Patient Safety Transfers (Quiz 1)

Question 1

What are common factors of back injuries

Answer 1

• poor posture
• faulty body mechanics
• stressful living and working habits
• loss of flexibility
• a general decline in physical fitness

Question 2

Examples of proper body mechanics

Answer 2

• replace twisting motions with pivoting
• maintain a neutral position of the spine
• tighten stomach muscles as you lift and use legs to lift
• perform transfers slowly

Question 3

When is a squat pivot transfer used

Answer 3

• patient is unable to bear weight on one or both legs
• patient is too weak to stand
• patient can help with transfer
• arm of wheelchair can be removed

Question 4

Steps 1-3 of Squat pivot transfer

Answer 4

1) set up wc and patient
2) instruct patient
3) patient should lean forward to lift weight off bottom and onto feet

Question 5

Steps 4-6 of Squat pivot transfer

Answer 5

4) patient pushes through feet to lift up and pivot to new surface
5) assist the patient from the front (should be leaning away from direction they are moving)
6) patient should push to squatting position

Question 6

Steps 7-9 of Squat pivot transfer

Answer 6

7) once patient has lifted off surface, begin to pivot towards a new surface
8) ask patient to reach toward new surface
9) once the patient is positioned directly in front of the new surface, ask them to slowly sit on new surface

Question 7

When is Stand-Pivot and Stand-Step Transfers used

Answer 7

• patient is able to stand with minimum assistance or less
• patient can pivot on one or both legs or take steps

Question 8

Standing Transfer Steps

Answer 8

1) Set up wc and patient
2) instruct patient
3) patient should lean forward and stand up
4) patient uses assistive device for arm support or reaches to surface to which
5) assist from the side (if using device)
6) pt. takes a few steps to turn so that the new surface is behind
7) pt reaches behind him to sit with lowering to sit down

Question 9

When is sliding board transfer used

Answer 9

• unable to bear weight on one or both legs
• patient is too weak
• patient may or may not be able to help with transfer
• arm of wheelchair can be removed
• surfaces are not level

Question 10

Sliding Board Transfer Steps

Answer 10

1) set up ec and patient
2) instruct patient
3) remove armrest
4) position sliding board so that it is between the hip and thigh of patient and angled toward the surface you are transferring too
5) patient leans forward and away onto feet
6) assist patient with scooting
7) remove sliding board and ensure patient is stable
8) ask patient to lean to side

Question 11

Steps to turn patient

Answer 11

1) raise the bed to a comfortable height
2) have patient laying flat
3) use log roll if spine is compromised
4) use draw sheet
5) use team work
6) return bed to low position

Question 12

Steps to positioning your patient

Answer 12

1) raise the bed to comfortable height
2) have patient or team member assist
3) have HOB flat as possible
4) use pull sheet with min two people
5) support patient head and remove pillow