Ch. 7 Patient Transfer/Safety

fire safety

• No clutter in halls

• Keep fire doors closed

• Use caution when storing flammable materials

• Use only approved extension cords

• Immediately pull fire alarm

• Close all room doors

• Limit pedestrian traffic

• Evacuate if instructed to do so

what are 2 evacuation routes?

1. Go down not up

2. evacuate past 2 fire doors

what does P A S S stand for

p: pull

a: aim

s: squeeze

s: sweep

what does R A C E stand for

r: Rescue (remove patients/visitors/staff from the area)

a: Activate (pull alarm, notify hospital operator)

c: Close doors

e: evacuate/extinguish

what to do in case of an eye splash?

• Utilize the nearest eye wash station

• flush with running water

• do not delay

what to do in case of a spill?

• keep people out of the area

• clean up only if trained and spill is small

• use spill kit

what does a spill kit consist of?

nitrile gloves, kitty litter or drying agent, garbage bags, brush and a pan

what is the most common body injury?

back

base of support

distance between 2 points on horizontal surface

center of gravity

where body weight is balanced- carry load/person close to your body

line of gravity

vertical line that passes through the center of gravity

when is the body most stable?

when the line of gravity bisects the base of support

RMI

Repetitive motion injuries

RSI

repetitive stress injuries

CTD

Cumulative trauma disease

what to do when patient had post-abdominal surgery

don’t allow the patient to lie flat on their back. causes increased pain d/t

supine

flat on back

lateral sims

on side, knees bent

semi fowlers

patient’s head elevated 30 degrees

sims

patient semi-prone with one knee bent

anterior hip replacement

• May sit up to 90 degrees or more

• no abduction

• no adduction

• no internal/external rotation

posterior hip replacement

• no flexion >90 degrees

• no adduction

• no internal rotation

• can abduct

what to do when transporting a patient

• Use 2 identifiers

• confer with nursing staff

• talk to patient

• utilize chart

when to file an incident report

an injury to a patient or visitor occurs

when to file an employee accident report

an injury to staff occurs

how to use equipment

• Always use side rails on litters

• restrained patients must be accompanied by nurse

• If the patient has not been ambulatory, transport by litter to avoid postural hypotension

how to avoid injury to staff/patients

Utilize lifts!