Podcast
Questions and Answers
What is the advantage of using a pull sheet when transferring a patient?
What is the advantage of using a pull sheet when transferring a patient?
- It increases the risk of injury.
- It reduces friction during the transfer. (correct)
- It restricts the patient's movement.
- It requires more personnel to assist.
Which of the following is a recommended practice when transferring a patient?
Which of the following is a recommended practice when transferring a patient?
- Encourage the patient to remain inactive.
- Lock all wheels on transfer equipment. (correct)
- Assist the patient from their weak side only.
- Transfer across the longest distance possible.
What should be assessed to determine a patient's ability to help in the transfer process?
What should be assessed to determine a patient's ability to help in the transfer process?
- The patient's previous medical history.
- The patient's diet and nutritional status.
- The patient's personal likes and dislikes.
- The patient's mobility and responsiveness. (correct)
Why is it important for a patient to wear shoes during standing transfers?
Why is it important for a patient to wear shoes during standing transfers?
What factor should be considered regarding the patient's response to the transfer?
What factor should be considered regarding the patient's response to the transfer?
Which of the following commands is advisable to use when assisting a patient during transfer?
Which of the following commands is advisable to use when assisting a patient during transfer?
What should be prioritized when assisting a patient during a transfer?
What should be prioritized when assisting a patient during a transfer?
What type of equipment is NOT mentioned as a method for transferring patients?
What type of equipment is NOT mentioned as a method for transferring patients?
What is the initial step to take when moving a patient from a trolley to an x-ray table?
What is the initial step to take when moving a patient from a trolley to an x-ray table?
Which of the following could be a reason for a patient’s difficulty in walking?
Which of the following could be a reason for a patient’s difficulty in walking?
What should be used to support affected limbs or body parts during patient movement?
What should be used to support affected limbs or body parts during patient movement?
How can a pull sheet be utilized effectively in patient transfers?
How can a pull sheet be utilized effectively in patient transfers?
What is a critical factor to assess before determining a patient's ability to walk?
What is a critical factor to assess before determining a patient's ability to walk?
How many caregivers are often required to assist in moving a patient efficiently?
How many caregivers are often required to assist in moving a patient efficiently?
What can emotional disturbances in a patient potentially lead to during movement?
What can emotional disturbances in a patient potentially lead to during movement?
What final step should be taken when using a pull sheet to transfer a patient?
What final step should be taken when using a pull sheet to transfer a patient?
What is the first step for transferring a patient from the x-ray table to a wheelchair?
What is the first step for transferring a patient from the x-ray table to a wheelchair?
During the three carrier lift method, how many persons are required to assist with the transfer?
During the three carrier lift method, how many persons are required to assist with the transfer?
What position should the wheelchair be in prior to the transfer?
What position should the wheelchair be in prior to the transfer?
Which of the following best describes how to position your arms to assist the patient during the transfer?
Which of the following best describes how to position your arms to assist the patient during the transfer?
Which step should NOT be included in the transfer procedure from the x-ray table to the wheelchair?
Which step should NOT be included in the transfer procedure from the x-ray table to the wheelchair?
What should you do to support the patient while helping them stand and pivot?
What should you do to support the patient while helping them stand and pivot?
What is essential for the radiographer to use during the patient transfer process?
What is essential for the radiographer to use during the patient transfer process?
Which action should be taken when preparing to assist the patient into the wheelchair?
Which action should be taken when preparing to assist the patient into the wheelchair?
What is the first step in assisting a nonambulatory patient to stand from a wheelchair?
What is the first step in assisting a nonambulatory patient to stand from a wheelchair?
Which action should NOT be taken when transferring a patient from a wheelchair to an X-Ray table?
Which action should NOT be taken when transferring a patient from a wheelchair to an X-Ray table?
What should the assistant do with their knees when lifting a nonambulatory patient?
What should the assistant do with their knees when lifting a nonambulatory patient?
Which method is recommended for assisting a patient in standing from a wheelchair?
Which method is recommended for assisting a patient in standing from a wheelchair?
When should the patient's lap be covered with a sheet during transfer?
When should the patient's lap be covered with a sheet during transfer?
What should an assistant do to prepare a patient who is able to stand?
What should an assistant do to prepare a patient who is able to stand?
Which of the following is NOT a step in easing a nonambulatory patient down to the sitting position?
Which of the following is NOT a step in easing a nonambulatory patient down to the sitting position?
What is essential to ensure during the transfer of a confused or unconscious patient?
What is essential to ensure during the transfer of a confused or unconscious patient?
What is the primary reason for not leaving an unstable patient alone on a wheelchair?
