devices, mobility scooters, single-arm drive wheelchairs, reclining wheelchairs, standing wheelchairs, and smart wheelchairs. It covers the characteristics and uses of each type. Guidelines for wheelchair measurements, components, skills training, and assessments are also presented. Laws regarding accessibility for people with disabilities are summarized.
Body mechanics and safety precautions are important when lifting and moving patients to prevent injury. Techniques include using legs instead of back to lift, keeping the weight close, and avoiding twisting motions. Patients should be lifted based on their condition, from emergency moves for imminent danger to non-urgent moves for stable patients. Various devices like backboards, stretchers, stair chairs, and scoops can be used to safely transport patients.
Keep up your normal daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable. Exercise is not dangerous for your baby – there is some evidence that active women are less likely to experience problems in later pregnancy and labour.
Exercising during your pregnancy has great benefits – it can help prepare you for labor and childbirth and lift your spirits – but you need to approach working out with extra caution.
The document provides guidance on safely transferring patients from one surface to another. It describes different types of transfers that vary based on a patient's abilities and needs. Key points include:
1) Assessing a patient's physical, cognitive, and medical status is important for determining the best transfer method.
2) Common transfer techniques include dependent, assisted, and independent transfers using devices like draw sheets, sliders, and boards.
3) Proper body mechanics and communication are essential to avoid injury for both the patient and caregiver. Bend knees, keep back straight, and get help for heavy transfers.
Safe Patient Handling Program at Huntington HospitalLisa Affatato
The document summarizes the creation and evolution of a safe patient handling program at Huntington Hospital from 2010 to the present. It began with a multidisciplinary committee that conducted a risk assessment and vendor day. A pilot program was launched with peer leaders and champions. From 2011-2013 the program stalled due to a vendor backing out. In 2013, the program was revised based on state guidelines and now includes hydraulic lifts, slings, education programs, and a new lift for the emergency department. The goal is to continue education and policy rollout to create a best practice program.
This document provides instructions for safely transferring patients from bed to wheelchair. It outlines key safety considerations like ensuring rails are up, wheels are locked, and using a transfer belt. The main steps are: 1) getting ready by washing hands and explaining the procedure; 2) applying a transfer belt for stability; and 3) using proper body mechanics and communication during the transfer. Additional safety tips emphasize knowing the patient's abilities, using the right equipment, and reporting any issues.
The document provides guidelines for proper lifting and transferring techniques to prevent injury. It discusses basic biomechanics principles such as maintaining normal spinal curvature, positioning the center of gravity close to the object, and widening the base of support. Several specific lift techniques are described, including traditional lifts, one-leg stance lifts, half kneeling lifts, and stoop lifts. Guidelines are also provided for patient transfers, including use of gait belts, guarding techniques, and various transfer methods such as stand-step pivots and slide board transfers.
Moving, lifting, transferring of the patient
MOBILIZATION
FUNDAMENTAL OF NURSING
UNIT XII
DEFINITION: Moving and lifting the patient means transferring the patient from one place to another (or) changing the position of the patient.
PURPOSE: To prevent bed sores
Maintain good body mechanism
Perform procedures such as back care
This presentation provides nursing staff education on safely restraining patients when necessary. It aims to teach alternatives to restraints and safe restraint application and monitoring. Key points include obtaining proper physician orders, using restraints as a last resort, monitoring restrained patients every 15 minutes, and documenting care provided. The goal is to educate on restraint safety and providing a safe environment for restrained patients.
1. The document discusses lifting techniques and concepts like center of gravity, base of support, and line of gravity.
2. It outlines goals for patient transfers which include independence in activities of daily living and different environments or equipment.
3. Safety of the patient and nurse must never be compromised during transfers which require planning, instruction, and proper body mechanics.
This document provides an overview of safe patient handling (SPH) and discusses its importance in preventing musculoskeletal disorders in caregivers. It outlines key aspects of SPH including patient transfers, lifts, and the factors to consider in decision making. Ergonomic practices like proper postures and use of equipment are emphasized. While manual handling cannot be avoided, policies and risk management processes should prioritize worker protection. Both training and appropriate equipment are needed to effectively implement SPH. The responsibilities of a SPH team and goals of a SPH program are reviewed. Guidelines for specific patient cases and formulating recommendations to improve SPH are also presented.
This document discusses lifting and shifting patients using devices like wheelchairs and stretchers. It describes when lifting and shifting patients is needed, such as for pre-operative, anemic, elderly, gynecological, or critically ill patients. Proper techniques are outlined, including planning the movement, supporting the patient's head, shoulders, hips, thighs and ankles, taking help from others, encouraging patient participation, avoiding twisting or jerking, and preparing the environment, patient, equipment and self before and after the procedure.
