Transfers Flashcards

1
Q

what is a trasfer

A

movement of a pt from one position/surface to another

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2
Q

why would you transfer a pt

A

bathroom
bed to chair
comfort
imaging
in/out of car

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3
Q

what are some considerations before transfers

A

pt experience/ability

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4
Q

describe pt experience in regards to transfers

A

previous experience
how much help the required
devices/orthotics

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5
Q

describe pt ability in regards to transfers

A

strength
joint mobility
balance
pain level
cognition
endurance
motor control

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6
Q

what is the primary goal of the healthcare provider during transfers

A

protect the patient to avoid injury

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7
Q

what needs to be considered when planning for a transfer

A

transfer purpose
equipment
safety of departure/arrival points
assistance needed

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8
Q

what is the purpose of gait belts during transfers

A

should always be a part of the plan
improves safety for pt and caregiver

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9
Q

describe the positioning of the gait belt

A

most often at waist
can be higher, depends on pt comfort
loose ends tucked in

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10
Q

what is the proper grip of the gait belt

A

strong underhand grip

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11
Q

what are some special circumstances for different placement of gait belt

A

colostomy/ileostomy
catheters
feeding tubes
rib fractures
chest tube, etc.

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12
Q

where do you position lines during transferring

A

most likely in front of pt

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13
Q

what are the benefits of good body mechanics

A

use less energy
reduces strain on body tissues
produces safe, efficient movement
promotes control and balance

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14
Q

what is needed to perform a sit to stand

A

prep position
weight shift
rise
stand

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15
Q

pt requires total physical assistance 1+ persons to accomplish the task safely

A

01 - dependent

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16
Q

pt performs 25-49% of activity

A

02 - max assistance

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17
Q

pt performs 50-74% of activity

A

03 - moderate assist

18
Q

pt performs >/= 75% of activity

A

03 - minimal assistance

19
Q

PT has hands on pt/uses gait belt
verbal/tactile cues/directions without touching pt

A

04 - supervision/touching assistance

20
Q

pt may require verbal cues, assistive device/adaptive equipment/requires additional time to complete task

A

05 - set/clean up

21
Q

no assistance required to complete task in normal time frame

A

06 - independent

22
Q

describe squat pivot-assisted transfer

A

modified stand/half squat with physical assist from caregiver and pivot to target

head/hip relationship

23
Q

what are the rules for the squat pivot transfer

A

pt can bear weight safely through at least 1 LE

pt can clear bottom from surface

no devices used

remove arm rest

often 1+ person assisting

24
Q

what are the rules for seated transfer power sit to sit

A

pt cannot stand d/t weakness

pt can lift and clear bottom from surface with/out assistance

pt musty possess significant UE strength and trunk control

25
Q

what are some special population and considerations

A

spinal/hip/sternal precautions
hemiplegia
paraplegia
bariatric
cognitive impairment
WB status

26
Q

T/F
spinal precautions include spinal cord injuries

A

false

27
Q

T/F
if possible, transfer the patient towards the stronger side

A

true

28
Q

what are BLT precautions

A

no bending
no lifting
no twisting

29
Q

what patients would be considered NWB

A

traumatic injuries
stay off limb to allow for healing - no weight

30
Q

what patients would be considered PWB

A

partial weight bearing
must have adequate sensation and proprioceptive awareness in LE
usually a %

31
Q

what patients would be considered TTWB

A

toe-touch weight-bearing
touch-down WB
balance only on toes, not distributing weight to heel

32
Q

what patients would be considered WBAT

A

weight bearing as tolerated
routine elective ortho surgeries
full WB as tolerated by patient

33
Q

what should be included in the documentation of transfers

A

type of transfer
amount/type of assistance required
amount of time required to complete
level of safety and quality of movement demonstrated
precautions
level of consistency of performance
equipment/devices used

34
Q

what is included when considering pt experiences before a transfer

A

have they done this before
how much help did they need
does the patient use devises or orthotics

35
Q

what is included when considering pt ability before a transfer

A

strength
joint mobility
balance
pain level
cognition
endurance
endurance
motor control

36
Q

what equipment is used during a recumbent/lateral/horizontal lift

A

draw sheet
plastic board
slide sheet
transfer stretcher
mechanical lifts

37
Q

what is the hovermatt and when is it used

A

used most often in ICU and with pt who are bariatric
air mattress that inflates to off-weight pt for lateral slide

38
Q

describe the sitting, dependent lift and what equipment is needed for the transfer

A

chair to bed/mat or chair to chair
used when pt is unable to assist

equipment: multiple individuals, mechanical lift, slideboard
- if no equipment is used, 2+ caregivers must perform lift

39
Q

what should you consider when choosing a transfer method

A

pt ability, pt experience, goal of the transfer

40
Q

describe blocking the weak LE during a transfer

A

block the involved/weaker side
block 1/both LE
can help stabilise
tibia to tibia
PT can use foot to help pivot pt’s foot