Special Transfer Precautions

Question 0

Low back trauma/discomfort

Answer 0

Pt should be instructed to log roll
Roll from side-lying to supine without rotating spine
Body rolls simultaneously, not segmentally
Avoid lateral flexion, bending, or twisting of spine
Only bend through the hip

Question 1

Total hip replacement

Answer 1

Cannot flex hip past 90 degrees
Cannot adduct operative leg
Cannot internally rotate operative leg

Question 2

Spinal cord injury

Answer 2

Protective bracing in place
Avoid distracting, rotating forces to spine
Utilize log roll
If osteoporosis develops: avoid stressing long bones of extremities

Question 3

Burns

Answer 3

Avoid shearing force to burn or graft site

Instruct pt to elevate body part during transfers

Question 4

Hemiplegia

Answer 4

Avoid pulling on involved side, especially involved shoulder
Musculature is weak, shoulder is usually painful and susceptible to subluxation or dislocation