This document discusses patient safety, focusing on falls, body mechanics, moving and positioning patients, and restraints. It notes that safety is the top priority in patient care. Falls are a major risk, so assessments should identify risk factors and strategies should be implemented to prevent falls, like keeping beds low and call bells accessible. Proper body mechanics are important for nurses and patients to prevent injuries from moving and lifting. Patients need to be repositioned regularly to prevent issues like pressure sores. Overall, the document stresses the importance of assessing safety risks and implementing individualized plans to promote patient mobility, comfort and skin integrity.
Introduction, definition, purposes of maintaining proper body mechanics,terminology related to body mechanics, factors influencing body mechanics, principles of body mechanics, procedures for moving lifting and positioning of patients, general instructions of moving and lifting patients, after care of the patient, complications of improper body mechanics, conclusion
This document provides guidance on proper body mechanics for nursing assistants. It outlines basic rules like keeping heavy objects close to the body, avoiding sudden movements, and using large muscle groups rather than the back. Specific techniques are described for safely lifting, moving, positioning, and transferring residents while preventing injuries to both residents and nursing assistants. Body mechanics are important for legal compliance and quality care as they protect skin integrity and reduce back strain.
This document discusses oxygenation and factors that can impact it. It covers the structures and processes involved in respiration and oxygen transport. Key points include the role of the respiratory and cardiovascular systems in gas exchange and oxygen transport, factors that can disrupt oxygen balance like diseases and lifestyle, signs of inadequate oxygenation, common tests to evaluate oxygen status like ABGs and chest x-rays, and nursing responsibilities related to promoting optimal respiratory and cardiovascular function.
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.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
The document provides instructions for transferring a patient from a bed to a stretcher. It outlines the necessary equipment, including a transport stretcher, friction-reducing sheet, and lateral-assist devices. It describes assessing the patient's condition and ability to be moved. The implementation steps include positioning the patient, placing a transfer board, and having nurses on both sides work together to roll the patient onto the board and pull them onto the stretcher. The expected outcome is transferring the patient without injury.
Body mechanics, mobility and body alignment introductionArifa T N
This document discusses mobility, body alignment, and body mechanics. It defines mobility as body movement requiring coordination between musculoskeletal and nervous systems. Body alignment refers to proper joint, ligament, and muscle positioning when standing, sitting, or lying down. Body mechanics is the safe use of the body through correct posture, balance, and movement to safely lift and move objects and people. Maintaining proper body alignment and mechanics is important for physiological function, injury prevention, and nursing care safety.
The document discusses proper body mechanics to avoid musculoskeletal injuries when performing physical tasks. It emphasizes maintaining a stable center of gravity, wide base of support, and straight back when lifting, reaching, pivoting, and moving objects or patients. Following principles like bending at the knees, keeping the load close to the body, and using leg muscles can help perform tasks safely and efficiently with less strain.
Introduction, definition, purposes of maintaining proper body mechanics,terminology related to body mechanics, factors influencing body mechanics, principles of body mechanics, procedures for moving lifting and positioning of patients, general instructions of moving and lifting patients, after care of the patient, complications of improper body mechanics, conclusion
This document provides guidance on proper body mechanics for nursing assistants. It outlines basic rules like keeping heavy objects close to the body, avoiding sudden movements, and using large muscle groups rather than the back. Specific techniques are described for safely lifting, moving, positioning, and transferring residents while preventing injuries to both residents and nursing assistants. Body mechanics are important for legal compliance and quality care as they protect skin integrity and reduce back strain.
This document discusses oxygenation and factors that can impact it. It covers the structures and processes involved in respiration and oxygen transport. Key points include the role of the respiratory and cardiovascular systems in gas exchange and oxygen transport, factors that can disrupt oxygen balance like diseases and lifestyle, signs of inadequate oxygenation, common tests to evaluate oxygen status like ABGs and chest x-rays, and nursing responsibilities related to promoting optimal respiratory and cardiovascular function.
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.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
The document provides instructions for transferring a patient from a bed to a stretcher. It outlines the necessary equipment, including a transport stretcher, friction-reducing sheet, and lateral-assist devices. It describes assessing the patient's condition and ability to be moved. The implementation steps include positioning the patient, placing a transfer board, and having nurses on both sides work together to roll the patient onto the board and pull them onto the stretcher. The expected outcome is transferring the patient without injury.
Body mechanics, mobility and body alignment introductionArifa T N
This document discusses mobility, body alignment, and body mechanics. It defines mobility as body movement requiring coordination between musculoskeletal and nervous systems. Body alignment refers to proper joint, ligament, and muscle positioning when standing, sitting, or lying down. Body mechanics is the safe use of the body through correct posture, balance, and movement to safely lift and move objects and people. Maintaining proper body alignment and mechanics is important for physiological function, injury prevention, and nursing care safety.
The document discusses proper body mechanics to avoid musculoskeletal injuries when performing physical tasks. It emphasizes maintaining a stable center of gravity, wide base of support, and straight back when lifting, reaching, pivoting, and moving objects or patients. Following principles like bending at the knees, keeping the load close to the body, and using leg muscles can help perform tasks safely and efficiently with less strain.
Fundamental of Nursing, Introduction 1.lab Parya J. Ahmad
The document defines nursing as caring for sick or injured people by working with doctors and promoting wellness. It discusses the influential figure of Florence Nightingale, who first defined nursing roles and education. Nursing specialties are divided based on the patient population, such as adult, pediatric, neonatal, and mental health. The roles of a nurse include caregiver, communicator, teacher, advocate, counselor, and manager. The nursing process and nurse uniforms are also briefly outlined.
