Lifting, Moving, and Positioning of Patients Chapter 5 Flashcards Preview

EMR - First on Scene - 9th Edition La Baudour - Bergeron > Lifting, Moving, and Positioning of Patients Chapter 5 > Flashcards

Flashcards in Lifting, Moving, and Positioning of Patients Chapter 5 Deck (54)
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1
Q

Define body mechanics.

A

The use of the body to facilitate lifting and moving to minimize injury.

2
Q

Describe the first step in moving a patient or object.

A

Plan what you will do and how you will do it.

3
Q

Describe the characteristics of proper body mechanics.

A

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

4
Q

Define power lift.

A

A technique used to lift a patient who is on a stretcher or cot.

5
Q

Define standard move.

A

The preferred choice when the situation is not urgent, the patient is stable, and you have adequate time and personnel for a move.

6
Q

Define emergency move.

A

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.

7
Q

An emergency move provides protection for the patient’s injuries, true or false?

A

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.

8
Q

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?

A

In the direction of the long axis of the body

9
Q

Define clothing drag.

A

An emergency move in which a rescuer grabs the patient’s clothing near the shoulders and pulls him to safety.

10
Q

Name the five drags.

A
Clothing or shirt drag
Blanket drag
Shoulder drag
Firefighters drag
Strap drag
11
Q

Name the five one rescuer carries.

A
One rescuer crutch
Cradle carry
Pack strap carry
Piggyback carry
Firefighters carry
12
Q

What are the 4 rules used when preparing for a standard move.

A
  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
13
Q

Define direct ground left.

A

A standard lift in which three rescuers move a patient from the ground to a bed or structure.

14
Q

A direct ground lift is a standard move, true or false?

A

True

15
Q

What patients are the direct ground lift not recommended for?

A

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.

16
Q

Describe how to perform a direct ground left.

A

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.

17
Q

Define extremity lift.

A

A move performed by two rescuers, one lifting the patients arms and one lifting the patients legs.

18
Q

When should you avoid when using an extremity lift?

A

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.

19
Q

Define direct carry.

A

A carry performed to move a patient with non-suspected spinal injury from a bed or from the bed level position to a stretcher.

20
Q

Where should the stretcher be placed when using a direct carry method?

A

It is placed at a 90° angle to the bed, depending on room configuration.

21
Q

How do you prepare the stretcher and position yourself for a direct carry.

A

Prepare stretcher by lowering the rails, unbuckling straps, and removing other items. Both EMR’s stand between stretcher and bed facing patient.

22
Q

Define draw sheet move.

A

A method for moving a patient from the bed to the stretcher.

23
Q

What common places use draw sheet moves?

A

Hospitals and nursing homes

24
Q

What types of common equipment are used to move patients?

A

Slider board, slider bag, scoop stretcher, long spine board, chair stretchers, extrication devices, baskets, and stretchers

25
Q

What are the common devices used for transporting patients?

A

Gurney, stretcher, cot, or pram

26
Q

Define recovery position.

A

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.

27
Q

Why is it preferable to place a patient on his side?

A

To help maintain an open and clear airway

28
Q

Describe the steps of placing a patient in the recovery position.

A

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.

29
Q

Define Fowlers position.

A

A position in which a patient is placed fully upright in a seated position, creating a 90° angle.

30
Q

When should Fowlers position be used?

A

When patients have no suspected spine injuries.
Use as a position of comfort or allowing for more effective care of particular conditions. This may be used on patients with medical complaints such as chest pain, nausea, or difficulty breathing.

31
Q

Define semi Fowler’s position.

A

A Semi-seated position in which the patient reclines at a 45° angle.

32
Q

When should Semi-Fowler’s position be used?

A

When patients have no suspected spine injuries. Use as a position of comfort or allowing for more effective care of particular conditions. This may be used on patients with medical complaints such as chest pain, nausea, or difficulty breathing.

33
Q

Define Trendelenburg position.

A

A position in which the patient is placed flat on his back with legs and feet raised.

34
Q

When should Trendelenburg position being used?

