rad 104 hospital practice and care of patients 7 safe patient movement and handling 2016
TRANSCRIPT
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Hospital Practice &
Care of Patient
RAD 104
Safe patient movement and handling techniques
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ObjectivesDefine the terms related with body
mechanicsDescribe Orthostatic HypotensionDescribe the basic principals of proper
lifting and transfer of patientsExplain four types of wheelchair transfersDescribe a cart to table transfer
procedureIdentify five standard patient position
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Terminology• MSDS• OSHA• Orthostatic hypotension• Stability• Pivot• Mobility• Syncope • Bradycardia
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Why ?
• 2% of employees have work related back problem
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Body mechanicsBase of support
refers to the area beneath a person that includes every point of contact that the object or person makes with the supporting surface.
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Body mechanicsCenter of gravity
is a hypothetical point around which the force of gravity appears to act. It is point at which the combined mass of the body appears to be concentrated
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Body mechanicsLine of Gravityan imaginary line that extends from the center of gravity to the base of support.
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Principles of Body Mechanics:• have a stable base of support (e.g.
widening the distance between the feet),• have a stable center of gravity (e.g.
keeping the cumulative weight or load near to the center of the base of support), &
• Have a stable line of gravity (e.g. center of gravity passes a perpendicular line to the center of the base of support.
To avoid back injury
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Mobility and stability muscles
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• Caused by venous pooling in the legs and abdomen, loss of skeletal muscle pump, and impaired nervous system control of BP
• May occur with position changes and can result in syncope, bradycardia, or asystole.
Orthostatic Hypotension
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Orthostatic Hypotension
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Wheelchair Transfer
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Standby assisted Transfer • https://www.youtube.com/watch?v=tjgJXCyFX5s
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Two Person LeftTop-Bottom
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Side to Side
Two Person Left
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Cart (stretcher / bed) to Table Transfer
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Principals for Safe Transfers
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Important Tips• Provide privacy to the patient by closing the door of the x-
ray room.• Explain to the patient the procedure and his/her role in the
transfer to assure him/her and to make the cooperation easier and more certain
• Never forget to lock the wheels of the wheelchair or the cart/ stretcher/ bed
• Synchronize your efforts ( on 3 ,,, 1 - 2 -3 GO)• Determine which one is the stronger radiographer• Follow the Body Mechanics Principals • Do the same steps to transfer the patient from the x-ray
table to the stretcher.• Allow the patient to help as much as possible.• Never forget to support the head and neck , especial in ER• Take care of loose arms and legs from getting caught
midway
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Patient Transfer• Fully Mobile Patients
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Patient Transfer
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Patient Transfer
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Stretcher transfers:
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Using Sliding Device
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Alternatives
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Patients’ Positions
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Pressure points
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Patient Safety and Comfort:
Safety: • NO obstacles • clear fire exit signs.• Avoid Electrical , Chemical or Infectious hazards.comfort : • 1. waiting area.• 2. ventilation.• 3. adequate explanation of delays.• 4. Keep the waiting area neat/ clean, tidy
and fresh and provide comfortable chairs.• 5. distract the children, patients, relatives
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Patient Safety and Comfort:
Safety: • NO obstacles • clear fire exit signs.• Avoid Electrical , Chemical or Infectious hazards.comfort : • 1. waiting area.• 2. ventilation.• 3. adequate explanation of delays.• 4. Keep the waiting area neat/ clean, tidy
and fresh and provide comfortable chairs.• 5. distract the children, patients, relatives