Modules 5/6 Flashcards
(53 cards)
Ergonomics
workstyle and environment are adapted to min. discomfort and max safety
equipment to aid in moving resident
Gait belts and walking belts
* Sit-to-stand and full-sling lift machines
* Toilet seat with handles and grab bars in bathrooms
* Friction-reducing repositioning devices
* Slide boards
* Trapeze bars
* Pivot discs
Dangling
- allow resident to sit on side of bed a few minutes before transfers or ambulation
- permits blood pressure to normalize before standing
stand next to or in front of resident
gait belt
Device used for transfers and ambulation
* Prevents pulling or tugging on resident’s shoulders or arms
* Must be used for residents requiring one or two assist
* Place around resident’s waist over clothing
one-assist transfer to wheelchiar
ring wheelchair close, remove leg rests, and lock brakes
* Ensure resident’s feet are flat on floor
* Stand directly in front of resident
* Grasp gait belt with both hands above resident’s hips
Bend at the knees and assume wide stance
* Ask resident to stand on count of 3
* After resident stands, pivot them toward wheelchair
* Assist resident to sitting position after they feel wheelchair against the back of
their legs
* Remember to communicate with the resident
one assist technique to wheelchair
Bend at the knees and assume wide stance
* Ask resident to stand on count of 3
* After resident stands, pivot them toward wheelchair
* Assist resident to sitting position after they feel wheelchair against the back of
their legs
* Remember to communicate with the resident
two assist transfer (to wheelchair)
Same principles as one-assist transfer
* One assistant places right foot on outside of resident’s right foot and
grasps gait belt with right hand
* Second assistant does the same on the resident’s left side
* Each assistant has one hand free to complete tasks
* Assistants and resident all pivot toward wheelchair as one unit
mechincal devices are used to transfer residents who
have fragile skin
obese
unable to bear weight
unpredictable during transfers
sit to stand device (WHY)
for residents who can bear some weight but may be unpredictable during transfers
can be hydraulic. Eletric, or both
each resident should have their own sling
can be frightening to some residents
sit to stand device (HOW TO pt 1)
allow resident to dangle and put on their footwear
place machine in front of them
assist resident to place their feet on foot plate
place sling behind resident and under arms
sit to stand device (HOW TO PT 2)
attach sling to machine
clip belt at resident waist and tighten belt
raise the resident to standing position
move the resident until they are over the locked bed/wheel
sit to stand device (PT 3)
ensure back of residents legs are against chair
lower resident to sitting position
unclip belt buckle and remove sling
assist the resident as needed
log rolling (why)
done when spinal trauma is suspected/confirmed
keep residents body straight and aligned
prevents further injury
required 3 cna
log roll standard
one person at head of bed
second/third on one side of bed
place pillow between residents leg
on 3 one fluid movement
transfer from bed to stretcher
required 4 staff
bed is raise to match height of stretch
remove top linens
remove iv or catheters
use backboard/fitted sheet to transfer
two assistant stand on one side and two on one side
on 3 lift sheet slightly and move resident
strap resident for safety
cover resident
use backboard/fifth assistant to stabilize resident head if spinal injury is suspected
method to transfer obsese pt
always transfer with two or more assitant
ask resifent to do as much as possible
do not rush
have all preparations ready in advanced
Bariatric (obsese) resident specialty equipment
special beds, walker, commodes, wheelchair
bariatric lift/sling
extended gait belts
use tops of sheet, bath blanket, or bed blanket as a draw sheet
method to transport a resident in a wheelchair
remind resident to keep elbows in
let resident know when you are starting or stopping
ambulation
- Provide more assistance if resident requires it
- Update nurse if resident repeatedly needs more or less assistance than
indicated on care plan - Use good body mechanics
- Always use gait belt as indicated on care plan
- Ensure resident is wearing appropriate footwear
- Have necessary assistive devices close by
- Lock brakes on wheelchair or bed before resident stands
reposition resident and frequency
every 2 hours in bed
every hour in wheelchair
risk of skin breakdown
fragile skin
presence of skin breakdown
supine
lying on back: comfortable for most residents
used for sleeping and comfort
* Areas of pressure include back of skull, sacrum, coccyx, and heels
* Place pillow between back of resident’s knees and the heels
* Ensure heels are not touching the bed
prone
lying on stomach
sed only for certain medical issues or if requested by resident
* Pressure areas include ears, hips, knees, and tops of toes
* Use thin pillow under resident’s head
* Place pillow under shins
fowlers
lying on back while head of bed is elevated
Head of bed raised 45 to 60 degrees
* May be used to watch TV, visit with others, or ease breathing
* Risk of friction and shearing injury to back, sacrum, coccyx, elbows, and heel
high fowlers
head of bed raised 80-90 degrees
used while resident is eating or drinking
high risk of friction and sheering injury due to sliding down in bed
residents with poor body/muscle control may fall out of bed
