Patient
Transfers
Transfers
Using this machine is not only the safest way to assist a patient off of the floor, but often is a facility's policy
What is HOYER LIFT
Inpatient fall risk interventions that the patient can wear include:
gait belt, yellow fall risk band, gripper socks
The RN should notify the.....
provider
Define the following abbreviation: SBA
Stand by assistance
What is the medical term for the following Respiration: 8
Bradypnea
A patient using a SARA/sit to stand lift must be able to do this.
What is-Bear weight
What is all Patients!
The nurse should assess the patient's......
Vitals and pain
When transferring a patient from the bed to the stretcher, which should be higher?
Bed
Patients who are in wheelchairs for the majority of the day should be taught to periodically relieve the pressure by shifting their weight every______ minutes.
Q 15 minutes
When assisting a patient during transfer, or with ambulation, what TWO items should a patient wear?
What is gripper socks or shoes & gait belt
fall risk interventions that are applied to the patient environment/room include...
clear of clutter, signage outside of room, white board updated with level of assistance. bed and chair alarm on.
This term means-a patient is found on the floor but no one saw the fall happen.
Re-orientation-De-escalation-Limit Setting-Increased observation andmonitoring-Change in the physical environment
What is alternative or interventions to using a restraint?
When taking orthostatic blood pressure, you know that which two vital signs must be taken while in which 3 positions?
blood pressure & pulse, supine, sitting, standing
Name one category that is assessed when completing the fall risk score.
-predisposing disease-altered mental status-altered elimination-history of fall within last 12 months-dizziness/vertigo/syncope-impaired judgment-high risk meds-visual impairement
List the two techniques to relieve pressure while a patient is in a wheelchair.
Wheelchair push ups, leaning
The nurse should also notify....
family
When transferring a patient from bed to chair, place the chair so the patient moves to their ______side.
Strong
Positive effects of Mobility:
-Release of endorphins-feeling of well being- Reduce physical & emotional decline- Maintain a functional level -Promote comfort -Improve bodily functions.
Caregiver should ALWAYS stand on the ___________ Side & patients should hold canes in their ______side
affected weak side
Strong side
An additional fall risk assessment is completed when this occurs
change in condition, patient fall, staff concerns
After the fall _______________ of the event is crucial. If this wasn't done it didn't happen...
Documentation
Restrained patients are _______times more likely to die than a non-restrained patient.
8
List four factors that blood pressure depends on:
Volume, Force of heartbeat, Condition of the arteries, & Distance from the heart