What is the primary reason for not leaving an unstable patient alone on a wheelchair?
When preparing a patient for transfer, what is the first step to check their identity?
When preparing a patient for transfer, what is the first step to check their identity?
What can happen if a patient is moved over a rough surface?
What can happen if a patient is moved over a rough surface?
What is important to consider when positioning patients with drainage tubes?
What is important to consider when positioning patients with drainage tubes?
What does the Semi-Fowler’s position help to reduce?
What does the Semi-Fowler’s position help to reduce?
Which of the following positions minimizes the risk of decubitus ulcers most effectively?
Which of the following positions minimizes the risk of decubitus ulcers most effectively?
In the context of patient comfort, what should be done to support a patient's arms in Semi-Fowler's position?
In the context of patient comfort, what should be done to support a patient's arms in Semi-Fowler's position?
What is a major risk of allowing urine or fecal matter to remain on the skin?
What is a major risk of allowing urine or fecal matter to remain on the skin?
What is a proper technique for handling a wet cast to avoid skin pressure?
What is a proper technique for handling a wet cast to avoid skin pressure?
What should be evaluated regarding the patient’s condition before transfer?
What should be evaluated regarding the patient’s condition before transfer?
Which positioning helps a patient who is lying on their left or right side?
Which positioning helps a patient who is lying on their left or right side?
Which area of the body is MOST susceptible to decubitus ulcers?
Which area of the body is MOST susceptible to decubitus ulcers?
What is essential to prevent when positioning feet in Semi-Fowler's position?
What is essential to prevent when positioning feet in Semi-Fowler's position?
What happens if a cast becomes too tight?
What happens if a cast becomes too tight?
How often should a patient be repositioned to minimize the risk of decubitus ulcers?
How often should a patient be repositioned to minimize the risk of decubitus ulcers?
What can be a consequence of allowing a patient to lie on a damp sheet?
What can be a consequence of allowing a patient to lie on a damp sheet?
Flashcards
Patient Transfer Assessment
Patient Transfer Assessment
Evaluating a patient's ability to assist in their transfer or move.
Patient Mobility
Patient Mobility
The patient's capacity to move independently and safely.
Transfer Method
Transfer Method
Choosing the best way to move a patient according to their needs.
Pulling vs. Pushing
Pulling vs. Pushing
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Transfer Distance
Transfer Distance
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Patient Assistance
Patient Assistance
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Patient Body Alignment
Patient Body Alignment
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Patient Cooperation
Patient Cooperation
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Patient Transfer
Patient Transfer
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Ambulation Assessment
Ambulation Assessment
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Pull Sheet Transfer
Pull Sheet Transfer
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Three Carrier Lift Transfer
Three Carrier Lift Transfer
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Transfer Challenges
Transfer Challenges
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Gait
Gait
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Patient Mobility Issues
Patient Mobility Issues
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General Patient Condition
General Patient Condition
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Wheelchair to X-Ray Transfer
Wheelchair to X-Ray Transfer
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Ambulatory Patient Transfer
Ambulatory Patient Transfer
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Non-ambulatory Patient Transfer
Non-ambulatory Patient Transfer
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Wheelchair Positioning (Transfer)
Wheelchair Positioning (Transfer)
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Patient's Role in X-ray transfer
Patient's Role in X-ray transfer
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Safety Precautions During Transfer
Safety Precautions During Transfer
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Care of Ill Patients in transfer
Care of Ill Patients in transfer
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Radiology X-Ray table transfer
Radiology X-Ray table transfer
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Three-Person Lift
Three-Person Lift
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Perpendicular Trolley Position
Perpendicular Trolley Position
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Patient Sitting Position
Patient Sitting Position
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Wheelchair Transfer
Wheelchair Transfer
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Proper Body Mechanics
Proper Body Mechanics
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Patient's Arms Across Chest
Patient's Arms Across Chest
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Support for Head and Neck
Support for Head and Neck
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Chair Parallel to Table
Chair Parallel to Table
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Patient Transfer
Patient Transfer
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Patient ID Check
Patient ID Check
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Patient's condition
Patient's condition
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Semi-Fowler's Position
Semi-Fowler's Position
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Sims' Position
Sims' Position
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Patient Support
Patient Support
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Unstable Patient
Unstable Patient
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Special Care Patients
Special Care Patients
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Decubitus Ulcers
Decubitus Ulcers
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Fowler's Position
Fowler's Position
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Skin Breakdown Prevention
Skin Breakdown Prevention
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Wet Cast Care
Wet Cast Care
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Pressure Areas (Decubitus)
Pressure Areas (Decubitus)
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Patient Position Changes
Patient Position Changes
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Cast Movement
Cast Movement
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Avoiding Cast Pressure
Avoiding Cast Pressure
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Study Notes
Basic Patient Care in Radiography - Objectives
- List three safety measures for transferring patients between hospital wards and the radiology department.
