Competency

Question 1

Directions for going from Supine to EOB.

Answer 1

• Raise bed.
• Put shoes on.
• Bring wheelchair to table, take off footrests. LOCK THE WHEELCHAIR.
• Help patient bend knee.
• Help patient reach arm across to bedrail.
• Pull patient to her side while supporting.
• Drop legs off of table.
• Instruct patient to try and push off table with arm while assisting at shoulders to get to EOB.
• Instruct patient to stabilize with their arms as much as possible.
• Lower table to setup for sit to stand.
• PUT GAIT BELT ON.

Question 2

Directions for going from EOB to WC.

Answer 2

• Slide patient to edge.
• Get feet underneath patient as much as possible.
• Bear hug patient and grab onto gait belt.
• Instruct them to push off with arms until standing.
• Block knees while getting patient up.
• Tell the patient to back up until they feel the back of their leg hit the wheelchair.
• Ask them to reach back and grab the armrests on the WC.
• Lower patient down slowly while instructing them to bend at the waist.
• Reapply footrests to WC.
• Unlock brakes.

Question 3

Directions for going from WC to walker and back to WC.

Answer 3

• Position patient with walker in front of them.
• REAPPLY LOCK/BRAKES.
• Take off footrests when ready to walk.
• Adjust height of walker.
• Have patient sit up.
• Scoot patient to edge of WC.
• While blocking the walker, instruct patient to put one hand on the walker and keep one on the armrest.
• Ask them to stand while supporting at gait belt.
• Readjust gait belt when standing.
• Tell them to walk to the table and back, having them turn towards you.
• Have them back into the WC and reach back with one hand to the WC.

Question 4

PRECAUTIONS

Answer 4

PRECAUTIONS

Question 5

Total Hip Precautions for a Posterior Surgical Approach:

Answer 5

• No flexion past 90 degrees
• No adduction past midline (crossing legs)
• No hip rotation

(Typically no WB restrictions.)

Question 6

Spinal Precautions:

Answer 6

B- No bending (excessive flexion)
L- No lifting (>10 lbs)
T- No twisting (log rolling to get in/out of bed)

(Typically no WB restrictions.)

Question 7

Sternal Precautions:

Answer 7

• No UE pushing/pulling
• No UE flexion past 90 degrees flexion
• No UE lifting (>10lbs)
• Driving generally restricted.

(UEs are essentially NWB.)