Unit 3: Safe Patient Movement & Handling Techniques

Question 1

Proper lifting and lifting techniques ________ job safety

Answer 1

increases

Question 2

What is the leading cause of disability for people in their working years?

Answer 2

Back Problems

Question 3

The average back injury costs employers how much money?

Answer 3

$24,000

Question 4

What does the average workers compensation lumbar fusion cost?

Answer 4

$164,000

Question 5

What is Biomechanics?

Answer 5

applying the laws of physics to the human body

Question 6

What is the base of support?

Answer 6

the feet and space between feet

Question 7

When transferring, what type of base do you want?

Answer 7

wide base

Question 8

Three types of bases of support

Answer 8

normal, wide, narrow

Question 9

What is our center of gravity?

Answer 9

middle of the pelvis

Question 10

Center of Gravity

Answer 10

Hypothetical points at which all the mass appears to be concentrated

Question 11

When is center of gravity achieved?

Answer 11

when center of gravity os over the body’s base of support

Question 12

_____ rather than pull

Answer 12

push

Question 13

Mobility muscles

Answer 13

voluntary muscles to keep us in motion (biceps)

Question 14

Stability muscles

Answer 14

Muscles to keep us balanced (back)

Question 15

Let _______ do as much of the transfer as possible

Answer 15

the patient

Question 16

Hold the patient’s ______ ___ _______ close to your own ______ ___ ________ when transfering

Answer 16

center of gravity

Question 17

Principles of Transfer (1)

Answer 17

1. Execute the transfer slowly enough for the patient to feel secure

Question 18

Principle of Transfer (2)

Answer 18

2. Take a transfer/gait belt is a good practice when planning to perform transfers. The transfer/gait belt should be around the patient’s waist to minimize stress on the patient’s shoulder girdle

Question 19

Principle of Transfer (3)

Answer 19

3. Secure loose clothing on the patient

Question 20

Principle of Transfer (4)

Answer 20

4. Lift the patient with your legs, avoid back bending

Question 21

Principle of Transfer (5)

Answer 21

5. Avoid trunk twisting during transfer

Question 22

Principle of Transfer (6)

Answer 22

6. Never lift more than you can. Ask for assistance when needed

Question 23

Principles of Transfer (7)

Answer 23

7. Watch the patient for signs of orthostatic hypotension and take precautions to minimize its effects

Question 24

What is orthostatic hypotension?

Answer 24

Standing up too fast creating negative symptoms

Question 25

Symptoms of Orthostatic Hypotension?

Answer 25

Dizziness, Bodily dissociation, Distortion in hearing, lightheadedness, nausea, headache, blurred or dimmed vision, generalized numbness/tingling and fainting, slurred speech RARE CASES: vasovagal syncope (specific type of fainting)

Question 26

T/F: you can send a patient away if they have orthostatic hypotension symptoms

Answer 26

FALSE

Question 27

Four Basic Wheelchair Transfer Types

Answer 27

Standby Assist, Assisted Standing Pivot, Two-person Lift, Hydraulic Lift

Question 28

During wheelchair transfers, you must determine a patients ______ and ______ side

Answer 28

strong, weak

Question 29

Always position the patient so that he or she transfers toward the _______ side

Answer 29

strong

Question 30

In a standby-assist transfer, you position the wheelchair at ________ angle to the table

Answer 30

45 degree

Question 31

Assisted standing pivot transfers are for patients who cannot transfer independently but can ____ _______ __ ____ ____

Answer 31

bear weight on their legs

Question 32

In a assisted standing pivot transfer, you place a __________ _____ around the patient

Answer 32

transfer/gait belt

Question 33

Two-Person Lifts are for patients who cannot ____ ________ and are ________

Answer 33

bear weight, lightweight

Question 34

In a two-person lift, the ________ person should lif the patient's _______, this person is usually in charge of the transfer and commands

Answer 34

stronger, torso

Question 35

When are hydraulic lifts used?

Answer 35

when patients are too heavy to lift manually

Question 36

Basic features of hydraulic lift (5)

Answer 36

1. Four caster wheels 2. Base of support can be widened or narrowed 3. Handles for steering 4. Ability to raise support arm 5. Sling attachments

Question 37

What position does a patient need to be in before being put into a sling/sling?

Answer 37

seated or recumbent

Question 38

If a patient CAN assist with cart transfer, we may only be responsible for _____________ the involved body part

Answer 38

stabilizing/supporting

Question 39

If patient CANNOT assist with cart transfer, then a ________ device or _____ ______ should be used

Answer 39

moving, draw sheet

Question 40

During a cart transfer, begin by rolling the patient onto their side _____ from the direction of the transfer

Answer 40

away

Question 41

Skin damage from transfers can occur in as liitle as _________

Answer 41

1 - 2 hours

Question 42

________ patients are particularly vulnerable to skin damage during transfers

Answer 42

Elderly

Question 43

Why do we use immobilization devices?

Answer 43

to reduce our own potential dose

Question 44

slide 45

Answer 44

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