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Uploaded byNikhil Tasgaonkar
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Safe transfer of patient

The document outlines essential guidelines for the safe transfer of patients, focusing on communication, proper body mechanics, and precautions to prevent injuries. Key recommendations include assessing the patient's condition, using appropriate lifting techniques, and ensuring clear paths during transfers. It emphasizes the importance of teamwork and proper documentation to facilitate a secure transfer process.

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Safe transfer of Patient Mr. Nikhil D Tasgaonkar, M.Sc. Paediatric Nursing
TRANSFER OF A PATIENT  When a patient is ill, there are occasions when they must be transported to another Health units for continuation of care.  This transport is referred to as a ‘patient transfer’, since the patient along with their records are transferred from one facility to another.  A patient can be transferred for a variety of reasons and the transfer can be for a short or long duration.
Why and where patient will be transferred????????????
Approach to the patient transfer  Communication  Provision of elevators  Proper documentation regarding client's abilities, transfer needs, physical stability and tendency if any, towards aggressive acts.
 Nurse should be prepared with all aspect in case of ill effects during transfer. (emergency equipment's, drugs etc)  Proper body mechanics to avoid injury  Try to maintain eye contact with the client and communicate while the transfer is in progress.  The client should be transported the shortest possible distance by the lifting device.
 Assure the path of the transfer or lift is clear from obstructions.  If the weight of the person is more than one-fourth of nurse body weight, nurse should get someone to help.  Also, get assistance if lifting the person is awkward.  Proper handover
Transfers-Safety  If a patient starts to fall – do not try to stop the fall, instead assist the patient to the floor while protecting the head from injury.  Nursing assessment to be performed to determine if patient have suffered any injuries.
 Prevention of injury is the key to provide safety  Nurse should be aware of the Client’s motor deficit ability  to support their body weight  to Use effective body mechanics  Use effective lifting techniques.  When in doubt regarding the patient's ability- ”GET ASSISTANCE!!!!!!!!!”
Proper Body Mechanics Safety Precautions
Proper Body Mechanics To lift large weights without injury  Use legs and not back to lift  Keep weight close to body  Shifts center of gravity to Patient
Proper lifting technique
Body Mechanics Considerations Guidelines for lifting and Carrying a patient  Consider patients weight  Know your limitations  Lift without twisting  Position feet one in front of the other  Communicate with partner  Keep back locked and don’t twist
 Flex at hips (not at waist)  Bend at knees  Keep elbows bent with arms close to sides  Don’t hyperextend your back
GENERAL MOVING AND/OR LIFTING PATIENT RECOMMENDATIONS  Identification tag  Ensure the patient's privacy is maintained  Remove ornaments from hands and wrists as this may cause skin damage to the patient.  Support/splint areas as needed e.g. fractured limbs, cervical spine etc.
 Ensure the patient's arms and legs are in a suitable position.  Ensure there is nothing restrictive to the patient's movement e.g. bed clothes.
 Ensure that tubes are free moving e.g. urinary catheters, IV drips, NG tubes, drains etc.  Lift, don't drag otherwise patient may cause skin tearing.
Patient Position Patient with dyspnea or chest pain  Position of comfort  As long as hypotension doesn’t occur Suspected spine injury  Immobilized to long backboard
Shock • Elevated legs”8-12 inches” Pregnant Patient  Left lateral recumbent  Supine=Fetus on vena cava
Use of Wheelchairs  Have the bed at the lowest level.  Make sure the chair is locked when removing or seating the person.  Pull the wheelchair backwards up steps.  Park the wheel chair with the person’s strongest side next to the bed.  Lock the wheelchair brakes and remove feet from foot rests.  Swing or remove foot rests from wheelchair.
Safe transfer of patient
Safe transfer of patient
Safe transfer of patient
Safe transfer of patient