Assist patient from the bed to chair or wheelchairNursing Path
1) The document provides instructions for assisting a patient from their bed to a chair or wheelchair. It outlines safety precautions like monitoring the patient's pulse and color during transfers.
2) The procedure involves placing pillows and blankets in the chair or wheelchair, assisting the patient to sit on the edge of the bed, and then standing and turning them to lower into the seated position.
3) Steps are described for returning the patient safely to bed, such as supporting them as they stand, sit on the edge of the bed, and lower back down while maintaining proper body alignment.
This document discusses safe patient handling for nurses. It notes that nursing has a high rate of work-related musculoskeletal injuries, especially back injuries, due to manual lifting and moving of patients. Proper body mechanics and ergonomics can help reduce injuries but are not always sufficient to prevent them. The best practice is to use patient lifting equipment whenever possible to reduce physical strain on nurses. Employers have a responsibility to provide a safe work environment and appropriate lifting equipment for nurses.
1) There are several methods for transporting an injured person depending on the severity of injuries and number of available assistants. These include carrying methods like cradle carry or fireman's lift with one assistant or two-handed seat, four-handed seat, or stretcher with two assistants.
2) Proper body mechanics should be used and the injured person should be reassured. The nature of injuries and distance to care should be considered before transporting.
3) Wheeled stretchers like trolley cots or ambulance stretchers are useful for transporting seriously injured individuals over longer distances.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
Falls are a major issue and collecting information about falls in the IIMS system allows for targeted prevention strategies. It is important to identify patient risk factors for falls through screening and put appropriate prevention measures in place, such as mobility aids, supplements for osteoporosis, and reviewing medications that could increase fall risk. Staff should communicate fall risks and prevention plans to ensure consistent care that keeps patients safe from falls.
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Orthotics are devices used to support or correct deformities and impairments of the foot, ankle, knee, and hip joints. A foot orthotic is customized to fit inside the shoe to correct foot alignment. An ankle-foot orthosis (AFO) consists of a shoe attachment, ankle control, and leg band to support the ankle. A knee-ankle-foot orthosis (KAFO) adds a knee control to an AFO. The most specialized orthosis is a total hip-knee-ankle-foot orthosis (THKAFO) which incorporates a hip joint and trunk band. Orthoses are customized to meet individual functional needs and goals.
Orthopedic surgery involves various procedures to repair bones and joints, from open reduction of fractures to joint replacement and amputation. Preoperative management focuses on optimizing patient health through nutrition, hydration, and infection control. Postoperative care monitors for complications like bleeding and swelling while preventing issues from immobility through careful nursing interventions.
The document discusses various types of wheelchairs, including attendant propelled chairs, manual chairs, power mobility devices, mobility scooters, single-arm drive wheelchairs, reclining wheelchairs, standing wheelchairs, and smart wheelchairs. It covers the characteristics and uses of each type. Guidelines for wheelchair measurements, components, skills training, and assessments are also presented. Laws regarding accessibility for people with disabilities are summarized.
Body mechanics and safety precautions are important when lifting and moving patients to prevent injury. Techniques include using legs instead of back to lift, keeping the weight close, and avoiding twisting motions. Patients should be lifted based on their condition, from emergency moves for imminent danger to non-urgent moves for stable patients. Various devices like backboards, stretchers, stair chairs, and scoops can be used to safely transport patients.
Keep up your normal daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable. Exercise is not dangerous for your baby – there is some evidence that active women are less likely to experience problems in later pregnancy and labour.
Exercising during your pregnancy has great benefits – it can help prepare you for labor and childbirth and lift your spirits – but you need to approach working out with extra caution.
The document provides guidance on safely transferring patients from one surface to another. It describes different types of transfers that vary based on a patient's abilities and needs. Key points include:
1) Assessing a patient's physical, cognitive, and medical status is important for determining the best transfer method.
2) Common transfer techniques include dependent, assisted, and independent transfers using devices like draw sheets, sliders, and boards.
3) Proper body mechanics and communication are essential to avoid injury for both the patient and caregiver. Bend knees, keep back straight, and get help for heavy transfers.