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.
The document discusses body mechanics, which refers to the efficient, coordinated, and safe use of the body to move objects and carry out daily activities. Maintaining proper body mechanics is important to prevent injury by keeping the body aligned, the center of gravity low and over the base of support, and using large muscle groups rather than small ones like in the back. Specific guidelines are provided for lifting, pulling, pushing, pivoting, and moving clients safely.
This document defines nursing diagnosis and discusses its key components and characteristics. A nursing diagnosis is a clinical judgment about an individual's response to an actual or potential health problem. It includes a diagnostic label, qualifiers, definition, defining characteristics, and risk factors. There are several types of nursing diagnoses, including actual, risk, possible, wellness, and syndrome diagnoses. The document outlines the Process-Etiology-Signs/Symptoms (PES) structure for formulating nursing diagnoses and provides examples of different diagnosis structures.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
This document provides information on pain assessment. It defines pain as "whatever the experiencing person says it is, existing whenever and wherever the person say it does". A complete pain assessment involves determining the location, intensity, character, onset, duration, alleviating factors, and aggravating factors of pain, as well as its impact on daily functioning. Types of pain descriptions include neuropathic, visceral, and somatic pain. Pain should be assessed upon admission by determining the location, intensity, onset, duration, quality, worsening/alleviating factors, and effects on daily activities like sleep, concentration, mood, mobility, and appetite.
The document provides information about oxygenation and oxygen therapy. It begins with an introduction defining oxygenation and its importance for life. It then discusses factors that can influence oxygenation like physiological, developmental, lifestyle and environmental factors. The document also covers various methods for oxygen administration like nasal cannula, masks and tents. It concludes with discussing complications, preparation of patients and equipment, the procedure for administration and post care activities.
The document discusses sleep fundamentals including rest, sleep physiology, types of sleep, sleep cycles, sleep variations across age groups, and nursing interventions to promote sleep. It describes sleep as a state of relaxation and reduced perception, characterized by non-REM and REM sleep stages. Physiology involves electrophysiological, hormonal and neural processes. Nursing focuses on assessment, education, environmental factors and medications to enhance sleep.
This document discusses body mechanics and mobility. It defines body mechanics as using proper alignment, posture, and balance to safely complete tasks like lifting and moving. Maintaining mobility is important for normal daily functioning while immobility can cause psychological, musculoskeletal, integumentary, cardiovascular, respiratory, gastrointestinal, and genitourinary issues. The document provides tips for proper lifting, transferring, and moving techniques to prevent injuries by utilizing the largest muscles and maintaining good posture.
Tepid Sponge Bath lecture and procedure for First Year Level Nursing students during their Return Demonstration. This is taken from a procedure manual good for both students and instructor.
The document discusses several topics related to patient safety and nursing, including proper body mechanics, moving and positioning patients, falls prevention, and use of restraints. It emphasizes that safety should be the top priority in patient care. Proper techniques like applying body mechanics principles can help prevent injuries to both patients and nurses when moving or lifting patients. Restraints should only be used as a last resort when less restrictive alternatives have failed and with appropriate documentation and monitoring.
This document provides guidance on safely moving, lifting, and transferring patients who require assistance. It outlines the various devices that can be used, such as wheelchairs, stretchers, and beds. The document describes when and how to assess patients, prepare the patient and equipment, and perform different transfers between beds, chairs, and stretchers. The goal is to move patients in a way that promotes comfort and maintains proper body alignment while preventing injury to both the patient and caregivers.
Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
This document discusses various aspects of nursing documentation including definitions, purposes, principles, types, methods, forms of recording data, consequences of inadequate documentation, definitions of reporting, types of reports, importance of records and reports, definitions of electronic documentation, guidelines for electronic documentation, advantages and disadvantages of electronic documentation, and the role of the nurse manager in documentation. It provides a comprehensive overview of documentation in nursing.
This document discusses body mechanics and its importance in nursing. It covers the skeletal, muscular and nervous systems and how they work together to enable movement. Proper body mechanics is important for preventing injury to both nurses and patients. Maintaining good posture, using leverage techniques for movement rather than lifting when possible, and keeping the back straight are among the principles discussed for safe movement and transferring of patients. Improper body mechanics can lead to issues like pressure sores, contractures and foot drop.
This document provides an overview of a nursing course on body mechanics. It defines body mechanics as utilizing correct muscles to safely and efficiently complete tasks without strain. The objectives are to define principles of good body mechanics, describe lifting techniques, and name considerations for physical tasks. Key concepts covered include the musculoskeletal system, lever systems, forces on the body, and techniques for lifting, reaching, pivoting, and stooping while maintaining proper alignment, balance, and a wide base of support.
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 discusses restraints used in healthcare settings. It defines restraints as intentional restrictions of voluntary movement or behavior. Restraints are used to ensure safety during exams/procedures, protect from injury, and maintain prescribed positions. They include physical, environmental, and chemical methods. The document outlines principles of restraint use, types of restraints, risks, guidelines, and the nurse's role in monitoring patients and ensuring comfort, safety, and proper documentation when restraints are employed.
This document provides information on the nurse's role and responsibilities regarding the use of restraints. It defines restraints and outlines general principles, indications, types, risks, and guidelines for their use. The nurse's role includes obtaining a doctor's order, monitoring the restrained patient every 15 minutes, documenting checks every 2 hours, and considering the earliest removal of restraints. Alternatives to restraints should always be tried first to reduce risk of harm.
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.
