Body Mechanics , Transfer And Positioning Flashcards
When should you remove SCDs
Remove when out of bed
Why should you watch for tunings/ pumps
It’s a fall risk
When should you removed TEDs and what should you do ?
Remove once a shift for 15-30 minuets. Assess skin
Let skin breathe
What are TEDs and SCDs used for
thromboembolic devices
Promote venous return
Prevent venous pooling
Prevent passive dilation of veins and tears
SCDs (sequential compression devices)
Drives superficial blood into deep veins and prevent venous stasis/pooling
Function of the incentive spirometer and what does it prevent ?
Helps patient to take deep breaths after surgery.
Respiratory complications
When and Why is Turn cough and deep breath (TCDB) so important
Very important after surgery to keep lungs clear especially for those who has chest incisions
What is active range of motion (AROM)
The patient is able to move joints without assistance
What is passive range of Motion (PRM)
The nurse has to assist
Why do we use ROM (range of motion)
Circulation
Prevent stiffness
Prevent blood clots
What and when should you do when doing ROM
Move every joint slowly and don’t force
3-5 Times for each joint
Make sure you support the joint
Good to do when bathing or turning the patient
What are some ambulating assistive devices
Canes
Walkers
Crutches
When using a cane what side should you hold it on
Hold on stronger side
Should the crutches touch the auxiliary
No
How far should crutches be away from the body
6 inches
When going up the stairs which leg should go up and which should go down
Up-lead with strong leg
Down- lead with weak leg
What should you consider while ambulating ?
Condition and gait
What should you do before allowing a patient to stand
Allow them to dangle for a few moments
What should you use while ambulating
Gait belt if available
Where should you brace the patient
Against my foot and knees
If a patient begins to fall what should you do?
Do not try to stop them and call for help
Why is the hand roll used
To prevent contraction
Why is the cradle boot used
It’s a foamy boot that goes around the ankle to prevent pressure sores
How many people do you need to log roll safely
3
Semi flowed position
Usually when sleeping 45 degrees
High flowers
Eating 90 degrees
Position : bed flat with feet elevated and head down
Trendelenberg
Bed flat with head elevated and feet down
Reverse trendelenberg
Positioning : the correct position is vital to:
Promote comfort , prevent injury, and provide sensation
Where should you tie a restraint
To the bed frame only
Who can remove restrains
Only the nurse
What are some least restrictive measures for restraints
1:1 supervision
Calm them down
Make sure you keep them close to the nurses station
When should restraint orders be renewed
Every 24 hours
When should you do an assignment on the patient in restraints and what are you checking for ?
Every two hours Capillary re-fill ROM Pulse No shirring or brushing Basic needs Not to tight/ loose
When should you remove the restraints
When they are not combative (ASAP)
What should you keep in mind if you opt to use and restraint
Tell why the restraints was used
Who used the restraint
What restraint was used
Doctor order
What did you do to prevent the restraints from
Being used
Keep in mind what are you trying to prevent the client from doing
