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Questions and Answers
What does NWB stand for in the context of weight bearing?
In partial weight bearing (PWB), how much of the body weight is typically supported?
What does weight bearing as tolerated (WBAT) imply for the patient?
Which level of assistance indicates that a patient performs the task independently but uses an assistive device?
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What type of patient transfer is appropriate for someone who is unable to bear weight on lower extremities?
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Which level of assistance requires that the patient perform 50% to 74% of the work?
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In contact guard assistance, what is the level of support given to the patient?
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Which transfer method involves getting the strong side of the patient next to a stable surface?
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What term describes a patient's ability to perform a task with no hands-on assistance but still requires close supervision?
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Which type of lift involves rolling a patient to the side and lifting them up and out of bed?
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What should be ensured about the surfaces when transferring a patient?
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During a transfer, what is the best angle to position between the wheelchair and the bed?
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What is an essential practice to follow regarding patient communication during a transfer?
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Which action should be avoided when transferring a Total Hip Arthroplasty (THA) patient?
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What is a crucial safety measure regarding footwear during patient transfers?
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How should you position equipment in the area prior to transferring a patient?
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When transferring a patient, which area should you avoid holding onto?
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What is the recommended approach regarding weight-bearing status for neurologically impaired patients during transfers?
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Which guideline should be followed regarding body mechanics during patient transfers?
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What is a primary concern when transferring an orthopedic patient?
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Study Notes
Transfer Types and Techniques
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Stand-Step Transfer:
- Used for NWB, TDWB, WBAT, and FWB patients.
- Patient stands on strong side, steps forward, and sits on the other surface.
- Uses a sliding board for easier transfer.
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Positioning:
- Ensure surfaces are at the same height and are close together.
- Lock wheels on all surfaces.
- Angle the wheelchair and bed at 45-60 degrees.
- Adjust patient to the edge of the surface.
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To Transfer:
- Instruct patient to stand and step forward.
- Guide patient to sit on other surface.
- Ensure stable base of support.
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Sliding Board Transfer:
- Used when patient cannot WB on LEs (SCI etc.).
- Position the sliding board between the surfaces.
- Patient scoots across the board.
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Floor to Chair Transfer:
- Independent or with family assistance.
- Patient gets their strong side next to a stable surface, pulls up into half-kneeling position, and rolls or crawls to the chair.
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Car Transfer:
- Stand-step, stand-pivot, sit-pivot, or sliding board transfer.
- Important Note: Ensure patient does not pull on the movable car door.
Determining Transfer Type
- Consider patient's Weight Bearing Status:
- NWB (non-weight bearing), TTWB/TDWB (toe-touch weight bearing), PWB (partial weight bearing), WBAT (weight bearing as tolerated), and FWB (full weight bearing).
- Assess patient's Level of Assistance:
- Independent, Modified Independent, Supervision/Stand-by Assist, Contact Guard, Minimal Assist, Moderate Assist, Maximum Assist.
Patient Lifts
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2 Person Recumbent Lift:
- Without Drawsheet: Used for moving patient in bed or between beds.
- With Drawsheet: Used for moving patient in bed or between beds.
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3 Person Recumbent Lift:
- Patient is rolled to the side and lifted up and out of bed.
Transfer Safety Considerations
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General Principles:
- Secure all surfaces (lock wheels).
- Level the surfaces as much as possible.
- Position surfaces close together to prevent falls.
- Move patient to the edge of the surface before transferring to decrease workload.
- Remove extraneous equipment (leg rests, bed rails, arm rests, IV poles).
- Avoid holding onto joints or fragile areas.
- Support and protect patient's extremities.
- Communicate with the patient and provide instructions.
- Always wear shoes with rubber soles.
- Use good body mechanics and ask for help when necessary.
- Transfer to the patient's strong side if possible.
- Do not pivot orthopedic patients on their injured limb.
- Encourage full weight bearing for neurologic patients.
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Precautions and Limitations for Specific Conditions:
- THA (Total Hip Arthroplasty): Refer to Table 83, page 173 in Fairchild for precautions.
- LBP (Low Back Pain): Refer to Table 83, page 173 in Fairchild for precautions.
- SCI (Spinal Cord Injury): Refer to Table 83, page 173 in Fairchild for precautions.
- Burns: Refer to Table 83, page 173 in Fairchild for precautions.
- Hemiplegia: Refer to Table 83, page 173 in Fairchild for precautions.
Equipment Used During Transfers
- Refer to text for specific equipment listed.
Patient Transfers
- Refer to text for specific types of patient transfers listed.
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Description
Test your knowledge on various patient transfer techniques, including stand-step transfer, sliding board transfer, and floor to chair transfer. This quiz covers essential positioning tips and safety measures to ensure effective transfers. Perfect for healthcare professionals and students in rehabilitation fields.
