Activity and Movement Flashcards
What does evaluation determine?
If mobility outcomes were met and if interventions were helpful
Principles of safe patient transfer #1
training nursing staff about mechanical lift equipment and use
Principles of safe patient transfer #2
Maximizing patient assistance in movement
Principles of safe patient transfer #3
Teaching patients with some mobility to shift their position every 15 minutes while awake
Principles of safe patient transfer #4
Leaving top side rails up to allow patients to self position
Principles of safe patient transfer #5
Using leverage, rolling, turning, or pivoting rather than lifting
Principles of safe patient transfer #6
Reducing friction between the patient and the transfer surface
Principles of safe patient transfer #7
Following proper body mechanics
Principles of safe patient transfer #8
Following algorithms developed by the VA (2016)
Nurses cannot delegate
Teaching
The nurse only lifts __ lbs or less independently
35
5 body mechanic tips
1) Bend at the knees
2) Engage core
3) Avoid twisting
4) Shift weight
5) Keep trunk erect
4 fall risks
Weak, poor muscle tone, impaired mobility, unsteady
Fall precaution #1
Place patient on fall precautions with an alert armband and an alert in EHR
Fall precaution #2
Keep walking pathways clear
Fall precaution #3
Keep walkways dry and free from spills
Fall precaution #4
Keep call light within reach
Fall precaution #5
Keep sitters with patient if constant monitoring is required
How often must fall risk assessment be completed
Every time someone is admitted
How often must a fall risk be repeated?
At least daily or more if needed
Fall reduction is essential because if a patient falls…
Hospitals no longer receive money for the additional care
Two more fall precautions
Frequently orient and reorient the patient
Ensure clothing fits properly
If the patients is ambulatory require…
the use of nonskid footwear
3 specialized fall precautions
Frequently observe patient
Place patient in room close to nurse’s station
Use a low bed
3 specialized fall precautions
Use mattress/chair with pressure alarms
Use floor mats beside bed
Use side rails
4 benefits of proper positioning
1) maintains body and joint alignment
2) promotes blood flow
3) maintains skin integrity
4) ensures comfort
Crossing legs and ankles can lead to…
Pooling and occlusion of blood
When is logrolling required?
For patient with spinal cord injuries or following surgery
Ensure the patient’s spine remains aligned during positioning
Logrolling
How many personnel for logrolling
Assistance of at least on or two other personnel
Where is the pillow placed for log rolling?
Between the legs
How long does it stay there?
It remains there as long as the patient is in a side-lying position
Where are pillows for side lying position?
Between legs and arms, and behind back
