Moving Patients Moving Patients Lesson Objective Select the

Moving Patients

Moving Patients Lesson Objective Select the correct patient handling procedures.

Overview: u. Principles of Safe Reaching and Pulling u. General Considerations in Moving Patients u. Emergency Moves

Overview: cont. u. Urgent Move u. Non Urgent Moves u. Stair Chair u. Practice

Principles of Safe Reaching and Pulling Guidelines for reaching Keep back locked u Avoid hyperextending back u Avoid twisting while reaching u

Guidelines for reaching (cont. ) u. Avoid reaching >15 -20 inches in front u. Avoid providing strenuous support

Log rolls u. Keep back straight while leaning over patient u. Lean from hips u. Use shoulder muscles to help with roll

Pulling Guidelines Push rather than pull when possible u Keep back locked u Keep line of pull to center of body u Bend Knees

Pulling Guidelines (cont) Keep load close to body u Keep elbows bent and arms close to side u

Pushing Guidelines u. Push from area between waist and shoulder u. DO NOT use arms alone u. Kneel to move objects below waist u. Avoid bending over

General Considerations in Moving Patients u. Moving should be unhurried u. Bystanders must be given simple but detailed instructions u. Consider number of times you lift or move patients u. Reduce or eliminate the need for additional movements

Situations that warrant patient move prior to assessment and care: u. Patient’s or your life in danger u. Fire or danger of fire u. Explosives or hazardous materials u. Inability to protect pt from other hazards at scene

Situations that warrant patient move prior to assessment and care: (cont. ) u. Inability to administer care due to pt location/position u. Moving one patient to get to another who need immediate care u. Presence of shock, unconsciousness, inadequate respiration

Emergency Moves u. Primary concern is aggravating spinal injury u. Pull patient along axis of body

Emergency Moves u. Move patients along the floor or ground by using: v. Clothes drag v. Blanket drag v. Fire fighter’s drag

Emergency Moves u. Carries v. Fire fighter’s carry - prone position v. Firefighter’s carry - supine v. Use firefighter’s carries for semiconscious or unconscious patients with no neck or spinal injury

Emergency Moves u. Front cradle u. One person walking assist

Emergency Moves u. One person technique is used when patient must be moved immediately u. One person methods are for transfer only u. Always get help if possible

Urgent Move u. Rapid Extrication”, its used when a patient must be quickly removed from a dangerous situation u. Disadvantage is that it does not provide as much support as a spinal immobilization device

Non Urgent Moves u. Direct Ground Lift - 3 person lift u. Extremity lift u. Lifting from a chair to a wheel chair

Stair chair u. Used to transport patients up and down stairway u. Facilitates patient transfer u. Once you are out of stairs, transfer patient to conventional stretcher

Summary: u. Principles of Safe Reaching and Pulling u. General Considerations in Moving Patients u. Emergency Moves

Summary: cont. u. Carries u. Urgent Move u. None urgent moves u. Stair chair