Preparing Pt and Environment for Mobility: Exam 1

Question 1

Prepping for Mobility:

The checklist:

IMPORTANT!!!

Answer 1

• ALWAYS review pt chart prior to initiating mobility
  
  • status can change day-day
• ALWAYS check in w/ pts nurse prior to mobility
  
  • not awaiting meds/proc/crisis
• ALWAYS obtain subjective
• ALWAYS don NON-SKID FOOTWEAR prior to mobility
• ALWAYS check area
  
  • lines, drains, caths
• ALWAYS screen pt cognition prior to mobility
• ALWAYS ask for assist if needed

Question 2

HAIs

Healthcare Associated Infection

Answer 2

Direct contact

Contact w/ surfaces

Question 3

Infection control

Answer 3

• Standard Precautions—wash hands always!!!
  
  • assume everyone infected
• non-intact skin, mucous membs, body fluids (not sweat) are possible sources infection

Question 4

Standard Precautions

Answer 4

• Hand hygiene
  
  • # 1 method reducing transf’s contaminants
• 5 Moments for Hand Hygiene
  
  • 1. before touching pt
  • 2. before clean/aseptic procedure
  • 3. after body fluid exposure risk
  • 4. after touch a pt
  • 5. after touching pt surroundings
• PPE
• resp. hygiene
  
  • cover mouth

Question 5

Always assess…..

Answer 5

VITAL SIGNS!!!

CARRY NOTEPAD!!!

Question 6

Obtain all equipment BEFORE….

Answer 6

transitioning to upright pos.

ALWAYS MONITOR pt.

NEVER LET GO OF THEM/LEAVE THEIR SIDE!!!

body mechanics!!!

Question 7

tension

Answer 7

pulling forces

Question 8

compression

Answer 8

pushing forces

Question 9

distraction

Answer 9

separation of objects

Question 10

Shearing

Answer 10

2 forces OPPOSING directions in parallel to common surface

*sliding*

Question 11

Torsion

Answer 11

twist force about long axis of structure

Question 12

Maximize ability w/ Least amt effort====

Answer 12

Body Mechanics!!!

INC efficiency!!!

Question 13

Basics of proper body mechanics

Answer 13

• consider BOS–> wider=better
  
  • larger==more stability
  • smaller==greater mobilty
    
    • unbalanced
• assess environment
  
  • use equip to help you
• pos. self close to pt or load
• neutral spine/normal curve
• avoid twisting
• bend @ hips and knees
• hold objects close
• PUSH don’t pull
• set trunk mm’s
• align body to use larger/stronger mm’s
  
  • partial squat to utilize LE
• exhale during lift
  
  • avoid valsalve
• get help if/when you need it