Flashcards in Lifting, Moving, and Positioning of Patients Chapter 5 Deck (54)
Define body mechanics.
The use of the body to facilitate lifting and moving to minimize injury.
Describe the first step in moving a patient or object.
Plan what you will do and how you will do it.
Describe the characteristics of proper body mechanics.
Position your feet properly
Lift with your legs
Avoid leaning to either side
Minimize twisting during a lift
Keep the weight as close to your body as possible
Use appropriate equipment example stair chairs on stairs
Keep eye contact with your partner
Use a spotter when possible when walking downstairs
Define power lift.
A technique used to lift a patient who is on a stretcher or cot.
Define standard move.
The preferred choice when the situation is not urgent, the patient is stable, and you have adequate time and personnel for a move.
Define emergency move.
A patient move that is carried out quickly when the scene is hazardous, care of the patient requires immediate repositioning, or you must reach another patient who needs life-saving care.
An emergency move provides protection for the patient's injuries, true or false?
False - an emergency move rarely provides any protection for patients injuries, and they may even cause the patient tremendous pain. Still, sometimes the need to move the patient to ensure his safety or to provide life-saving care outweighs the risks associated with moving the patient quickly.
To avoid the possibility of making a spine injury worse with a patient on the floor or ground, it's important to make every effort to pull the patient in what direction?
In the direction of the long axis of the body
Define clothing drag.
An emergency move in which a rescuer grabs the patient's clothing near the shoulders and pulls him to safety.
Name the five drags.
Clothing or shirt drag
Name the five one rescuer carries.
One rescuer crutch
Pack strap carry
What are the 4 rules used when preparing for a standard move.
1. Complete a primary assessment
2. Choose an appropriate number of rescuers
3. Take care to avoid compromising a possible neck or spine injury
4. Consider splinting suspected fractures
Define direct ground left.
A standard lift in which three rescuers move a patient from the ground to a bed or structure.
A direct ground lift is a standard move, true or false?
What patients are the direct ground lift not recommended for?
It is not recommended for use on patients with possible neck or spine injuries. Although it can be accomplished by two people, three people are recommended for the safety of all involved.
Describe how to perform a direct ground left.
The patient should be lying face up supine, and arms should be placed on the chest. You and your helper should line up on one side of the patient. One rescuer should be at the patient's head, another at their midsection, and another at the lower legs. Each should drop to the knee closest to the patients feet. The rescue at the head should place one arm under the patient's neck and grasp the far shoulder to cradle the head. The other arm should be placed under the back, just above the waist. The rescuer at the midsection should place one arm above and one arm below the buttock's. The rescuer at the patient's lower legs should place one arm under the patients knees and another arm under the ankles. On the signal of the rescuer at the head, everyone should lift the patient up to the level of their knees. Then, on signal, the rescuers should roll the patient toward their chests. Finally, on signal, everyone should stand while holding the patient. The patient can now be moved, reversing the process when it's time to place them in a supine position.
Define extremity lift.
A move performed by two rescuers, one lifting the patients arms and one lifting the patients legs.
When should you avoid when using an extremity lift?
If there is a possibility of head, neck, spine, shoulder, hip, or knee injury or any suspected fractures to the extremities that have not been immobilized.
Define direct carry.
A carry performed to move a patient with non-suspected spinal injury from a bed or from the bed level position to a stretcher.
Where should the stretcher be placed when using a direct carry method?
It is placed at a 90° angle to the bed, depending on room configuration.
How do you prepare the stretcher and position yourself for a direct carry.
Prepare stretcher by lowering the rails, unbuckling straps, and removing other items. Both EMR's stand between stretcher and bed facing patient.
Define draw sheet move.
A method for moving a patient from the bed to the stretcher.
What common places use draw sheet moves?
Hospitals and nursing homes
What types of common equipment are used to move patients?
Slider board, slider bag, scoop stretcher, long spine board, chair stretchers, extrication devices, baskets, and stretchers
What are the common devices used for transporting patients?
Gurney, stretcher, cot, or pram
Define recovery position.
The position in which a patient with no suspected spine injuries may be placed, usually on the left side. Also called the lateral recumbent position.
Why is it preferable to place a patient on his side?
To help maintain an open and clear airway
Describe the steps of placing a patient in the recovery position.
Kneel beside the patient on his left side.
Raise the patient's left arm straight out above his head.
Cross the patients right arm over his chest, placing his right hand next to his left cheek.
Raise the right knee until it is completely flexed. Place the right hand on the patient's right shoulder and your left hand on the patient's flexed right knee. Using the flexed knee as a lever, pull toward you, guiding the patient's torso in a smooth rolling motion onto his side. The patient's head will rest on his left arm.
As best as you can, position the patient's right elbow and knee on the floor so that they act like a kickstand, preventing the patient from rolling completely onto his stomach.
Place the patient's right hand under the side of his face and allow the head to angle slightly downward for airway drainage.
Define Fowlers position.
A position in which a patient is placed fully upright in a seated position, creating a 90° angle.