Safe Patient Handling Program at Huntington HospitalLisa Affatato
The document summarizes the creation and evolution of a safe patient handling program at Huntington Hospital from 2010 to the present. It began with a multidisciplinary committee that conducted a risk assessment and vendor day. A pilot program was launched with peer leaders and champions. From 2011-2013 the program stalled due to a vendor backing out. In 2013, the program was revised based on state guidelines and now includes hydraulic lifts, slings, education programs, and a new lift for the emergency department. The goal is to continue education and policy rollout to create a best practice program.
This document provides guidelines for healthcare workers to prevent back injuries while handling patients. It recommends maintaining a neutral back posture, avoiding twisting and keeping loads close to the body. Various patient transfer techniques are described such as using belts, walkers, or mechanical lifts depending on the patient's abilities. Getting help from others and using lifting equipment can help avoid back strain or injury when transferring dependent patients. Proper planning, communication and exercise are also emphasized.
The document provides guidelines for safely transferring and lifting patients to prevent caregiver injuries. It discusses:
- The healthcare industry now acknowledges that manual patient handling is unsafe and has led to injuries for decades.
- Proper lifting techniques including using legs not back, keeping weight close, and avoiding twisting are recommended.
- Safety precautions for transfers include having a clear path, securing furniture, and using lifting devices for heavy patients.
- Detailed steps are outlined for wheelchair use, one-person transfers from bed to chair, and general moving/lifting patients.
1. Laporan ini membahas sistem kontrol hot saw pada area cooling bed di PT Krakatau Wajatama dengan menggunakan PLC Siemens S7-300.
2. Hot saw berfungsi untuk memotong bar baja yang keluar dari stand 5 untuk mengambil sample ukuran.
3. Sistem kontrol hot saw bekerja secara manual atau otomatis dengan PLC yang mengontrol motor, roller table, dan posisi hot saw.
Diaphragm walls, cut-off walls, and slurry walls are types of concrete or reinforced concrete walls constructed below ground using trench excavation methods. Diaphragm walls provide structural support and can retain excavations, while cut-off walls are primarily used to minimize groundwater flow with low permeability. Slurry walls are constructed using excavation techniques that use a bentonite slurry to support the trench walls and can be built with a single-phase or two-phase process depending on the depth.
MODIFIED BOND MODEL FOR SHEAR IN SLABS UNDER CONCENTRATED LOADSEva Lantsoght
The document presents a Modified Bond Model for predicting shear capacity in slabs under concentrated loads. It summarizes that punching shear failure in slabs is a transition between one-way and two-way shear, and that the nature of shear failure is not fully understood. The Modified Bond Model adapts the existing Bond Model to account for loads close to supports by determining a factor to reduce the capacity of radial strips. A comparison shows the Modified Bond Model corresponds well to experimental test results, with an average deviation of only 11%, while code-based methods show more conservatism or variability.
This document provides information on the structural design of a simply supported reinforced concrete beam. It includes:
- A list of students enrolled in an elementary structural design course.
- Equations and diagrams showing the forces and stresses in a reinforced concrete beam with a singly reinforced bottom section.
- Limits on the maximum depth of the neutral axis according to the grade of steel.
- Examples of analyzing the stresses and determining steel reinforcement for a given beam cross-section.
- A design example calculating the dimensions and steel reinforcement for a rectangular beam with a factored uniform load.
Post operative electron beam therapy for keloids by loreh peterKesho Conference
This document discusses keloids, which are benign scar tissue growths that can form after skin trauma. Keloids have a high recurrence rate after surgical removal alone. The document presents a study of 47 patients in Kenya with 61 keloids treated with surgical excision followed by a single dose of 9Gy electron beam radiation within 24 hours. Two keloids recurred, both in patients treated over 24 hours after excision. The summary concludes immediate post-operative radiation after keloid excision is effective for preventing recurrence.
Oldcastle Precast Spokane - Urban Modular Construction - The Grand HotelBlake Johnson
The document discusses a modular construction project by Oldcastle Precast to build the Davenport Grand Hotel using over 4,500 precast concrete pieces. Key elements were cast in place, like footings, shear walls, and topping slabs, while modular precast construction was used for columns, beams, flooring, wall panels, stair towers, and more. This accelerated method allowed the hotel to be completed in just 2 years, providing large open spaces, high efficiency, and reduced costs for the owner.
Earthquakes effects on reinforced concrete buildingsAnoop Shrestha
Reinforced concrete buildings have become common in Nepal, particularly in urban areas. They consist of concrete reinforced with steel bars. During earthquakes, inertia forces develop at each floor level and accumulate downwards, resulting in higher forces at lower stories. Floor slabs are rigid elements that bend with beams but keep columns at the same level moving together. Masonry infill walls between columns and slabs resist horizontal movement but can crack under severe shaking. Proper design requires reinforcement on all faces of beams and columns to resist bending moment reversals from earthquakes. Columns must be stronger than beams, and foundations stronger than columns, to ensure the building can deform without collapse.
