body mechanics, transfer and positioning

Question 1

What are some common bed positions

Answer 1

semi-fowlers
high-fowlers
trendelenberg
reverse trendelenberg

Question 2

How many HOB elevated in semi-fowlers

Answer 2

HOB elevated 45 degrees

Question 3

How many HOB is elevated in high-fowlers

Answer 3

HOB elevated 90 degrees

Question 4

How do we position trendelenberg

Answer 4

Bed flat with feet elevated and head down

Question 5

How do we position trendeleberg

Answer 5

Bed flat with head elevated and feet down

Question 6

Correct position is vital to do what?

Answer 6

Promote comfort, prevent injury, and provide sensation

Question 7

How do we position a patient that is in bed?

Answer 7

Moving client up in bed

Question 8

In semi fowler and high fowler position what is the HOB?

Answer 8

45-60 and 90 degree

Question 9

Some other things to know in semi fowler and high fowler position

Answer 9

Small pillow
Support arms and hands on pillows
Smal pillow under things
Small pillow under ankles

Question 10

How do we position supine?

Answer 10

• HOB flat
• Small pillow under lumbar area, if not contraindicated
• Pillow under head, neck and shoulders, if not contraindicated
• Trochanter rolls parallel to lateral surface of thighs
• Float heels: pillow under ankles
• Use footboard or high top sneakers to prevent foot drop
• Pillows under forearms
• Hand rolls and splints

Question 11

How do we position prone?

Answer 11

Roll patient to one side with arm alongside body (arm on turning side)

• Roll client over arm- keep arm close to body with elbow and hand under hip
• Position on abdome in center of bed
• Turn head to one side and support with small pillow
• Place small pillow under abdomen
• Place arms in flexed position at shoulders
• Support lower legs with pillow to elevate toes

Question 12

How do we position 30 degree lateral (side lying)?

Answer 12

Lower HOB

• Position client to side of bed opposite side being turned to
• Flex knees and turn patient on side
• Pillow under back to support
• Pillow under head and neck
• Bring dependent should forward
• Position arms in slightly flexed position
  - support upper shorter and arm with pillow
• Place pillow under semi flexed upper leg

Question 13

How do we position sims’ (semiprone)?

Answer 13

• Lower HOB
• Place in supine position
• Roll client on side
• Position on lateral side, lying partially on abdomen
• Lift dependent shoulder and place arm at side
• Small pillow under head
• Pillow under flexed upper arms
• Pillow under flexed upper leg

Question 14

How do we position logrolling?

Answer 14

• Small pillow between knees
• Cross arms on chest
• Use draw sheet
• One nurse grasps draw sheet at lower hips and thigh area
• Other use grasps draw sheet shoulders and lower back
• Roll as unit in one smooth continuous motion
• Single nurse places pillows along the length of patient for support or cleans patient
• Gently lean the client as a unit back towards the pillow for support or back on the surface of the bed

Question 15

how many people does logrolling position require?

Answer 15

3 people

• 2 on side to be turned towards
• 1 on side turning from