This document provides information on proper body mechanics and lifting techniques to prevent back injuries. It describes the anatomy of the spine and risk factors for back injuries. Several principles of good body mechanics are outlined, including maintaining proper spinal alignment and posture. Specific techniques are described for lifting, pushing, pulling, reaching, and carrying objects safely while keeping the back in a neutral position and using the legs instead of the back. Following these guidelines can help healthcare workers avoid chronic back injuries.
Fundamental of Nursing, Introduction 1.lab Parya J. Ahmad
The document defines nursing as caring for sick or injured people by working with doctors and promoting wellness. It discusses the influential figure of Florence Nightingale, who first defined nursing roles and education. Nursing specialties are divided based on the patient population, such as adult, pediatric, neonatal, and mental health. The roles of a nurse include caregiver, communicator, teacher, advocate, counselor, and manager. The nursing process and nurse uniforms are also briefly outlined.
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.
The document discusses body mechanics, which refers to the efficient, coordinated, and safe use of the body to move objects and carry out daily activities. Maintaining proper body mechanics is important to prevent injury by keeping the body aligned, the center of gravity low and over the base of support, and using large muscle groups rather than small ones like in the back. Specific guidelines are provided for lifting, pulling, pushing, pivoting, and moving clients safely.
This document defines nursing diagnosis and discusses its key components and characteristics. A nursing diagnosis is a clinical judgment about an individual's response to an actual or potential health problem. It includes a diagnostic label, qualifiers, definition, defining characteristics, and risk factors. There are several types of nursing diagnoses, including actual, risk, possible, wellness, and syndrome diagnoses. The document outlines the Process-Etiology-Signs/Symptoms (PES) structure for formulating nursing diagnoses and provides examples of different diagnosis structures.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
This document provides information on pain assessment. It defines pain as "whatever the experiencing person says it is, existing whenever and wherever the person say it does". A complete pain assessment involves determining the location, intensity, character, onset, duration, alleviating factors, and aggravating factors of pain, as well as its impact on daily functioning. Types of pain descriptions include neuropathic, visceral, and somatic pain. Pain should be assessed upon admission by determining the location, intensity, onset, duration, quality, worsening/alleviating factors, and effects on daily activities like sleep, concentration, mood, mobility, and appetite.
The document provides information about oxygenation and oxygen therapy. It begins with an introduction defining oxygenation and its importance for life. It then discusses factors that can influence oxygenation like physiological, developmental, lifestyle and environmental factors. The document also covers various methods for oxygen administration like nasal cannula, masks and tents. It concludes with discussing complications, preparation of patients and equipment, the procedure for administration and post care activities.
The document discusses sleep fundamentals including rest, sleep physiology, types of sleep, sleep cycles, sleep variations across age groups, and nursing interventions to promote sleep. It describes sleep as a state of relaxation and reduced perception, characterized by non-REM and REM sleep stages. Physiology involves electrophysiological, hormonal and neural processes. Nursing focuses on assessment, education, environmental factors and medications to enhance sleep.
This document discusses body mechanics and mobility. It defines body mechanics as using proper alignment, posture, and balance to safely complete tasks like lifting and moving. Maintaining mobility is important for normal daily functioning while immobility can cause psychological, musculoskeletal, integumentary, cardiovascular, respiratory, gastrointestinal, and genitourinary issues. The document provides tips for proper lifting, transferring, and moving techniques to prevent injuries by utilizing the largest muscles and maintaining good posture.
Tepid Sponge Bath lecture and procedure for First Year Level Nursing students during their Return Demonstration. This is taken from a procedure manual good for both students and instructor.
The document discusses several topics related to patient safety and nursing, including proper body mechanics, moving and positioning patients, falls prevention, and use of restraints. It emphasizes that safety should be the top priority in patient care. Proper techniques like applying body mechanics principles can help prevent injuries to both patients and nurses when moving or lifting patients. Restraints should only be used as a last resort when less restrictive alternatives have failed and with appropriate documentation and monitoring.
This document provides guidance on safely moving, lifting, and transferring patients who require assistance. It outlines the various devices that can be used, such as wheelchairs, stretchers, and beds. The document describes when and how to assess patients, prepare the patient and equipment, and perform different transfers between beds, chairs, and stretchers. The goal is to move patients in a way that promotes comfort and maintains proper body alignment while preventing injury to both the patient and caregivers.
Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
This document discusses various aspects of nursing documentation including definitions, purposes, principles, types, methods, forms of recording data, consequences of inadequate documentation, definitions of reporting, types of reports, importance of records and reports, definitions of electronic documentation, guidelines for electronic documentation, advantages and disadvantages of electronic documentation, and the role of the nurse manager in documentation. It provides a comprehensive overview of documentation in nursing.
This document discusses body mechanics and its importance in nursing. It covers the skeletal, muscular and nervous systems and how they work together to enable movement. Proper body mechanics is important for preventing injury to both nurses and patients. Maintaining good posture, using leverage techniques for movement rather than lifting when possible, and keeping the back straight are among the principles discussed for safe movement and transferring of patients. Improper body mechanics can lead to issues like pressure sores, contractures and foot drop.
This document provides an overview of a nursing course on body mechanics. It defines body mechanics as utilizing correct muscles to safely and efficiently complete tasks without strain. The objectives are to define principles of good body mechanics, describe lifting techniques, and name considerations for physical tasks. Key concepts covered include the musculoskeletal system, lever systems, forces on the body, and techniques for lifting, reaching, pivoting, and stooping while maintaining proper alignment, balance, and a wide base of support.