This document discusses several dimensionless numbers used in heat transfer calculations, including the Grashof number, Biot number, and Nusselt number. The Grashof number provides criteria for determining laminar or turbulent fluid flow in natural convection. The Biot number is a ratio of heat transfer resistances inside and at a body's surface used to determine if temperature gradients are important inside the body. The Nusselt number represents the enhancement of heat transfer through convection relative to conduction across a fluid layer.
PROYEK COAL PROCESSING PLAN - PT. BAMA, MEULABOH - ACEH BARATDarwis Sutriadi
Kami perusahaan yang bergerak di bidang spesialis bekisting (formwork);
Tahap 1;
Analisi Metode Pelaksanaan
Tujuannya:
a. Analisis Biaya
b. Analisis Mutu
c. Analisis Waktu
Dipilih saja salah satunya atau 2 diantaranya
Tahap 2:
Metode Formwork (Bekisting)
1. Full Area Puring/Concreting
2. Segment Area Concreting
UNTUK TAMBAHAN INFO:
topasflatgo.blogspot.com
OneEleven Tower - post tensioned transfer deckAMSYSCO Inc.
The high-rise building located at 111 W. Wacker Drive in downtown Chicago was formerly known as the ‘Waterview.’ The structure was originally designed as an 89-story luxury hotel located along the Chicago River. The construction of the conventionally-reinforced building progressed until the 27th floor when the 2007 economic recession hit the U.S. Ultimately, the original project was shelved due to financing issues. The unfinished building became a visible eye-sore in the heart of Chicago for several years. Fortunately, a consortium of creditors and lienholders (Clark Wacker LLC) took ownership of the project and formed a Joint Venture with Related Midwest in 2010.
In 2012, the hotel was redesigned as a 60-story residential apartment building and renamed ‘OneEleven.’ There were several major design issues with converting a hotel into a 500-unit apartment with a smaller floor-plate and different column layout. Since the column were poured until the 28th floor, this floor was built as originally designed. The 29th floor was constructed with a 12-inch post-tensioned slab and functioned as an amenity level.
What separates this high-rise tower from others is the 60-inch transfer deck (located on the 30th floor). The transfer deck was designed to be a 72-inch conventionally-reinforced slab with the post-tensioned floors above. The PT Supplier and Concrete Contractor redesigned it into a 60-inch thick slab using post-tensioned to replace roughly 372 tons of rebar. The redesign saved around $380,000 from the cost of the transfer deck (excluding costs of other vertical elements). The reduced dead load of the slab also helped eliminate the reshoring requirements. The 12-inch building height reduction funneled into lower costs for all vertical elements and lower operational energy costs. A flat-plate was used in lieu of large beams and transfer girders in order to reduce forming costs.
The installation of the transfer slab and coordination of trades was extremely complex. Additionally, the coordination was fast-paced since the transfer slab was the second floor of the new construction. Construction trades and engineer spent almost one month on coordinating PT tendons, rebar and MEP piping/penetrations.
The transfer mat was poured in two lifts (20-inch and 40-inch lifts) for a total of roughly 2,250 cubic yards of 6000 psi concrete. One of the pours lasted 17 hours – and had an increased degree of complexity due to being poured mid-air. In total, there was 60 tons of unbonded-post-tensioning (gross weight) used in the transfer deck.
The use of unbonded post-tensioning in the original design was also used to reduce the high-rise building height by at least 1” per floor as compared to mildly-reinforced concrete. PT helped make a stalled project more economical due to the reduction in material costs (concrete columns/walls, MEP piping, elevators/stairs and curtain-wall).
Recent challenges and advances on PRESTRESSED CONCRETE design and construct...Francois Lepers
This document summarizes recent applications and advances in prestressed concrete design and construction. It discusses classical applications of prestressed concrete slabs in buildings like flat slabs and provides examples. It also discusses more complex applications including longer spans up to 16 meters, heavier loadings, load transfer structures up to 32 meter spans, and long cantilevers up to 11 meters. The document concludes that prestressed concrete can provide economic and architectural solutions by reducing concrete, steel, costs and carbon emissions while meeting challenging design requirements.
