This provides a strong grip to move the patient up using the draw sheet. Fan-fold the draw sheet toward the patient with palms facing up. This keeps the heaviest part of the patient closest to the centre of gravity of the health care providers. Weight will be shifted from back foot to front foot. Stand between shoulders and hips of patient, feet shoulder width apart. This step protects the head from accidentally hitting the headboard during repositioning.Ħ. Lay patient supine place pillow at the head of the bed and against the headboard. Safe working height is at waist level for the shortest health care provider. Principles of proper body mechanics help prevent MSI. Health care providers stand on each side of the bed. Raise bed to safe working height and ensure that brakes are applied. This step prevents injury to patient and health care provider.Ĥ. Complete risk assessment ( Checklist 24) of patient’s ability to help with the positioning. Explain to the patient what will happen and how the patient can help.ĭoing this provides the patient with an opportunity to ask questions and help with the positioning.ģ. This procedure requires two health care providers.Ģ. Make sure an additional health care provider is available to help with the move. Ensure patient has a draw sheet or a friction-reducing sheet on the bed prior to repositioning.ġ.Ensure tubes and attachments are properly placed prior to the procedure to prevent accidental removal.Confirm patient ID using two patient identifiers (e.g., name and date of birth).Checklist 25: Moving a Patient Up in Bed Disclaimer: Always review and follow your hospital policy regarding this specific skill. See Checklist 25 for the steps to move a patient up in bed. If a patient is unable to assist with repositioning in bed, follow agency policy regarding “no patient lifts” and the use of mechanical lifts for complex and bariatric patients. When moving a patient in bed, perform a patient risk assessment prior to the procedure to determine the level of assistance needed for optimal patient care. Trendelenburg positionĭata source: ATI, 2015a Perry et al., 2014 Potter et al., 2011 It helps promote venous return to major organs such as the head and heart. This position is used in situations such as hypotension and medical emergencies. Place the head of the bed lower than the feet. This position is used for patients with breathing difficulties. Patient sits at the side of the bed with head resting on an over-bed table on top of several pillows. This position is used for patients who have cardiac or respiratory conditions, and for patients with a nasogastric tube. Patient’s head of bed is placed at a 30-degree angle. This is a common position to provide patient comfort and care. Patient’s head of bed is placed at a 45-degree angle. Arms should be comfortably placed beside the patient, not underneath. Patient lies between supine and prone with legs flexed in front of the patient. This position helps relieve pressure on the coccyx. Patient lies on the side of the body with the top leg over the bottom leg. Patient lies on stomach with head turned to the side. Additional supportive devices may be added for comfort. Table 3.6 lists patient positions in bed. There are various positions possible for patients in bed, which may be determined by their condition, preference, or treatment related to an illness. Positioning a patient in bed is a common procedure in the hospital. When positioning a patient in bed, supportive devices such as pillows, rolls, and blankets, along with repositioning, can aid in providing comfort and safety (Perry et al., 2014). Proper positioning is also vital for providing comfort for patients who are bedridden or have decreased mobility related to a medical condition or treatment. Positioning a patient in bed is important for maintaining alignment and for preventing bed sores (pressure ulcers), foot drop, and contractures (Perry et al., 2014). Safe Patient Handling, Positioning, and Transfers Lawnchair position: A variation of supine in which the hips and knees are slightly flexed and above the level of the heart relieves pressure on the back, hips, and knees and facilitates venous drainage from the lower extremities, and reduces tension on the abdominal musculatureįrog-leg position: A variation of supine in which the hips and knees are flexed, and the hips are externally rotated facilitates access to the perineum, groin, rectum, and inner thigh, but the knees must be supported to avoid stress and dislocation of the hips.Chapter 3. A “draw sheet” that passes under the body and over the arm before tucking under the torso can hold the arm in proper position against the body. Arm adduction with hands and forearms maintained in neutral position with palms facing the body or supinated decreases external pressure on the ulnar nerve and prevents injury.
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