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 discusses restraints used in healthcare settings. It defines restraints as intentional restrictions of voluntary movement or behavior. Restraints are used to ensure safety during exams/procedures, protect from injury, and maintain prescribed positions. They include physical, environmental, and chemical methods. The document outlines principles of restraint use, types of restraints, risks, guidelines, and the nurse's role in monitoring patients and ensuring comfort, safety, and proper documentation when restraints are employed.
This document provides information on the nurse's role and responsibilities regarding the use of restraints. It defines restraints and outlines general principles, indications, types, risks, and guidelines for their use. The nurse's role includes obtaining a doctor's order, monitoring the restrained patient every 15 minutes, documenting checks every 2 hours, and considering the earliest removal of restraints. Alternatives to restraints should always be tried first to reduce risk of harm.
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.
This document provides information on proper body mechanics and lifting techniques to prevent back injuries. It describes the anatomy of the spine and risk factors for back injuries. Several principles of good body mechanics are outlined, including maintaining proper spinal alignment and posture. Specific techniques are described for lifting, pushing, pulling, reaching, and carrying objects safely while keeping the back in a neutral position and using the legs instead of the back. Following these guidelines can help healthcare workers avoid chronic back injuries.
This document discusses different types of patient transfers within and between hospitals and outlines guidelines for safe transfers. It identifies that transfers, especially of critically ill patients, can pose risks. Adverse events during transfers have been reported in 6-70% of cases, including changes in vital signs, unplanned extubation, and cardiac arrest (rates as high as 8%). Risks are greater for sicker patients and urgent transfers. Factors like communication, equipment, monitoring, and planning are important to consider. The document provides tables outlining reported adverse events and mishaps during transfers. It emphasizes the need for guidelines addressing who, what, when, where, why and how questions before any patient transfer.
1. Positioning patients properly is important for comfort, medical procedures, and preventing complications. It involves assessing the patient's needs and positioning them in alignments that promote circulation, relieve pressure, and allow for interventions.
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.
The document discusses positioning, draping, and bed mobility in physical therapy. It provides guidelines for positioning patients in different positions like supine, prone, and side-lying to support the body and prevent issues like pressure sores. The document also discusses draping patients for privacy and comfort during treatment, as well as techniques for teaching patients bed mobility exercises to improve function and prepare for transfers.
This document outlines intake and output (I/O) calculations, including their purposes, procedures, documentation, and implications. The purposes are to ensure accurate record keeping, prevent fluid overload or dehydration, analyze fluid status trends, and contribute to assessments. The procedure involves using an I/O chart, assessing intake and output, implementing measurements and documentation, and determining balance. Positive balance means intake exceeds output while negative balance means the opposite. I/O calculations help determine a patient's fluid status and identify potential issues like dehydration or excess fluid.
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.
Positions for surgery are determined by two main factors: the site of the organ or area being operated on and the choice of the operating surgeon. Common positions include supine, prone, lateral, left lateral, Trendelenberg, reverse Trendelenberg, lithotomy, Fowlers, semi-Fowlers, Lloyd-Davies, kidney, knee chest, jack knife, and Sims.
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.
This document provides an overview of nurse assisting skills including admitting, discharging, and transferring patients, administering personal hygiene such as bathing, positioning and moving patients, and collecting specimens. The key objectives are to properly care for patients and their belongings during admissions and discharges, and to provide personal hygiene like bathing while respecting privacy.
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 discusses guidelines for making hospital beds. It explains that beds need to be prepared for different purposes like after hygiene care, for occupied patients, or for surgery. Proper practices include washing hands, avoiding shaking soiled linen, and not placing soiled linen on the floor or another patient's bed. Different types of beds are described like admission, postoperative, and fracture beds. Principles of asepsis, patient comfort and safety, and efficient techniques are outlined.
This document provides guidelines for making both occupied and unoccupied beds. It discusses the types and purposes of bed making, planning and safety considerations, required supplies and equipment, step-by-step procedures for making both occupied and unoccupied beds, and the importance of evaluation and documentation after bed making is completed. The overall goal is to provide patients with clean, comfortable beds that minimize risks of infection and skin irritation.
This document provides information on basic nursing skills including taking vital signs, measuring height and weight, and recording intake and output. It covers how to measure and document temperature, pulse, respirations, and blood pressure. Safety considerations and normal ranges for vital signs are discussed. Proper techniques for using various types of thermometers and sphygmomanometers are outlined. The importance of accurately measuring and documenting height, weight, fluid intake, and output is also summarized.
The document discusses various surgical patient positioning techniques and their physiological effects. It describes positions such as supine, lithotomy, lateral, prone, Trendelenburg's, and sitting. Positioning must balance exposure for surgery with risks like nerve injury and hypotension. Careful positioning and monitoring are important to prevent complications.
Pressure ulcers, also known as bedsores or decubitus ulcers, are localized areas of tissue necrosis that occur when soft tissue is compressed between a bony prominence and an external surface for a prolonged period. They are commonly staged from Stage 1 to Stage 4 based on depth of tissue damage. Key risk factors include immobility, moisture, malnutrition, and aging. Prevention focuses on risk assessment, pressure relief, skin care, and nutrition. Treatment involves debridement, dressings, management of bacterial infection, and surgery for advanced cases. Complications can include infection, osteomyelitis, and rarely, cancer.