This document proposes using PERI formwork systems for the Medan Centre Point apartment construction project. It recommends using the PERI Vario GT24 system for columns and core walls. The GT24 girder can be used for both vertical and horizontal formwork and offers benefits like flexibility, strength, and cost effectiveness. It also recommends using the PERI Lico system and PERI UP Rosset system for slab beams, shoring, scaffolding, and stairs. PT Beton Perkasa Wijaksana will assemble wall panels off-site to ensure accuracy.
Concentrated Solar Power Course - Session 2 : Parabolic TroughLeonardo ENERGY
In this session the main elements of the parabolic trough technology will be described: concentrators, receivers, heat transfer fluids, connecting elements, etc.
Then, the main characteristics of today’s parabolic trough solar thermal power plants will be presented: design, operation and costs.
Finally, the audience will get some ideas for future developments.
This document provides guidelines for safe lifting techniques. It recommends planning lifts, lifting close to the body with feet shoulder-width apart, bending at the knees to lift with the legs rather than the back, keeping the back straight, and tightening the abdominal muscles. Specific lifting techniques are described, including board transfers, stand and squat pivot transfers, and lifts requiring two or more people. The conclusion emphasizes never bending the back, holding loads close, facing the direction of travel, and having patients do as much as possible themselves.
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- Position chair close to patient with backrest facing patient
- Kneel facing patient's weak side and assist patient to roll onto side
- Assist patient to bring weak leg forward and place foot firmly on floor
- Assist patient to push up onto weak elbow
- Assist patient to swing strong leg around and place foot firmly on floor
- Assist patient to push up into sitting position on floor
- Assist patient to pivot and back up to chair
- Guide patient's hips back onto seat
Patient:
- Roll onto side with assistance
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Patient Positionin OT & AT Class a detailed descriptionSoumyajitJana7
The document discusses guidelines for proper patient positioning during surgery. It outlines various surgical positions like supine, prone, lithotomy, and their goals in providing optimal exposure and circulation while preventing injury. Risk factors for complications related to positioning are described. The roles of operative nurses in correctly positioning patients and using devices to support different positions are explained.
1) The document provides guidance on properly positioning patients in bed to maintain alignment, skin integrity, and comfort while preventing injuries.
2) Key steps include assessing the patient, planning the movement, and using proper body mechanics and assistance when needed to move or turn the patient.
3) Pillows and other supportive devices can be used strategically to maintain proper positioning and alignment of the body.
This document discusses ergonomic guidelines for safely handling patients to prevent musculoskeletal disorders. It defines MSDs and risk factors like force, awkward postures, and repetitions. The document provides instructions for different lifting techniques like the Australian lift, 3-person lift, and moving patients between beds and chairs.
The document discusses different therapeutic positions used in healthcare. It defines positioning and describes purposes like promoting comfort and relieving pressure. It outlines principles of proper positioning and lists common positions like supine, prone, lateral, and lithotomy. For each position, it provides indications for use and step-by-step procedures for positioning patients therapeutically. The summary reviews key learning around positions and their importance for treatment.
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body mechanics and transfer techniquesJanhavi Atre
This document discusses body mechanics, patient positioning, and transfer techniques for healthcare providers. It covers principles of body mechanics like maintaining good alignment and balance to prevent injury. It also describes different bed positions like supine, lateral, and prone and how to move a patient between positions safely. Finally, it outlines various transfer techniques like bed to chair and use of assistive devices to move patients while protecting caregiver and patient safety.
This document provides guidance on various nursing skills related to ambulation, patient transfers, range of motion exercises, and restraints. Key points include:
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- Use proper body mechanics and any necessary equipment to move patients safely
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- Obtain a physician's order and use the least restrictive restraints possible, checking the patient regularly
This document provides guidance on various nursing skills related to ambulation, patient transfers, range of motion exercises, and restraints. Key points include:
- Assess patient's capabilities and explain the plan before ambulating or transferring a patient
- Use proper body mechanics and any necessary equipment to move patients safely
- For ambulation or transfers, you may need one or two nurses depending on the patient's needs
- Range of motion exercises should include movements of all major joints
- Restraints require a physician's order and should only be used as a last resort to prevent injury
The document discusses proper lifting and moving techniques for EMTs. It covers body mechanics principles like keeping weight close and lifting with legs. It describes emergency, urgent and non-urgent moves. It also lists common patient carrying devices like stretchers, chairs, boards and baskets.
The document provides guidelines for safely moving, lifting, and transferring patients. It defines these terms and outlines key principles like maintaining a wide base of support and low center of gravity. Steps are described for various procedures like moving a patient within bed, turning them, and transferring to a stretcher or chair. Assessing the patient, preparing equipment, and having enough helpers are emphasized. Body mechanics are important to prevent injury to both the patient and caregiver.
