Transfers Flashcards
what is a trasfer
movement of a pt from one position/surface to another
why would you transfer a pt
bathroom
bed to chair
comfort
imaging
in/out of car
what are some considerations before transfers
pt experience/ability
describe pt experience in regards to transfers
previous experience
how much help the required
devices/orthotics
describe pt ability in regards to transfers
strength
joint mobility
balance
pain level
cognition
endurance
motor control
what is the primary goal of the healthcare provider during transfers
protect the patient to avoid injury
what needs to be considered when planning for a transfer
transfer purpose
equipment
safety of departure/arrival points
assistance needed
what is the purpose of gait belts during transfers
should always be a part of the plan
improves safety for pt and caregiver
describe the positioning of the gait belt
most often at waist
can be higher, depends on pt comfort
loose ends tucked in
what is the proper grip of the gait belt
strong underhand grip
what are some special circumstances for different placement of gait belt
colostomy/ileostomy
catheters
feeding tubes
rib fractures
chest tube, etc.
where do you position lines during transferring
most likely in front of pt
what are the benefits of good body mechanics
use less energy
reduces strain on body tissues
produces safe, efficient movement
promotes control and balance
what is needed to perform a sit to stand
prep position
weight shift
rise
stand
pt requires total physical assistance 1+ persons to accomplish the task safely
01 - dependent
pt performs 25-49% of activity
02 - max assistance
pt performs 50-74% of activity
03 - moderate assist
pt performs >/= 75% of activity
03 - minimal assistance
PT has hands on pt/uses gait belt
verbal/tactile cues/directions without touching pt
04 - supervision/touching assistance
pt may require verbal cues, assistive device/adaptive equipment/requires additional time to complete task
05 - set/clean up
no assistance required to complete task in normal time frame
06 - independent
describe squat pivot-assisted transfer
modified stand/half squat with physical assist from caregiver and pivot to target
head/hip relationship
what are the rules for the squat pivot transfer
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
what are the rules for seated transfer power sit to sit
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
what are some special population and considerations
spinal/hip/sternal precautions
hemiplegia
paraplegia
bariatric
cognitive impairment
WB status
T/F
spinal precautions include spinal cord injuries
false
T/F
if possible, transfer the patient towards the stronger side
true
what are BLT precautions
no bending
no lifting
no twisting
what patients would be considered NWB
traumatic injuries
stay off limb to allow for healing - no weight
what patients would be considered PWB
partial weight bearing
must have adequate sensation and proprioceptive awareness in LE
usually a %
what patients would be considered TTWB
toe-touch weight-bearing
touch-down WB
balance only on toes, not distributing weight to heel
what patients would be considered WBAT
weight bearing as tolerated
routine elective ortho surgeries
full WB as tolerated by patient
what should be included in the documentation of transfers
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
what is included when considering pt experiences before a transfer
have they done this before
how much help did they need
does the patient use devises or orthotics
what is included when considering pt ability before a transfer
strength
joint mobility
balance
pain level
cognition
endurance
endurance
motor control
what equipment is used during a recumbent/lateral/horizontal lift
draw sheet
plastic board
slide sheet
transfer stretcher
mechanical lifts
what is the hovermatt and when is it used
used most often in ICU and with pt who are bariatric
air mattress that inflates to off-weight pt for lateral slide
describe the sitting, dependent lift and what equipment is needed for the transfer
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
what should you consider when choosing a transfer method
pt ability, pt experience, goal of the transfer
describe blocking the weak LE during a transfer
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
