Patient Transfer

Question 1

What is the purpose of a patient transfer?

Answer 1

To safely move a patient from one place to another

Question 2

How should things be lifted? Do’s

Answer 2

Heavy objects must be held close to the body
- feet must be shoulder width apart
- Legs must be bent at the knees while lifting with back straight
- Stomach muscles must be pulled in
- Push up with the Legs
- Use help If something is too Heavy

Question 3

How should things be lifted? - Don’ts

Answer 3

• Making sudden or awkward movements when holding something heavy should be avoided
• The back should never be bent to pick something up
• Don’t twist or bend

Question 4

What muscles should be used for lifting?

Answer 4

Mobility muscles

Question 5

What muscles should be used for support?

Answer 5

Stability muscles

Question 6

Before moving a patient what should be assessed?

Answer 6

• The patient’s general condition, strength and endurance
• Check if the patient’s motions are restricted
  Check the patients ability to understand what is expected of them

Question 7

What are the principles of safe transfer?

Answer 7

never leave a patients side during a transfer
- lock all wheelchairs, stretchers, and gurneys
- Always Use a foot or step stool
- Always transfer across the shortest distance
- move a patient towards their strong side
- inform the patient of the plan to move
- Obtain the necessary help to facilitate a safe transfer
- prepare the table before moving the patient
- move the tube out of the way
- Use sheets on the table

Question 8

What are the 4 types of wheelchair transfers?

Answer 8

1. Position the chair at 45- degree angle to the table
2. Move the chair footrests are out of the way and the chair is locked
3. Instruct the patient to sit on the edge of the seat
4. Instruct the patient to push down on the arms of the chair to assist in rising and then to stand up slowly
5. Direct the patient to reach out and hold onto the table with the hand closest and then turn slowly until they feel the table behind them
6. Instruct the patient to hold onto the table with hold hands and then sit down

Question 9

What are the steps of standby assist transfers?

Answer 9

1. Position the chair at 45- degree angle to the table
2. Move the chair footrests are out of the way and the chair is locked
3. Instruct the patient to sit on the edge of the seat
4. Instruct the patient to push down on the arms of the chair to assist in rising and then to stand up slowly
5. Direct the patient to reach out and hold onto the table with the hand closest and then turn slowly until they feel the table behind them
6. Instruct the patient to hold onto the table with hold hands and then sit down

Question 10

What are the steps of assisted standing pivot wheelchair transfer?

Answer 10

1. Position the wheelchair to a 45 degree angle to the table with the patient’s strongest side
2. Move the chair footrests out of the way and be sure the chair is locked
3. Direct the patient to sit on the edge of the chair, providing assistance as needed
4. Instruct the patient to push down on the arms of the chair and assist in rising
5. Bend at the knees, keeping back stationary and grasp the transfer belt with both hands. Block the patients feet and knees to provide stability
6. Assist the patient in rising to a standing position
7. Ask the patient if they feel alright and if they report any feelings of discomfort let them stand for a moment
8. Pivot the patient toward the table until the feel it on their thighs
9. Ask the patient to support themselves on the table with hands and sit down

Question 11

What are the steps of a two person wheelchair lift?

Answer 11

1. Plan for the lift by locating an assistant who will lift the patient’s feet as you lift the torso
2. Lock the wheelchair, remove the armrests, swing away or remove the leg rests and direct the patient to cross their arms over their chest
3. Stand behind the patient, reach under their axillae and grasp the patients crossed forearms. Direct the assistant to squat in front of the patient and cradle their thighs in one hand and calves in the other
4. On command lift the patient to clear the chair and move the patient as a unit to the desired place

Question 12

When are hydraulic lifts used?

Answer 12

For heavy patients

Question 13

What techniques should be used for a hydraulic lift transfer?

Answer 13

NAME?

Question 14

What are the types of patient transfer from a stretcher?

Answer 14

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Question 15

What are the steps to transfer a patient from a stretcher with a moving device?

Answer 15

1. Move the cart alongside the table as close as possible, with the patients strong side closer. Secure the stretched by depressing the wheel locks.
2. Place the patient at an oblique angle away from the table while the moving device is policed at the midpoint to their back
3. Return the patient to the supine position so that they are halfway on the device
4. Grab the draw sheet and use it to move the patient slowly onto the table
5. Remove the moving device by turning the patient obliquely again

Question 16

What are the steps to transfer a patient from a stretcher without a moving device?

Answer 16

1. Move the cart alongside the table, as close as possible, with the patients strong side closest to the table. Secure the stretched by locking the wheels.
2. Begin by rolling up the draw sheet on both sides of the patient and make sure the sheet is completely under the patient and straightened.
3. Support the patients head and upper body from the far side of the table. Direct a second assistant to support the patient’s pelvic girdle from the cart side and a third assistant to support the patients leg from the table side.
4. Cross the patients arms over their chest
5. Direct the second assistant supporting the pelvis to stand on the opposite side of the cart to make sure it doesn’t move away during the transfer.
6. On command, grasp the rolled up draw sheet and slowly pull the patient to the edge of the cart. On second command, slowly lift and pull the patient onto the table

Question 17

What are the steps to transfer a patient via log roll?

Answer 17

1. Position on person at the patients head and two people at either side of the patient.
2. Roll the patient on their side so the transfer board can be positioned under them.
3. Always keep head aligned with the spine

Question 18

What should be done to prevent falls from the patient when transferring from a stretcher?

Answer 18

Make sure the stretched side rails are always raised and locked

Question 19

When more than one person is transferring a patient who is in charge?

Answer 19

The person positioned at the patient’s head

Question 20

What is the person in charge responsible for as part of the transfer?

Answer 20

Responsible for giving commands and directing the transfer

Question 21

What are some notable tips when transferring a patient?

Answer 21

Always pull the patient towards you and never push them away from you

Question 22

What does the use of biomechanics do?

Answer 22

reduce injury to patients
- reduce injury to healthcare workers
- facilitate proper transfer techniques

Question 23

Whare are the rules of body mechanics?

Answer 23

• Provide a broad base of support
• Work at a comfortable height
• Lift with leg muscles while keeping back straight
• Bend at the knees when lifting
• Do no allow twisting of your body
• Keep patients close to your body and don’t reach

Question 24

What is a correct base of support?

Answer 24

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Question 25

What is a Base of Support

Answer 25

Foundation of which a body rests or stands- defined by the space in between the feet