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This document discusses different therapeutic positions used in healthcare, including their definitions, purposes, principles, types, indications, and procedures. It describes common positions like supine, prone, lateral, lithotomy, Fowler's, Sims, Trendelenberg, and knee-chest positions. Maintaining proper positions is important for patient comfort, preventing injuries, allowing medical interventions, and optimizing the body's alignment for health purposes.
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2. Common positions discussed include supine, prone, lateral, lithotomy, Fowler's position, and Trendelenburg. Each position has specific indications and procedures to ensure patient safety and access for medical needs.
3. Special considerations are needed for obese patients to support their weight and prevent impaired circulation or breathing from positioning. Thorough documentation of assessments and interventions is also important.
lifing and handling of patients.pptx.pptxChanda453345
This document provides guidelines for safely lifting and transferring patients. It discusses:
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2. Using proper biomechanics like keeping the load close, bending knees not back, and pivoting feet instead of twisting.
3. Specific techniques for standing, sitting, and rolling patients on beds, as well as transferring patients to and from wheelchairs.
4. Tips for lifting objects like getting help for heavy loads, pushing instead of pulling, and using lifting aids for large items.
This document discusses body mechanics and mobility. It defines body mechanics as using correct muscles to safely and efficiently complete tasks without strain. Maintaining proper body alignment and mobility is important to avoid health issues. The document outlines principles of body mechanics for various activities like lifting, pushing, pulling and carrying. It also discusses range of motion exercises and factors that can affect body alignment and mobility such as age, injury and disease.
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1. Transfer training and safe
patient handling for health
care providers
Ali Imran
BSPT, MSc(PT),MSc(HR) & DPT(D)*
2. Immobility and complication
Role of health care workers to safely position and move
patients effectively to reduce risk related to
immobilization and fall
COMPLICATIONS
Pressure ulcers(bed sores)
Develop in 24 hour require months to heal
Contractures
Planter flexion contractures(foot drop problem in
walking),hip and knee contractures
4. In 2000, ANA reported that compared to the general workforce,
nurses used 30% more sick leave annually due to back pain.
38% of the nursing workforce had been affected by back injury.
68% of disabling injuries reported by nurses were attributable to
over-exertion injuries from lifting patients.
98% of patient lifting was still done manually.
Source: American Nurses Association Website, NursingWorld, Jan.-Feb. 2000
5. Low Back Pain Prevalence
Back injury is the #2 work-related injury in the US
Back pain is the most common reason for filing workers
comp claims
Low back pain (LBP) is the #2 reason why patients are
seen by an MD.
80% of adults will experience LBP.
Most of the time injury to the low back happens at work.
Source: National Institute of Occupational Safety and
Health (NIOSH)
6. Safe patients handling and transfers
THE APPLICATION OF SAFE PATIENT HANDLING
ASSISTS PATIENTS IN ACHIEVING OPTIMAL LEVEL
OF INDEPENDENCE WITHOUT RESULTANT
INJURY TO HEALTH CARE WORKER
7. Tips for proper body mechanics
Keep your neck,back,pelvis and feet aligned and avoid
twisting your spine can lead to serious injury
Tighten stomach muscle and tuck pelvis (provide balance
and protect back)
Bend at knees (maintain COG and let strong m/s of leg do
lifting)
Keep weight close to the body (places weight in same
plane as lifter and close to COG)
Person with heaviest load COORDINATES efforts of the
personnel involved in lifting or transferring
8. PRINCIPLES OF SAFE PATIENTS
TRANSFERS & POSTIONING
Mechanical lifts and lift team are essential when clients unable to assist
Wider BOS greater the stability of worker
Lower the COG greater the stability of worker
Equilibirum of the object is maintained as long as LOG is passes through BOS
Facing the direction of the movement prevent abnormal twisting
When friction reduces between the object to be moved and the surface on
which it is move less force is required to moved it
Dividing balance activity between arms and legs reduces the risk for back injury
Wheel locks should be engaged whenever a patient moves into or out of the
Position the W/C as close to the bed as possible
Use gait belts appropriately & safely
9. Ergonomic Assessment Protocol:
Assess the hospital environment, examine injury rates,
identify high-risk units
Patient Assessment Criteria
Tools to help health care providers evaluate patient
characteristics that affect decision making about
equipment and techniques for safe patient handling
Algorithms for Patient Handling/Movement
Standardized processes for making decisions about the
equipment and the number of staff necessary to
perform high-risk activities safely.
