Chapter 19- Moving the Person

Key Terms

  • Bed Mobility - how a person moves to and from a lying position in a bed

Make sure the patient is always in good alignment when you leave the room !!!!!

Preventing work-related injuries

  • Minimize manual lifting in all cases ( Have the pt try and help you)

  • Eliminating manual lifting when possible

  • Patients need to be repositioned often (every 2 hours)

Moving the Person

  • Before moving a person, you need orders from the nurse anda care plan

  • turning persons onto their sides help prevent complications from bed rest using logrolling

Common Terms you may see in a care plan:

  • Independent- moves without help

  • Supervision- moves without help but needs supervision or cues

  • Limited help- staff guide but do not lift the arms or legs

  • extensive help- staff provides weight-bearing help

  • Total dependence- the staff moves the person

Protecting the Skin

  • Friction and shearing can injure the skin and cause pressure injuries

  • To reduce this:

    • Roll the person

    • use turning sheets (draw sheets)

    • turning pads

Person under 200 pounds- 2-3 staff members

Person over 200 pounds- at least 3 staff members

Mechanical lifts- at least 2 staff members

Raising the Person’s Head/Shoulders

  • you can raise a persons head and shoulders easily by locking arms with the person and using your weight to pull them up

Safety

  • positioning the bed in Trendelenburgs

    • head of the bed in lowered

    • foot of the bed Is raised

    • used if only tolerated by the person and ordered by the doctor

  1. C

  2. F

  3. T

  4. B

  5. A

  6. C- A (When moving a person, the nurse tells you how to position them)

  7. B

  8. C (draw sheets are from below the head to above the knees)

  9. D

  10. B

  11. C- A (spinal cord injured patients are moved using logrolling)

  12. D

  13. D

  14. C

12/14 = 85 % = B