Measuring a patient's fluid intake and output over 24 hours provides important data about their fluid and electrolyte balance. Intake includes oral fluids, foods that become liquid, tube feedings, IV fluids and medications. Output includes urine, vomit, liquid stool, tube drainage and wound drainage. Accurately measuring and recording intake and output in mL informs clinicians, is required, and can explain a patient's condition by identifying patterns and abnormal values. Clinical guidelines include identifying factors affecting intake/output, measuring all sources, recording routes at least every 8 hours, and evaluating trends over 24-48 hours.
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 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.
this presentation is uploaded specially for the Nursing Faculties and paramedics regarding the Body Mechanics specially in the subject Nursing Foundation , Unit- X. it is also useful to common people about poor body posture in relation to their occupation and adverse effect of poor body mechanics, it is also useful to all nursing officers and para medics.
This document provides guidance on safe patient transfers for nurses. It discusses the importance of body mechanics, communication, and proper transfer techniques to prevent injuries to both patients and staff. Specifically, it outlines principles of body mechanics like maintaining a wide base of support and low center of gravity. It also explains the different levels of assistance that can be provided during transfers, from standby supervision to maximum assistance. The overall goal is to raise awareness of fall prevention and ensure safety during dialysis center patient transfers.
This document discusses work-related musculoskeletal disorders (WRMSDs) in the banking sector. It notes that WRMSDs affect tendons, muscles and nerves as a result of exposure to work risks like force, repetition, awkward posture, vibration and cold temperatures. Banking workers are at risk if not trained in proper ergonomics. Common WRMSDs for bankers include neck, shoulder, elbow, wrist and back problems. The document recommends solutions like physiotherapy, ergonomic training, early reporting, and addressing issues before they become chronic. Proper ergonomic design of workstations and lifting techniques can help prevent overuse injuries and support productivity and health.
Applied ergonomics-for-nurses-and-health-care-workers-slidesSANJAY SIR
IT HELPS TO NURSING PERSONNEL & PARA MEDICS REGARDING ERGONOMIC TO PREVENT MUSCULUS-SKELETAL DISORDER & ALSO HELP THE EDUCATOR TO TEACH THEIR STUDENTS.
Body mechanics refers to the efficient and coordinated use of the body to minimize strain and risk of injury. Proper body mechanics involves maintaining good posture and balance, and moving in a coordinated way using large muscle groups. Poor body mechanics can lead to muscle fatigue, joint strain, and back injuries. Nursing interventions for patients with immobility focus on preventing complications like pressure ulcers, bone demineralization, orthostatic hypotension, and respiratory issues through regular repositioning, exercise, and other mobility techniques.
AMBULATION.pptx, and nursing responsibilities during ambulation.ShipraMishra30
This document discusses ambulation and mobility for patients. It defines ambulation and various assistive devices that can aid mobility. Immobility can cause complications, so early ambulation is important, especially for older adults. Nurses must assess patients' mobility and determine if assistance or devices are needed. The document outlines proper techniques for ambulating patients safely and preventing issues like dizziness. It also discusses assessing patients' self-care abilities and mobility status.
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.
This document discusses body mechanics and ergonomics for nursing patients. It defines body mechanics as the coordinated effort of muscles, bones, and nervous system during patient movement. Proper body mechanics prevents injuries to both patients and healthcare providers by minimizing strain. Elements of good body mechanics include proper posture, balance, and movement achieved through correct body alignment and a wide base of support. The document outlines principles for safe patient handling, such as planning moves, avoiding twisting, keeping objects close, and using assistive devices. Common assistive devices include gait belts, slider boards, and mechanical lifts. Ergonomics aims to reduce workplace injuries by fitting jobs to human capabilities through equipment that assists with patient handling.
Safe aptient handling and transfer final 28ali imran
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.
The document discusses rehabilitation for patients with neurological disorders. It covers various rehabilitation techniques including physical therapy, occupational therapy, speech therapy, and more. The goal of rehabilitation is to help patients regain independence and maximize functioning given their disability through a team-based approach. Specific techniques are described for treating issues like mobility, positioning, transfers, and pain management.
This document discusses proper body mechanics for nurses. It emphasizes maintaining proper body alignment, balance, and distribution of weight when moving to prevent injury. The document provides guidelines for movement including bending at the hips and knees rather than the waist, spreading feet for stability, and keeping the back, neck, and feet aligned. It also discusses assessing patients prior to moving or handling, potential risks to nurses and patients, and assistive devices that can be used to safely transfer patients.
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.
This document provides information about low back pain, including risk factors, prevention strategies, and when to seek medical help. It discusses back anatomy, forces acting on the spine, risk factors for injury such as repetitive lifting, and tips for proper lifting technique. It also notes that surgery is rarely needed and often not more effective than other treatments for back pain. Stretching and exercise may help but should avoid aggravating conditions, and back belts are not recommended or considered protective equipment.
Ergonomics is the study of designing equipment and tasks to maximize productivity by reducing fatigue and discomfort. Common ergonomic injuries in the workplace include cumulative trauma disorders from repetitive motions and static postures. The goals of ergonomics are to reduce injuries, increase productivity and safety, and decrease fatigue and errors. Risk factors for injuries include force, repetition, awkward postures, static postures, and contact stress. Proper ergonomic practices include adjustable workstations, stretching, lifting techniques, and training to reduce risks.
The document discusses diagnostic procedures, therapeutic modalities, and surgical procedures for musculoskeletal problems including fractures, arthritis, and joint replacements. It covers imaging tests, traction methods, casting materials, braces, exercises, and postoperative nursing care considerations. Rehabilitation approaches are also outlined along with assistive devices, classifications of injuries, and guidelines for managing common conditions like gout and osteoarthritis.