10.
11.
12. Modify the job to fit the worker
rather than changing the worker to
fit the job.
22. Transfer training
Based on the results of the initial evaluation
(MMT, ROM, pain, cognition, quality of
movement,vital signs etc.) the PT or PTA selects
an appropriate transfer method that can be
performed in a method that is…
◦Consistent
◦Safe
◦Efficient
23. Clinician and patient safety must never be compromised.
Whenever in doubt about the level of assistance required
to transfer a patient safely, obtain additional assistance.
Always stabilize W/C, carts, beds by securing wheel locks
or bracing them against a wall
Use proper body mechanics to reduce the possibility of
injury
24. Levels of transfers
Independent transfers
◦The patient consistently performs all aspects of the
transfer, including setup, in a safe manner and without
assistance
Assisted transfers
◦The patient actively participates, but also requires
assistance by a clinician(s)
Dependent transfers
◦The patient does not participate actively, or only very
minimally and the clinician(s) perform all aspects of the
transfer
26. Stand-by assist
indicated for patients who can
usually perform the activity without
assist, but not consistently
Verbal cues, assistance in problem
solving during a transfer, assistance
if an emergency arises
Clinician not necessarily in close
proximity to the patient
27. Close guarding assist
Indicated for patient who can usually
perform the activity without assist but have
a greater likelihood for needing physical
assistance
Clinician is in close proximity to the
patient, immediately ready to assist
28. Contact guarding assist
Indicated for patients who can usually
perform the activity but have a significant
likelihood of requiring physical assistance
Clinician maintains contact with the patient
to be able to provide assistance
immediately
29. MIN,MODERATE & MAX ASSISTANCE
Min Assist
Patient performs at least 75% of the activity
Mod Assist
Patient performs at least 50% of the activity
Max Assist
Patient performs less than 25% of the activity
30. DIRECTION OF TRANSFERS
Typically, moving toward the
“stronger” side is easier and
should be done first to bost
patient confidence
However, eventually
transferring to both sides is
necessary
31. INSTRUCTIONS
Patients always need to be informed about the transfer
and what they are expected to do
The PTA at the head of the patient is in charge of
providing VCs to other assistants
I will count to three and then give the command to lift
When I say “lift,” we will lift
Visually and verbally ensure that all assistants & the pt
are ready before initiating transfer
The PTA says, “One, two, three, lift”
32. COMPLETING TRANSFER
A transfer is not complete until the patient is
safely & securely in the new position
Appropriate positioning & draping must be
completed
Necessary equipment needs to be placed within
the patient’s reach
Bed should be locked
33. BED MOBILITY
Bed Mobility: Transfers used to adjust the patient’s
body position while he/she is recumbent
Supine side to side
Supine upward
Supine downward
Supine to side lying
Supine to prone
Prone to supine
Supine to sit
34. Supine (side to side)
Dependent
Position one forearm under
patient’s neck/upper back
& other forearm under
middle of back & gently
slide upper body & head
toward you. Then position
forearms under patient’s
lower trunk distal to pelvis
& slide that segment
toward you. Finally,
position forearms under
thighs &legs & gently slide
toward you.
Independent
Instruct patient to flex
hips/knees & place feet
flat on bed. One UE add,
one abd. Push feet into bed
to move pelvis toward abd
UE, then push elbows &
back of head into bed to
move upper trunk toward
abd UE. Then, reposition LE
& UE to move again, or for
comfort.
35. Supine upward
Dependent
Flex patient’s hips/knees &
place feet flat on bed.
Stand at head of bed and
grasp bed sheet or chuck
close to the patient and pull
patient up toward HOB.
With two people, one on
either side, grasp bed sheet
very close to patient
(supination), one verbally
leads and move patient
simultaneously up towards
the HOB.
Independent
Patient fully flexes
hips/knees with feet flat
on bed, heels close to
buttocks. Elbows flexed,
close to the trunk with
shoulder elevation. Pt
elevates pelvis using LEs
& elevates upper trunk
by pushing into bed with
elbows & back of head.
Then to move upward,
the patient pushes on the
LE and depresses the
shoulders
simultaneously.
36. Supine downward
Dependent
Most easily accomplished with
small sheet (a “draw”) placed
under patient from upper back to
buttocks or mid thighs. Patient’s
LE flexed with feet on bed. By
yourself, grasp draw near buttocks
and slide, or with two people, one
on either side, grasp sheet and
simultaneously slide patient
downward.
