Transfers

Question 1

what is a trasfer

Answer 1

movement of a pt from one position/surface to another

Question 2

why would you transfer a pt

Answer 2

bathroom
bed to chair
comfort
imaging
in/out of car

Question 3

what are some considerations before transfers

Answer 3

pt experience/ability

Question 4

describe pt experience in regards to transfers

Answer 4

previous experience
how much help the required
devices/orthotics

Question 5

describe pt ability in regards to transfers

Answer 5

strength
joint mobility
balance
pain level
cognition
endurance
motor control

Question 6

what is the primary goal of the healthcare provider during transfers

Answer 6

protect the patient to avoid injury

Question 7

what needs to be considered when planning for a transfer

Answer 7

transfer purpose
equipment
safety of departure/arrival points
assistance needed

Question 8

what is the purpose of gait belts during transfers

Answer 8

should always be a part of the plan
improves safety for pt and caregiver

Question 9

describe the positioning of the gait belt

Answer 9

most often at waist
can be higher, depends on pt comfort
loose ends tucked in

Question 10

what is the proper grip of the gait belt

Answer 10

strong underhand grip

Question 11

what are some special circumstances for different placement of gait belt

Answer 11

colostomy/ileostomy
catheters
feeding tubes
rib fractures
chest tube, etc.

Question 12

where do you position lines during transferring

Answer 12

most likely in front of pt

Question 13

what are the benefits of good body mechanics

Answer 13

use less energy
reduces strain on body tissues
produces safe, efficient movement
promotes control and balance

Question 14

what is needed to perform a sit to stand

Answer 14

prep position
weight shift
rise
stand

Question 15

pt requires total physical assistance 1+ persons to accomplish the task safely

Answer 15

01 - dependent

Question 16

pt performs 25-49% of activity

Answer 16

02 - max assistance

Question 17

pt performs 50-74% of activity

Answer 17

03 - moderate assist

Question 18

pt performs >/= 75% of activity

Answer 18

03 - minimal assistance

Question 19

PT has hands on pt/uses gait belt
verbal/tactile cues/directions without touching pt

Answer 19

04 - supervision/touching assistance

Question 20

pt may require verbal cues, assistive device/adaptive equipment/requires additional time to complete task

Answer 20

05 - set/clean up

Question 21

no assistance required to complete task in normal time frame

Answer 21

06 - independent

Question 22

describe squat pivot-assisted transfer

Answer 22

modified stand/half squat with physical assist from caregiver and pivot to target

head/hip relationship

Question 23

what are the rules for the squat pivot transfer

Answer 23

pt can bear weight safely through at least 1 LE

pt can clear bottom from surface

no devices used

remove arm rest

often 1+ person assisting

Question 24

what are the rules for seated transfer power sit to sit

Answer 24

pt cannot stand d/t weakness

pt can lift and clear bottom from surface with/out assistance

pt musty possess significant UE strength and trunk control

Question 25

what are some special population and considerations

Answer 25

spinal/hip/sternal precautions hemiplegia paraplegia bariatric cognitive impairment WB status

Question 26

T/F spinal precautions include spinal cord injuries

Answer 26

false

Question 27

T/F if possible, transfer the patient towards the stronger side

Answer 27

true

Question 28

what are BLT precautions

Answer 28

no bending no lifting no twisting

Question 29

what patients would be considered NWB

Answer 29

traumatic injuries stay off limb to allow for healing - no weight

Question 30

what patients would be considered PWB

Answer 30

partial weight bearing must have adequate sensation and proprioceptive awareness in LE usually a %

Question 31

what patients would be considered TTWB

Answer 31

toe-touch weight-bearing touch-down WB balance only on toes, not distributing weight to heel

Question 32

what patients would be considered WBAT

Answer 32

weight bearing as tolerated routine elective ortho surgeries full WB as tolerated by patient

Question 33

what should be included in the documentation of transfers

Answer 33

type of transfer amount/type of assistance required amount of time required to complete level of safety and quality of movement demonstrated precautions level of consistency of performance equipment/devices used

Question 34

what is included when considering pt experiences before a transfer

Answer 34

have they done this before how much help did they need does the patient use devises or orthotics

Question 35

what is included when considering pt ability before a transfer

Answer 35

strength joint mobility balance pain level cognition endurance endurance motor control

Question 36

what equipment is used during a recumbent/lateral/horizontal lift

Answer 36

draw sheet plastic board slide sheet transfer stretcher mechanical lifts

Question 37

what is the hovermatt and when is it used

Answer 37

used most often in ICU and with pt who are bariatric air mattress that inflates to off-weight pt for lateral slide

Question 38

describe the sitting, dependent lift and what equipment is needed for the transfer

Answer 38

chair to bed/mat or chair to chair used when pt is unable to assist equipment: multiple individuals, mechanical lift, slideboard - if no equipment is used, 2+ caregivers must perform lift

Question 39

what should you consider when choosing a transfer method

Answer 39

pt ability, pt experience, goal of the transfer

Question 40

describe blocking the weak LE during a transfer

Answer 40

block the involved/weaker side block 1/both LE can help stabilise tibia to tibia PT can use foot to help pivot pt's foot