PHYSIOTHERAPY IN SPINAL CORD INJURY (2).pptxpraveen Kumar
1) Early management of spinal cord injuries focuses on immobilization, fracture stabilization, and preventing secondary complications. Physical therapy aims to improve respiratory function through exercises and prevent skin breakdown through positioning.
2) During active rehabilitation, strengthening, cardiovascular training, and mobility skills help patients gain independence. Locomotor training uses orthotics, balance, and compensatory strategies to enable standing and walking.
3) For incomplete injuries, locomotor training on a treadmill with body weight support and manual assistance can retrain walking patterns. The goal is to generalize skills to overground walking in the community.
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
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The complex relationship between human activities and the environment has been the focus
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The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
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and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
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help of Advanced technologies like Remote Sensing and Geographic Information Systems is
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Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
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How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
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2. Patient Safety:
“Technically the biggest ‘safety system’ in
healthcare is the minds and hearts of the
workers who keep intercepting the flaws in
the system and prevent patients from being
hurt. They are the safety net, not the cause
of injury”.
Don Berwick
3. Patient Safety #1
A client’s health and wellness depend
upon safety. Safety is the number 1
priority in all aspects of care.
Nurses need to be aware of safety. The
hospital setting is complex, potentially
dangerous & unfamiliar to clients.
4. Ensuring Client safety:
Reduces length of stay & cost of treatment
Reduces frequency of treatment
Reduces potential for law suits
Reduces the number of work-related injuries
to personnel
5. Institute of Medicine Report, 1999
Estimated 48,000-98,000 deaths per year
from medical errors.
Adverse events ranked as the 8th leading
cause of death, ahead of MVA’s, breast
cancer and AIDS
Extrapolating from the U.S. data, adverse
events would account for 4,000-10,000
deaths per year in Canada.
6. Impetus for action: Threefold
1. Health system has a moral imperative to
ensure the safety of patients
2. Adverse events have a tremendous cost to
the system in extended hospital stays &
additional medical procedures
3. Adverse events expose health
organizations to legal liability
7. A safe environment is one in which
basic needs are met, physical
hazards are reduced or eliminated,
transmission of organisms is reduced
and sanitary measures are carried
out.
8. Falls
Fall risk, especially in the elderly, is
growing. In hospitalized patients, 4-12
falls occur per 1,000 bed days, ranking
them among the 10 most common
claims presented to insurance agencies
Nursing Management, September 2002
30% of people 65 yrs and older (in the
community) fall at least once each year.
9. Focus Assessment:
To ensure patient safety – the nurse
should conduct a focus assessment
during every nurse-patient encounter
which includes:
A visual scan of the environment for potential
hazards
A quick appraisal of patient related factors
10. Strategies to help reduce falls:
Physical environment
Appropriate furniture and lighting
Call bell easily accessible/personal items within reach
Traffic areas free from obstruction
Secure/remove loose carpets or runners
Eliminate clutter
Grab bars in appropriate areas in washroom
Handrails in the halls
Keep bed in a low position – lock bed/wheelchairs/stretcher
Identify clients at risk for falls.
If a client experienced falls at home, they will likely continue to be at risk for
11. Strategies to help reduce falls:
(Communication/Assessment)
Orient client to physical surroundings
Explain use of call bell
Assess client’s risk for falling
Alert all personnel to the client’s risk for falling
Instruct client and family to seek assistance when getting up
Maintain client’s toileting schedule
Observe/assess client frequently
Encourage family participation in client’s care
12. Body Mechanics
The coordinated efforts of the musculoskeletal &
nervous system to maintain balance, posture & body
alignment during lifting, bending, moving &
performing ADL’s.
Knowledge & practice of proper body mechanics
protect the client and nurse from injury to their
musculoskeletal systems.
Correct body alignment reduces strain on
musculoskeletal structures, maintains muscle tone, &
contributes to balance.
13. Body Mechanics (cont.)
Body balance is achieved when a wide base
of support exists, the center of gravity falls
within the base of support & a vertical line can
be drawn from the center of gravity through
the base of support.
When lifting an object, come close to the
object, enlarge the base of support & lower
the center of gravity.
14. Body Mechanics (cont.)
Proper body mechanics facilitates movement
without muscle strain & excessive use of
muscle energy.
Improper body mechanics can lead to injury
for both the nurse & the patient, especially
back injury when lifting.
15. “In 1990, Canadian hospitals reported 30,487
time loss injuries. Fifty-three percent were
sustained by nurses. Almost half (of the
injuries) were back injuries. Back injury is now
recognized as one of the major reasons for ill-
health retirement from nursing. Not only is it the
most frequent injury sustained by nurses, it is
the most debilitating”
16. Action Rationale
When planning to move a client, Two workers lifting together divide
arrange for adequate help. Use the workload by 50%.
mechanical aids if help is
unavailable.
Encourage client to assist as much This promotes the client’s abilities &
as possible. strength while minimizing workload.
Keep back, neck, pelvis and feet Reduces risk of injury to lumbar
aligned. Avoid twisting. vertebrae & muscle groups. Twisting
increases risk of injury.
Flex knees; keep feet wide apart. A broad base of support increases
Position self close to client (or object stability. The force is minimized. 10
being lifted). lbs at waist height close to the body
is equal to 100 lbs at arms’ length.
17. Action Rationale
Use arms and legs (not back) The leg muscles are stronger, larger
muscles capable of greater work
without injury.
Slide client toward yourself using a Sliding requires less effort than
pull sheet. lifting. Pull sheet minimizes
shearing forces, which can damage
client’s skin.