- List three situations in radiology that may damage patient skin and how to prevent them.
- Demonstrate plaster cast patient movement.
- List four signs of circulatory impairment in plaster cast patients.
- Demonstrate assisting patients with bedpans/urinals.
Dressing/Undressing Patients
- When a patient comes to radiology from outside the hospital, they often need to remove some or all clothing.
- The radiographer (RT) is usually the one who receives and tells the patient what to remove.
- Courteous and professional behaviour from RT can lessen patient discomfort.
- The patient is taken to a designated dressing room.
- The RT explains the process and how to close the door/curtain.
- Patients are directed to the examination gown and where to place their belongings.
- Some gowns open in the back.
- Patients are supplied with hangers for their clothing.
- Patients are informed where to leave their clothing.
- Valuable items like purses, jewelry and watches are carefully handled.
- Metal items like jewelry should not be worn for certain exams. Security envelopes can be provided.
- Item logs of valuables are kept.
Correct Body Postures in Moving/Transferring Patients
- Safe body mechanics are essential when moving patients to avoid injury to both the patient and the mover.
- Good posture is key to safe body mechanics. This involves balanced alignment and efficient musculoskeletal use.
- Good posture reduces musculoskeletal strain on joints, muscles and tendons.
- Correct posture includes: upright chest, extended waist, erect head and chin, parallel feet shoulder-width apart, slightly bent knees, tucked in abdomen and buttocks.
- When moving patients, keep heavy objects close to your body.
- If an object is too heavy, seek assistance.
- Reduce friction by reducing surface area or using assistance from the patient.
Moving and Transferring Patients
- Assess patient's ability to assist in the process.
- Identify abnormalities in body alignment and determine their cause (poor posture, trauma, muscle issues, malnutrition, etc).
- Support affected limbs with pillows/blocks/sandbags.
- Assess mobility and joint limitations.
- Assess patient's gait/walking ability.
- Evaluate respiratory, cardiovascular, endocrine health conditions.
- Evaluate the patient's overall condition.
- Determine if the patient is experiencing pain.
- Assess if movement will fatigue the patient.
- Determine if the patient is alert and cooperative.
- Rules for safe patient movement include assisting only as needed, maintaining a shorter distance as possible, locking wheels on beds, trolleys and wheelchairs, moving toward the patient's stronger body side, ensuring proper footwear if a standing transfer is to be done. Inform patients about the plan for movement and get their help where possible. Give simple instructions and help patients comply.
Methods of Patient Transfer
- Methods include using gurneys/trolleys/wheelchairs/walking.
- Pull sheets & three-carrier lifts are used for transferring patients from one surface to another.
- Log roll technique is used to turn injured patients to the side. This involves placing pillows for support and two people assisting the patient.
- Turning a patient to a lateral position with a log roll prevents excessive bending of the neck and spine.
- Three-person carrier lift procedure is detailed for transferring patients from trolleys/carts to tables.
Care of Severely Ill Patients
- Patients should be covered with blankets/sheets.
- Patients who are disoriented/unconscious should not be alone on a trolley or table.
- Patients with IV lines/tubes/drains are handled with special care.
- Attention is needed for patients with various tubes (urinary catheters, IC tubes, Colostomy tubes etc).
Patient Transfer Details
- Check patient identification before transfer.
- Confirm patient's information if possible.
- Explain the procedure to gain cooperation and reduce fear.
- Proper body mechanics are essential.
Patient Comfort
- Evaluate patient's condition to be able to properly position them for comfort.
- Position pillows/sponges to avoid interference with procedures and to provide support.
Protective Positions/Skin Care
- Supine, Semi-Fowler's, Sims, Trendelenburg positions are described.
- Skin breakdown (pressure sores, decubitus ulcers) is explained. The duration of time a patient is in particular position is one of the key factors for skin breakdown.
- Mechanical factors like immobility, pressure, shearing force and friction contribute to skin breakdown and are detailed for prevention.
Care of Patients with Wet Casts
- Wet casts still contain water and can be compressed.
- Compression on the cast can create pressure on the skin resulting in decubitus ulcers.
- Instructions for handling casts to avoid unwanted pressure are provided.
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Description
This quiz focuses on basic patient care principles in radiography, covering safety measures during patient transfers, skin damage prevention techniques, and appropriate movements for assisting patients with plaster casts. Additionally, it addresses professional conduct during patient dressing and undressing processes.
