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Questions and Answers
What is the most critical factor in positioning surfaces for a transfer?
What is the most critical factor in positioning surfaces for a transfer?
- Surfaces should be at different heights.
- Surfaces should be positioned as close as possible to eliminate 'holes'. (correct)
- Surfaces should be positioned as far apart as possible.
- The surfaces should be secured.
When transferring a patient, why is it important to tell them what you plan to do?
When transferring a patient, why is it important to tell them what you plan to do?
- It helps manage their pain levels.
- It ensures they understand medical procedures.
- It prepares them for their response and actions. (correct)
- It allows them to choose how to proceed.
Which of the following is an appropriate technique for transferring a patient?
Which of the following is an appropriate technique for transferring a patient?
- Use a single hand to support the patient's extremities.
- Move the patient close to the edge of the surface before standing. (correct)
- Transfer to the patient's weak side for better support.
- Pivot the patient on their injured limb.
What should you do to ensure safety for both the patient and yourself during a transfer?
What should you do to ensure safety for both the patient and yourself during a transfer?
Which of the following is NOT a general principle for transferring a patient?
Which of the following is NOT a general principle for transferring a patient?
During a patient transfer, what should you avoid when placing your hands on the patient?
During a patient transfer, what should you avoid when placing your hands on the patient?
What should be done prior to transferring a patient to prevent accidents?
What should be done prior to transferring a patient to prevent accidents?
When working with patients who have neurologic diagnoses, what is recommended during sit to stand transfers?
When working with patients who have neurologic diagnoses, what is recommended during sit to stand transfers?
Why is it important to avoid rocking THA patients during transfers?
Why is it important to avoid rocking THA patients during transfers?
Which of the following precautions should be followed with orthopedic patients during transfers?
Which of the following precautions should be followed with orthopedic patients during transfers?
What does NWB stand for in patient weight bearing terminology?
What does NWB stand for in patient weight bearing terminology?
Which level of assistance indicates a patient who requires no hands-on help but may need verbal or tactile cues?
Which level of assistance indicates a patient who requires no hands-on help but may need verbal or tactile cues?
During a sliding board transfer, what is a critical requirement for the patient?
During a sliding board transfer, what is a critical requirement for the patient?
What is the correct percentage range for Partial Weight Bearing (PWB)?
What is the correct percentage range for Partial Weight Bearing (PWB)?
In a Weight Bearing as Tolerated (WBAT) scenario, when can a patient progress to full weight bearing?
In a Weight Bearing as Tolerated (WBAT) scenario, when can a patient progress to full weight bearing?
Which of the following levels of assistance indicates the patient performs more than 75% of the work?
Which of the following levels of assistance indicates the patient performs more than 75% of the work?
What is the main focus of the 'Car Transfer' procedure?
What is the main focus of the 'Car Transfer' procedure?
What does the term 'Modified Independent' refer to?
What does the term 'Modified Independent' refer to?
Which of the following describes 'Contact Guard' assistance?
Which of the following describes 'Contact Guard' assistance?
What is the characteristic of Full Weight Bearing (FWB)?
What is the characteristic of Full Weight Bearing (FWB)?
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Study Notes
Transferring Patients
- Patient transfers involve moving a patient from one surface to another.
- Bed mobility is considered separate and is covered in Unit 6.
General Principles When Transferring a Patient
- Surfaces must be secured, with wheels locked.
- Surfaces should be positioned at the same height or as level as possible.
- Surfaces should be positioned as close as possible to one another to prevent falls.
- Move the patient as close to the edge of the surface as possible to minimize workload.
- Move any extraneous equipment out of the way before transferring.
- Support and protect the patient's extremities.
- Explain the transfer process to the patient, informing them what is expected and what they should not do.
- Always wear shoes with rubber soles, and have the patient do the same.
- Use good body mechanics and ask for help if needed.
- Transfer to the patient's strong side if possible.
- Do not pivot orthopedic patients on their injured limb.
- Keep both lower extremities equally bent during a sit-to-stand transfer for patients with neurological diagnoses.
- Be aware of patient precautions and limitations.
Weight Bearing Status
- NWB (Non-Weight Bearing): Foot/toes make no contact with the floor.
- TTWB/TDWB (Toe-Touch Weight Bearing/Touch Down Weight Bearing): Patient may rest toes on the floor for balance.
- PWB (Partial Weight Bearing): Expressed as a percentage of body weight, usually 20-50%.
- WBAT (Weight Bearing As Tolerated): Weight bearing without pain, progressing to FWB when ready.
- FWB (Full Weight Bearing): No restrictions.
Levels of Assistance
- Independent (I): Patient needs no assistance or supervision.
- Modified Independent (mod (I)): Patient performs task independently but requires an assistive device.
- Supervision (S) or Stand-By Assist (SBA): Patient requires no hands-on assistance but needs close guarding for safety.
- Contact Guard (CG/CGA): Hands are physically on the patient to guard and/or guide them.
- Minimal (Min (A)): Patient performs more than 75% of the work.
- Moderate (Mod (A)): Patient performs 50-74% of the work.
- Maximum (Max (A)): Patient performs 25-49% of the work.
Types of Patient Transfers
- Stand-Step Transfer (if NWB, TDWB, WBAT, FWB): Used for patients with weight-bearing restrictions.
- Sliding Board Transfer: Used for patients unable to weight bear on lower extremities.
- Floor to Chair Transfer: Used for getting up from the floor, potentially requiring assistance.
- Car Transfer: Similar to other transfer types but performed in a car setting.
Patient Lifts
- 2 Person Recumbent Lift without Drawsheet: For moving a patient in bed or from bed to bed.
- 2 Person Recumbent Lift with Drawsheet: For moving a patient in bed or from bed to bed.
- 3 Person Recumbent Lift: For lifting a patient up and out of bed, rolled to their side.
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