Set (tighten) abdominal & gluteal Preparing muscles for the load
muscles in preparation for move. minimizes strain.
Person with the heaviest load Simultaneous lifting minimizes the
coordinates efforts of team involved load by any one lifter.
by counting to three.
18. Moving & Positioning
Mobility – persons ability to move about freely.
Immobility – person unable to move about freely, all
body systems at risk for impairment.
Frequent movement improves muscle tone, respiration,
circulation & digestion.
Proper positioning at rest also prevents strain on
muscles, prevents pressure sores (decubitus ulcers
within 24 hours) & joint contractures (abnormal condition
of a joint, characterized by flexion & fixation & caused by
atrophy & shortening of muscle fibers or by loss of
normal elasticity of the skin).
19. Moving & Positioning (cont.)
Pressure Sores – tissues are
compressed, decreased bld supply to
area, therefore, decreased oxygen to
tissue & cells die.
20. Correct Positioning
Is crucial for maintaining body alignment and comfort,
preventing injury to the musculoskeletal system, and providing
sensory, motor, and cognitive stimulation.
It is important to maintain proper body alignment for the patient
at all times, this includes when turning or positioning the patient.
Aim – least possible stress on patient’s joints & skin. Maintain
body parts in correct alignment so they remain functional and
unstressed.
Patients who are immobile need to be repositioned q 2 hrs.
21. Application of proper body
mechanics
“By applying the nursing process and using the
critical thinking approach, the nurse can
develop individualized care plans for clients
with mobility impairments or risk for
immobility. A care plan is designed to improve
the client’s functional status, promote self
care, maintain psychological well being, and
reduce the hazards of immobility.”
(Potter and Perry, 2006)
22. Moving & Positioning: Nursing Process
Assessment
Comfort level & alignment while lying down
Risk factors - Ability to move, paralysis
Level of consciousness
Physical ability/motivation
Presence of tubes, incisions, equipment
Nursing Diagnosis
Defining characteristics from the assessment
Activity intolerance
Impaired physical mobility
Impaired skin integrity
refer to Perry and Potter
23. Nursing Process (cont.)
Planning
Know expected outcomes – good alignment, increased comfort
Raise bed to comfortable working height
Remove pillows & devices
Obtain extra help if needed
Explain procedure to client
Implementation
Wash hands
Close door/curtain
Put bed in flat position
Move immobile patient up in bed
Realign patient in correct body alignment (pillows etc.)
24. Nursing Process (cont.)
Evaluation
Assess body alignment, comfort
Ongoing assessment of skin condition
Use of proper body mechanics (nurse)
25. Restraints
Device used to immobilize a client or an
extremity
A temporary means to control behavior
Restraints are used to:
Prevent falls & wandering
Protect from self-injury (pulling out tubes)
Prevent violence toward others
Restraints deprive a fundamental right to
control your own body.
26. CRNNS Position Statement on
Use of Physical Restraints
“The Registered Nurses’Assoc. of N.S. recognizes
the right of all persons to be treated in a respectful
and dignified manner. Additionally, the CRNNS
believes that all individuals have an inherent right to
autonomously and independently make decisions
regarding their health care. (RNANS, 1997)
Use of physical restraints may violate these inherent
rights.
The CRNNS does not endorse the use of physical
restraints.
27. Cautious Use of Restraints
While restraint-free care is ideal, there are
times that restraints become necessary to
protect the patient & others from harm.
Highly agitated, violent individual – Physical/Chemical
restraints
Intubated patient – pulling out endotracheal tube
Suicide patient - ? Chemical restraints
28. Use of Restraints:
Use only when absolutely necessary.
Attending physician is responsible for the
assessment, ordering & continuation of restraint.
Can be instituted on your nsg judgment – must have
a doctors order ASAP.
Continued use of restraints must be reviewed daily by
the RN & documented on the health record.
Always explain what you do & why, to reduce anxiety &
promote cooperation.
29. Goals of Restraint Use
To avoid the use of restraints whenever possible.
Encourage alternatives
Family member to sit with patient
Geri chair vs. bed
Non restraint measures – safety belt, wedge pillows, lap tray
Consider restraints as a temporary measure –
decrease likelihood of injury from restraint use.
Remove restraints as soon as the patient is no longer
at risk for injury.
30. Complications assoc. with restraints
Hazards of immobility
Death
Pressure sores, pneumonia, constipation, incontinence,
contractures, decreased mobility, decreased muscle strength,
increased dependence
Altered thought processes
Humiliation, fear, anger & decreased self-esteem
• Strangulation
• Compromised circulation
• Lacerations, bruising, impaired skin integrity
• Must release restraint every 2 hours for assessment & ROM
31. Physical Restraints – device that limits a
clients ability to move
Side rails – stop patient from rolling out, but does not stop them
from climbing out – side rail down when working on that side.
Jackets & Belts – patient who is confused & climbing over rails
may need a jacket or belt to restrain them to bed. Sleeveless
with cross over ties, allows relative freedom in bed.
Arm & Leg – Undesirable, limits patients movement, injury to
wrist/ankle from friction rubbing against skin – use extra
padding. Restrain in a slightly flexed position, if too tight could
impair circulation. Never tie to a bed rail.
32. Physical Restraints (cont.)
Mitts are used for those confused & pulling at@
edges of dsgs, tubes, iv’s, wounds. Doesn’t limit arm
movement, soft boxing glove that pads the hand,
remove, wash & exercise.