A

For patients you suspect may be suffering from shock

35
Q

Define shock position.

A

Elevation of the feet of a supine patient 6 to 12 inches

36
Q

When should the shock position be used?

A

When a patient is suspected of having non-injury shock. This position should only be used for patients exhibiting signs of shock with no evidence of trauma or injury.

37
Q

Define log roll.

A

A method used to move a patient with a suspected spine injury from the prone position to the supine position

38
Q

Describe the steps in completing a log roll.

A

Manually stabilize the patient’s head and neck as you place the board parallel to the patient. Maintained manual stabilization throughout the log roll.
Kneel at the patient side opposite the board.
Reach across the patient and position your hands. Inspect the patients back.
On command from the rescuer at the head, as a unit roll the patient toward you.
Then move the spine board into place.
Lower the patient onto the spine board at the command of the rescuer at the head.
Center the patient on the board.

39
Q

Define restraint.

A

The process of securing a combative patient’s body and extremities to prevent injury to himself or others.

40
Q

When should a patient be restrained?

A

Only when necessary to secure a combative patient who is a danger to himself or others. In a perfect world, you would leave the job of restraining a patient to law-enforcement personnel, but it is not always possible. Whenever possible, be sure to have law-enforcement present when attempting to restrain a patient. It is very important to follow local protocol.

41
Q

What are the two types of restraints?

A

Physical and mechanical

42
Q

Define positional asphyxia.

A

Refers to death resulting from the securing of a person in the prone position, limiting his ability to breathe adequately. Also called restraint asphyxia.

43
Q

Is positional asphyxia preventable?

A

Yes, in all cases by using proper techniques in restraining patients.

44
Q

What considerations should be made when placing a patient in restraints to avoid positional asphyxia?

A

Always ensure an open airway, make sure the chin is not held tightly to the chest or in a manner that does not allow for full expansion of the chest and lungs.

45
Q

Proper body mechanics is best defined as:
A. properly using your body to facilitate a lift or move
B. using a minimum of three people for any lift
C. contracting the body’s muscles to lift and move things
D. lifting with your back and not your legs

A

A. properly using your body to facilitate a lift or move

46
Q
An emergency medical responder should immediately move a patient EXCEPT when the patient:
A. has a blocked airway
B. is bleeding severely
C. has mild shortness of breath
D. is in cardiac arrest
A

C. has mild shortness of breath

47
Q
When lifting a patient, your feet should be placed:
A. one in front of the other
B. shoulder width apart
C. a comfortable distance apart
D. as close together as possible
A

C. a comfortable distance apart

48
Q
Good body mechanics means keeping your back what and bending at the knees when lifting a patient or large object.
A. at a 45° angle
B. straight
C. curved
D. slightly twisted
A

B. straight

49
Q
The load of your back is minimized if you can keep the weight you are carrying:
A. as close to your body is possible
B. at least 6 inches in front of you
C. at least 18 inches in front of you
D. as low as possible
A

A. as close to your body is possible

50
Q
What type of move is used when there is no immediate threat to the patient's life?
A. emergency
B. standard
C. rapid
D. non-rapid
A

B. standard

51
Q
Which one of the following would be the best choice for a stable patient with a suspected spine injury?
A. one rescuer assist
B. cradle carry
C. two rescue assist
D. shoulder drag
A

D. shoulder drag

52
Q

Which one of the following patients would best be served by being placed in the recovery position?
A. a child who is unresponsive following a seizure
B. an adult and cardiac arrest and in need of CPR
C. a child who is facedown and unresponsive in a pool
D. an adult victim of the vehicle collision

A

A. a child who is unresponsive following a seizure

53
Q
Before restraining a combative patient, the EMR should obtain what approval?
A. law-enforcement
B. medical direction
C. ALS
D. supervisor
A

A. law-enforcement

54
Q
Which one of the following devices would be best suited to carry a responsive patient with no suspected spine injury down a flight of stairs?
A. flexible stretcher
B. wheeled stretcher
C. scoop stretcher
D. stair chair
A

D. stair chair