Moving the Patient with Assistance

Material Needed: Drawsheet folded to use as lift sheet

EXPECTED BEHAVIOR

1. Remove the pillow and place it at the head of the bed.

2. Positioning with two nurses or staff members.

• First position : Position one nurse on each side of the patient. Each nurse should have one arm under the patient’s thighs.

• Alternative Position: Position one nurse at the patient’s upper body. The nurse’s arm nearest the head of the bed should be under the patient’s head and opposite shoulder. The other arm should be under the patient’s closest arm and shoulder. Position should be under the patient’s lower back and thighs.

• Alternative Position: Place folded draw/turn sheet under the patient’s body extending from shoulder line to just below buttocks. Position one nurse on each sides of lift sheet as close as possible to sides of patient. Assist patient to flex knees, if possible. Each nurse firmly grasps sheet at level of patient’s upper back one hand and at level of buttocks with other hand. Then with one form, coordinated, rocking movement, lift patient toward head of bed.

3. Positioning with three staff members

• Position two nurses so that each one is supporting the patient’s shoulders as described above.

• Position the third nurse at the patient’s lower torso.


4. Positioning with four staff members

• Position two nurse, one each on each side of the patient’s hips and legs.

5. Coordinate the movements of all nurse. One nurse is responsible for stating when to move patient.

6. Place patient in a comfortable position.


Procedure in Preparing Patient to Move From Bed


Procedure in Dangling Patient at the Bedside

Procedure in Moving Patient From Bed to Chair


Procedure in Placing Patient a Trochanter Roll

USING A FOOTBOARD

MATERIALS NEEDED: Footboard

EXPECTED BEHAVIOR
1. Assess patient’s ability to place feet in dorsal flexion. If unable to do so, or plantar flexion is continuous, provide a footboard.
2. Cover footboard with a bath blanket to protect feet from rough surfaces.
3. Place footboard in a place where patient’s feet can firmly rest on it without sliding down in bed.
4. Observe legs to ensure that they are not in flexed position when feet are against the board.
5. Tuck to linen under mattress at foot of bed, and bring linen up over the footboards as it can easily be pulled off the bed.
6. Put feet and ankles through range-of-motion exercises every four hours on patient with prolonged bed rests.
7. Observe heels and ankles frequently for signs of breakdown.



Procedure in Logrolling the Patient