Ensure not too tight
Use quick release tie for all restraints
33. Chemical Restraints
Medication
Patient must be closely observed and assessed
frequently post medication.
Remains a high risk for injury.
34. Supporting Documentation
Rationale for the use of restraints, including a
statement describing the behavior of the patient.
Previous unsuccessful measures or the reason
alternatives are not feasible.
Decision to restrain with the type of restraint selected
and date & time of application.
Observations regarding the placement of the
restraint, its condition and the patient’s condition,
including the frequency of observation (not just at the
end of your shift)
35. Supporting Documentation (cont.)
Assessment of the need for ongoing
application of restraint.
Care of the patient which may include
re-positioning, toileting, mobilization
and/or skin care
36. Civil Actions
Most civil cases are based on allegations of
negligence.
Important to support your judgment/actions
with quality documentation
37. Promoting Safety
Measures designed to promote client safety are the
result of individualized assessment findings. Often it
is the conclusion of the nurse that a client’s safety is
at risk, and subsequent nursing interventions are
implemented. Assessment of a client’s safety should
occur in the home, healthcare facility, and community
environment.
(Perry and Potter, 2002)
40. Moving the patient: up in bed
Move close to the side of the Back straight, knees bent, one foot forward (broad
bed base of support)
Up in bed (1 nurse) Encourage independence & foster self-esteem.
(Patient alert & cooperative) Patient bends knees, feet firmly on the bed –
grasps side rail @ shoulder level. Nurse positions
hand & arms under patients hips, back straight,
bend knees, feet apart, count to 3. Nurse pulls
patient up in bed & pt pulls arms & pushes feet up
into bed.
Up in bed (2 nurses) Patient bends knees, feet firmly on bed, 1st nurse
(heavy patient or one who at HOB arms under head & shoulders, face foot of
cannot help) bed, 2nd nurse under hips facing foot of bed, on
same side – count to 3.
41. Moving the patient: lifter
Up in bed using the pull sheet/lifter Do not lift, always slide
(2 nurses) One nurse on each side of the bed, firmly
grasp the lifter in both hands, ask the patient
to lift their head. Slide the patient up in bed on
the count of 3.
Benefit: 1. movement b/w 2 layers of cloth
has less friction than skin on cloth.
2. Much easier to grasp sheet firmly than it is
to hold a patient’s body.
3. Lifter supports the entire body (except the
head) making it easier to keep the patient
straight.
42. Moving the patient: lateral
From the back to the side Move the patient to the side of the bed, so the
(lateral) position patient will be in the center when complete.
Raise rail, move to other side of bed, roll
patient toward you far ankle over near ankle,
far knee over near knee. Place one hand on
client’s hip and one hand on his/her shoulder
and roll pt. onto side toward you. Place
pillow under head & neck, bring shoulder
blade forward, position both arms in slightly
flexed positions (protects joints).
Upper arm supported by pillow.
Place pillow behind patient’s back & pillow
under semi flexed upper leg
Assess need to support feet (footboard, high
top sneakers).
43. Moving the patient: prone
From the back to the Move to the extreme edge of the bed, raise rail on that
abdomen (prone) side, move to other side.
Pillow for support under abdomen, near arm over head,
turn face away, roll as above, check arm & face, continue
rolling.
Prone - infrequently used because respirations can be
compromised
Good position for pressure sores on hips/buttocks.
Important to turn head to the side, no pillow b/c it hyper
extends the neck – can use small towel, small folded towel
under each shoulder to prevent slumping, flat pillow at
abdomen (esp. women with large breasts)
Arms at either sides or flexed by head, hand rolls, feet in
dorsiflexion – sandbags under ankles.
44. Tips for positioning the patient
After turning – use aids i.e. pillows, towels, washcloths,
blankets, sandbags, footboards etc.
Joints should be slightly flexed b/c prolonged extension creates
undue muscle tension & strain
Supine
Low or flat pillow (prevents neck flexion)
Trochanter role (supports hip joint prevents external rotation)
Hand roll – used if hands are paralyzed (thumb & fingers flexed around
it)
High top sneakers, foot board, sandbags (support feet with toes
pointing upward. Prolonged plantar flexion leads to foot drop
(permanent plantar flexion & inability to dorsiflex)
45. Tips (cont.)
Side lying
Even if paralyzed on one side a patient can be placed on
that side. Take care not to pull on the affected extremity.
Head on low pillow, pillow along back – supports back &
holds body in position, underlying arm comes forward &
flexed onto pillow used for head, top arm flexed forward
& resting on pillow in front of body, hand rolls if
necessary, flex top leg forward & place on pillow, feet at
right angles with sandbag.
Editor's Notes
Remember: Overhead “Stuff they never taught you in nursing school”
The client’s room itself can be potentially hazardous, it is often quite small and crowded with a variety of equipment. The simple act of going to the washroom can be a challenge when the client is connected to an IV and needs to maneuver around obstacles (sometimes in a darkened room). This can be especially challenging for our elderly clients, not to mention those who may be confused.
Medical errors were defined as “the failure of a planned action to be completed as intended, or the wrong use of a plan”
The Canadian Healthcare Association (CHA) and our provincial and territorial members are committed to working with others to improve the quality and safety of health services provided to Canadians across the continuum of care
Patient related factors include: Physical & mental condition Obstacles Lighting Age Ambulatory devices
Student participation Other things to consider that would make a client at high risk for falls - poor fitting shoes/slippers - untied laces - housecoat or pyjamas too long - poor physical condition – dizziness, unsteady gait, weakness, impaired vision, hearing - altered mental status – confusion, impaired memory/ju