Mobility Transfer

Question 1

Lifting and transferring options

Answer 1

Independent
Supervised
Assistance
One person assist
Two persons assist

Question 2

Independent

Answer 2

Does not require physical assistance rising from sitting or during walking
Verbal cueing and supervision is not necessary
Is cooperative
Full weight bearing
Pivot or steps independently
Consistently display reliable standing balance
Manage mobility aids and footwear independently
Independently transition from lying and sitting

Question 3

Supervised

Answer 3

The patient does not need physical assistance rising from sitting or during walking
Verbal cueing or supervision is necessary
Is cooperative
Full weigh bearing
Pivot or steps independently btw surface
Consistently display reliable standing balance
Independently transition from lying and sitting
Pushes up on foot pedals and armrests to move to the back of seat with no physical assistance

Question 4

Minimum assistance

Answer 4

Patient needs physical and verbal cueing rising from sitting or during walking
Set up assistance or reminders are necessary to manage mobility aid and required footwear
At risk of becoming unsteady and requiring physical assistance
Is cooperative and able to follow directions
Full weight bearing
Steps btw surface with minimal assist of one HCP
Display no more than a mild deficit in standing balance
Moves btw lying and sitting position with no more than one person minimal assistance

Question 5

One-person assist

Answer 5

Patient is full weight bearing and needs assistance rising from a seated position
Is cooperative and able to follow directions
Bears substantial portion of weight consistently
Display no more than a mild deficit in standing balance
Transition from lying and sitting position with no more than one person minimal assistance

Question 6

Two-person assist

Answer 6

Patient is full weight bearing but needs assistance rising from a seated position
Is cooperative
Bears the majority of weight consistently
Step btw surface with the assistance of two people
Display mild to moderate standing balance deficits
Transition from lying and sitting with no more than two person minimal assistance
If the patient weigh more than 250 ibs if you are unsure of their balance consider a sit to stand or mechanical lift

Question 7

Sit-stand lift

Answer 7

Required for patient that weigh bear partially through at least one leg and both arms
Can hold on to the handle with at least one hand
Patient has unknown or unpredictable balance/ strength
Is cooperative
Follow simple directions consistently
Stand securely on the standing platform
Transition from lying and sitting position with no more than two persons minimal assist
Can tolerate the sling under his/her arms

Question 8

Mechanical lift

Answer 8

Patient is non-weight bearing or otherwise unstable for the sit-stand lift
Is not able to cooperate consistently
Weight bear inconsistently or unable to do so
Display limited ability to participate in lift/transfer

Question 9

Why is safe patient handling important

Answer 9

Healthcare work is among the most hazardous occupations
Back injury is the 2th leading occupational injury
Back injuries are expensive ( cost to pay over time coverage, cost to pay overtime coverage)
Significant time lost with injury ( mandated overtime, training new staff)
Stare body mechanics are not enough to prevent injury

Question 10

Benefits to staff

Answer 10

Decrease injury
Decrease pain and muscle fatigue
Decrease lost work days
Decrease overtime
Increases morale
Increase job satisfaction

Question 11

Consumer benefits of sph ( safe patient handling)

Answer 11

Improve quality of life
Lowe the level of depression and behaviors
Improve urinary continuous
Increase consumer participation in activities
Increase level of daytime alertness
Increase and maintain upper extremity Rom
Decrease the fall risk
Decrease in fractures
Decrease skin tears and bearing

Question 12

Body mechanic do / don’t

Answer 12

Do: get in ready position