Independent
Patient partially flexes
hips/knees with feet flat on
bed. UE next to trunk with
elbows flexed & shoulders
depressed. Pelvis is elevated
using LE & elevates upper
trunk by pushing into bed
with elbows & back of head.
Then to slide down, the
patient pulls with the LEs
while pushing up with the
37. Supine to side lying
Dependent
May need to position pt close to
the far edge of the mat (with a
person, bedrail or wall
protecting the pt.). Stand facing
the pt., place the uppermost LE
over the lowermost LE; place the
uppermost UE on the chest & the
lowermost UE in abd. Roll the
pt. toward you by pulling gently
on the posterior scapula and
posterior pelvis.
Independent
Instruct the patient to move to
the far side of the bed. The
patient needs to reach across
the chest with the uppermost
extremity while lifting the
uppermost LE diagonally over
the lowermost extremity. The
patient uses head flexion &
abdominal muscles to roll onto
her side.
38. Supine to prone
Dependent
Move the pt closer to one side of
the bed, prepare to roll him to the
S/L position. However, the
lowermost UE should be positioned
either close along the side of the
body (shldr ER, elbow ext, palm up,
hand tucked under pelvis) or with
shldr flexed with arm close to ear.
Stand facing the pt, roll him to a S/L
position, determine if there is
enough room to complete the roll. If
not, move the patient backward
while S/L, then complete the roll.
Independent
Instruct the patient as
per “dependent
39. Prone to supine
Dependent
Move the pt. close to one edge
of the mat. Cross the
uppermost leg over the
lowermost leg and tuck the
lowermost UE under the
patient. Stand on the far side
of the bed, roll the patient
toward you to a S/L position.
Determine if there is enough
space to continue. Guide the
patient from S/L to supine by
resisting at the posterior
Independent
Instruct the patient
as per “dependent”
40. Supine to sit
Dependent
Move the patient close to
one edge of the bed. Roll the
patient into the S/L position
facing the edge of the
bed(EOB). Lower the feet and
lower extremities off of the
EOB. Elevate the trunk by
lifting under the shoulders
(can instruct patient to push
with both UE to help you). At
the same time, applying
downward pressure on the
Independent
Instruct the patient as per
“dependent
41. Transfers
Used in PT, but less often
Sliding Transfer
2 person lift
Frequently Used in PT
Transfer Board Transfer
Stand Pivot
Squat Pivot
42. Two persons lift
W/C to floor and back/wheel chair to bed
Patient must have some UE strength & trunk control
w/c should be close to desired transfer surface, wheel locks
engaged, remove footrests & armrest on side transfer will occur
Patient crosses arms in front & the lead PTA stands behind the
patient, reaching under their UE & grasping the opposite wrists of
the patient or grasp from gait belt
Other PTA places 1 arm under thighs and 1 arm under calves
This PTA at the legs should be facing the new transfer surface
On command, the 2 PTAs lift the patient, step toward the new
surface and squat to lower the patient down using proper body
mechanics
45. Transfer board transfer
bed to chair
Used when patient has enough strength to lift most of the weight
off the buttocks & enough sitting balance to move in a seated
position
Patients who are unable to perform squat pivot transfers
Use gravity to assist you
Chair parallel to table
Remove armrest and foot rest
Guard by standing in front of patient
May block pt’s knees with yours so pt doesn’t slide off the board
May assist with balance by placing hands on shoulders
May assist by placing hands under buttocks
Patient may place hands flat on the board or fisted on the board,
but MAY NOT grasp the edge of the board (which may cause fingers
to get pinched!)
46. Transfer board transfer
bed to bed
Side lying patient place board under
patients half side through draw sheet
Minimize friction between board and body
no bare or wet skin
Use gravity
47. Stand pivot transfer
Performed by one clinician
Used with patients who are unable to stand independently, but can bear some weight on their
LE
48. Squat pivot transfer
A variation of the Stand
Pivot Transfer
Used with patients who are
unable to stand
independently, but can bear
some weight on their LE
Lower level patients than
those who use stand pivot
transfers
49. Log rolling
In medicine, in particular, in emergency medicine, the log roll or logrolling is
a maneuver used to move a patient without flexing
the spinal column. Patient's legs are stretched, the head is held, to
immobilize the neck
50. refrences
Minor, M.A., Minor, S., (2006), Patient Care Skills, 6thed. Pearson Prentice Hall:
Upper Saddle River, NJ.
Pierson, F.M., (1999), Principles and Techniques of Patient Care, 2nded. W.B.
Saunders Company: Philadelphia.