D001_moving_a_patient_in_bed
Patient Positioning Protocol
Introduction
Importance of safe patient handling to prevent injury.
Ensure 2 healthcare workers participate unless the patient can assist fully.
Preparation
Place the patient in a supine position.
Ensure the head of the bed is flat.
Adjust bed height to a comfortable level for both nurses.
Moving the Patient
Pillows and Arms
Remove the pillow from beneath the patient’s head and shoulders.
Place the pillow at the head of the bed, out of the way.
Instruct the patient to place their arms across their chest for safety and comfort.
Using the Draw Sheet
Position the draw sheet under the patient by turning them from side to side.
Extend the draw sheet from shoulder to thigh for better support.
Returning to Supine Position
After placing the sheet, roll the patient back onto their back, positioning them comfortably.
Fanning and Boosting the Patient
Fan Folding the Draw Sheet
Fan fold the draw sheet at the patient’s sides to prepare for lift.
Each nurse should grasp the sheet firmly near the patient.
Preparation for Lift
Stand with feet apart in a forward-backward stance and flex knees and hips for stability.
Coordination is essential: shift weight from the front leg to the back leg when lifting.
Lifting the Patient
Coordination and Communication
On the count of 3, both nurses will lift together.
Encourage the patient to assist by lifting their head during the boost.
Example prompt: "On the count of 3, we're gonna boost you up. 1, 2, 3."
Post-Lift Adjustments
After boosting, assist the patient in adjusting the pillow behind their head.
Ensure the patient is relaxed and comfortable after the move.
Conclusion
Confirm the patient's position is comfortable.
Emphasize the importance of communication and teamwork in patient care.