Presentation on theme: "Positioning, Turning, Moving, and Transferring patients."— Presentation transcript:
1 Positioning, Turning, Moving, and Transferring patients. Nursing SkillsPositioning, Turning, Moving, and Transferring patients.
2 Positioning, Turning, Moving, and Transferring Patients Must use correct body mechanicsAlignment = Positioning body parts in relation to each other to maintain correct body postureCorrect alignment helps pt. feel comfortable; prevent fatigue, decubitus ulcers and contractures.
3 Decubitus Ulcer Pressure sore or bed sore. Caused by pressure that interferes with circulation.Usually at bony prominences- coccyx, hips, knees, heels, & elbowsFirst signs is a pale or reddened area on the skinVesicle or blister may form at the site.Cells die, skin breaks down, and open sore (ulcer) develops.EASIER TO PREVENT THAN TO TREAT!
5 Prevent Decubitus Ulcers By: Good skin carePrompt cleaning of urine and feces from skinMassage in a circular motion around reddened areaLight dusting of powder to prevent friction
6 Prevent Decubitus Ulcer By: Frequent turning and positioningLinen dry and free from wrinklesUse of pressure relieving surfaces
7 Carefully observe the skin during bathing for evidence of pressure sores….
8 CONTRACTURESTightening or shortening of muscle due to lack of movement or usageFoot drop common contracture prevented by keeping foot at right angle to leg
9 CONTRACTURES ROM will help prevent contractures Weakened body parts must be supported with pillows, bed cradles, footboards, rolled blankets, or towelsPatient must be turned frequently.
10 Transferring Be sure to protect patient and health care worker Be sure you know how to operate the wheelchair/stretcherLock the wheels
11 Mechanical Lift Used to transfer weak or paralyzed pts. Be sure you have been instructed on the proper useReassure patient during transfer.
12 When Turning and Transferring… Before moving patient, obtain proper authorization from immediate supervisorWatch the patient closely-pulse rate, respirations, and colorsObserve for weakness, dizziness, increased perspiration, or discomfortIf you notice abnormal changes, return the patient to a safe and comfortable position and notify your supervisor.
14 Moving The Patient Up in Bed Lower the head of the bedPlace the pillow against the bed frame to protect the patient's headIf pt. has trouble breathing, raise the head of the bedAsk the patient to flex the knees and brace the feet on the bedPlace one arm under the patient’s head and shoulders.If the patient is unable to help, get someone to assist you
15 Moving the pt. Up in BedGet a broad base of support and as close to the bed as possibleArrange a signal- “ on the count of three, push with your feet.”“On signal, shift your weight forward”Two people can use a draw sheet or lift sheet.
16 Turning Moving and Transferring DanglingSitting on side of bed prior to standingAllows patient time to adjustIf the patient c/o vertigo, weakness, or diaphoresis-return pt. immediately to supine position.
17 Turning the PatientLower the siderail nearest you-be sure the opposite side is upIf the patient is lying in the center of the bed, place hands under the patient towards youPlace both hands under the hips and slide the hips towards youPlace both hands under the legs and slide the legs towards youCross the patient’s arms across his/her chest
18 Cont. Move the leg closest to you over the other leg Get close to the patient and roll the patient away from youExplain what you are doing to the patientPlace your hands under the head and shoulders, then the hips, drawing the patient to the center of the bed
22 Open BedFanfold top sheets to welcome new patient or for ambulatory patients.
23 BED WITH CRADLECradle is placed under top sheets to prevent linen from touching parts of the patients body. Used for patients with burns, skin ulcers, blood clots, fractures, and other similar conditions.
24 BEDMAKING TIPS Observe correct body mechanics Keep linens arranged in the order of useMake one side of the bed completely, then on the other sideRoll dirty linens away from your body and place in hamper immediately