Staged Approach to Safe PT Movement

Question 1

Safe Patient Handling Standard

Answer 1

• Manually lifting a pt who can safely walk is not a desirable option. However, a high risk of injury to pt and paramedic is associated w/ ambulating a pt at risk of falling. Proper assessment is critical in reducing risk of falls
• Do not rely on the pt’s spoken communication to determine if it is safe for them to ambulate

Question 2

Patient Assessment - Before ambulating a patient

Answer 2

• pt has passed the Pt Movement Assessment Tool - and con contraindications are indicated
• Is cooperative, alert and able to follow directions
• Can move from lying to sitting and balance while sitting independently or with minimal assistance
• Can stand up and balance independently or w/ min assist
• Can step in place while maintaining balance or w/ min assist
• Has the ability to self-transfer the distance required (do not over estimate the pts capabilities)

Question 3

Patient Assessment - Important Points

Answer 3

• Clear the environment - ensure no tripping hazards
• Ensure mobility aids, if used, are within reach - on their strong side if possible
• Ensure pt is wearing non-slip footwear if avail
• Do not attempt to catch a falling pt! Try to control the direction of the fall and protect the pt’s head

Question 4

pt starting position - Supine

Answer 4

Can the pt move to and maintain balance in a seated position independently, or w/ min asisst?

Question 5

Sitting

Answer 5

Can pt stand, pause in standing and maintain balance independently or w/ min assist?

Question 6

Standing

Answer 6

Can pt step in place and maintain balance independently or w. min assist

Question 7

Walking

Answer 7

Can pt take steps and maintain balance to walk independently or w/ min asisst?