Patient Handling/Positioning and Transfers

Question 1

What is the number one factor in determining positioning of a patient?

Answer 1

Safety

Question 2

What are other important factors for patient positioning?

Answer 2

Comfort, access to body region, prevention of pressure injuries, and facilitate body functions

Question 3

How often should you move a dependent patient?

Answer 3

No more than every two hours

Question 4

What can prolonged positioning cause?

Answer 4

contractures, pressure injuries, skin injections,

Question 5

How long can it take for a pressure injury to develop?

Answer 5

As little as an hour

Question 6

What position is the patient in if they are facing their body towards the ceiling, laying on their back?

Answer 6

Supine

Question 7

What position is the patient in if they are facing down, laying on stomach?

Answer 7

Prone

Question 8

What is it called when the patient is on all fours?

Answer 8

Quadrupled

Question 9

What position(s) typically has the best ease of access?

Answer 9

Supine or sitting

Question 10

What position is most beneficial for urinary drainage?

Answer 10

Prone

Question 11

What position can restrict airways?

Answer 11

prone

Question 12

What position can cause aspiration?

Answer 12

supine

Question 13

What position(s) is(are) hardest on someone with an already developed pressure injury?

Answer 13

Sidelying, sitting

Question 14

What position can be difficult for patients with low endurance?

Answer 14

Quadrupled

Question 15

What position can cause contractures if prolonged?

Answer 15

Sitting

Question 16

What position can cause orthostatic hypotension?

Answer 16

Sitting

Question 17

Name some tools that aid in positioning, typically raising comfort levels.

Answer 17

pillow, bolster, wedge

Question 18

What level of assistance is a patient that can perform the task alone, without assistance?

Answer 18

Independent

Question 19

What level of assistance is a patient that can perform the task but with an assisted device?

Answer 19

Modified independent

Question 20

What level of assistance is a patient that can perform the task but with constant supervision?

Answer 20

Supervise independent

Question 21

What level of assistance is a patient that can perform up 75% of the task?

Answer 21

Minimal assist

Question 22

What level of assistance is a patient that can perform 50-75% of the task?

Answer 22

moderate assist

Question 23

What level of assistance is a patient that can perform 25-49% of the task?

Answer 23

Maximal assist

Question 24

What level of assistance is a patient that can perform 0-24% of the task?

Answer 24

Total dependent

Question 25

What levels of assistance require a gait belt?

Answer 25

Any version of assist

Question 26

What percentage is up to the clinician in a patient with minimal assistance?

Answer 26

25%

Question 27

What percentage is up to the clinician in a patient with moderate assistance?

Answer 27

25-50%

Question 28

What percentage is up to the clinician in a patient with maximum assistance?

Answer 28

50-75%

Question 29

What percentage is up to the clinician in a total dependent patient?

Answer 29

75-100%

Question 30

How much weight can a patient with FWB status have?

Answer 30

Full weight, no restrictions

Question 31

How much weight can a patient with NWB status have?

Answer 31

None

Question 32

How much weight can a patient with TWB status have?

Answer 32

no more than 10 lbs

Question 33

How much weight can a patient with TTWB status have?

Answer 33

none, only can touch the floor

Question 34

How much weight can patient with PWB status have?

Answer 34

up to 50%

Question 35

What is WBAT?

Answer 35

Weight bearing as tolerated

Question 36

What are the six types of transfers?

Answer 36

1. supine to sit
2. Supine to sidelying
3. Sit to stand
4. Stand pivot
5. Sit pivot
6. squat pivot