Equipment Indications, Contraindications and Precautions Flashcards
What are the 2 levels of dependency for slide sheets?
- 1A
- 2A
What are the 4 indications for use for slide sheets?
- When Client unable to move independently in bed
- For minimal assist Client lie-sit
- To assist with pat slide transfers eg post-surgery; acute back pain; Total knee replacements,
- x1-2 person assist
What are the 3 contraindications/precautions for slide sheets?
- 2 people and 2 slide sheets are usually required to use a slide sheet to move a Client up/down bed or across the bed;
- there are some occasions when it is safe for 1 person to use a slide sheet alone
- for temporary use only, they are not to be left under the patient due to interference with pressure relief and hygiene
What are the 3 levels of dependency for walk belts?
(Therapist use only)
- S
- 1A
- 2A
What are the 2 indications for use for walk belts?
- When concerned about the Client’s stability while walking or transferring from sit-stand
- x1-2 person assist
What are the 3 contraindications and precautions for walk belts?
- Some Clients may find them uncomfortable over incisions
- Do not pull/lift a Client to standing with the walk belt
- Take care with drains, pegs, fragile skin and clients with large breasts
What is the level of dependency for passive hoists (mobile or ceiling)?
- D
What are 9 indications of use for passive hoists (mobile or ceiling)?
- When Client unable to transfer safely or weight bear
- If Client not reliable when weight bearing during transfers
- Vertical transfers from floor for Client unable to assist
- Heavy Clients
- Always minimum x2 person assist
- Base of sling near coccyx area to enable toilet use
- Leg extensions may be crossed or not but preferable to have them crossed for modesty
- if quads < Grade 3
- Brakes: ON to apply sling and raising; OFF when lowering hoist as it needs to find its own centre of gravity, otherwise it may tip over.
What are 10 contraindications and precautions for passive hoists (mobile or ceiling)?
- Use correct sling size to avoid Client slipping out
- Ensure sling in good state
- Unstable fractured shaft of femur; Spinal fractures
- Hip replacements
- Recent hip surgery
- Unstable dislocated hips
- Extremely fragile skin
- Precautions: fractured ribs, open wounds or burns; drains and attachments; post-thoracic or spinal surgery; aggressive Clients
- Brakes usually off when lowering Client in hoist
- Do not travel >2m with Client in hoist
What are 2 levels of dependency for active hoists (standing hoist or Ross Return)?
- 1A
- 2A
What are 9 indications for use for active hoists (standing hoist or Ross Return)?
- Suitable for chair/toilet/bed transfers
- Brakes: ON going up; OFF going down, but check manufacturer’s instructions before use;
- Client must be able to weight bear through at least one leg and grasp with at least one hand;
- not able to push or pull to stand safely
- If the Client has weak quads muscles but can SLR at least 1 leg;
- Cooperates and understands instructions
- Client can bridge and grip;
- When a Client can pivot but not stand;
- If the Client is unreliable in standing and step transfers
What are 6 contraindications and precautions for use for active hoists (standing hoist or Ross Return)?
- If the Client’s quads muscle strength is ≤grade 2;
- Clients with quadriplegia
- Clients with knee pain
- Not suitable for bilateral THR
- Often not suitable for stroke clients with painful shoulders;
- Not suitable for aggressive clients
What is the level of dependency for pat slides?
- D
What 3 indications of use for pat slides?
- For horizontal transfers of fully dependent Clients bed/trolley/bed
- Used with slide sheet and bed sheet or 2 slide sheets
- Minimum x3 person assist
What 2 contraindications and precautions for pat slides?
- Surface levels must be level or receiving surface a little lower
- Care should be taken with Clients head and feet if totally dependent
