transfer techniques fall 2011. body mechanics muscle strains are common among hospital workers. the...
TRANSCRIPT
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Transfer Techniques
Fall 2011
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Body Mechanics
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• Muscle strains are common among hospital workers.
• The most common injury reported by radiographers.
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3 Major Concepts
• Base of support: The portion of the body in contact with the floor or other horizontal surface.
• A broad base of support provides stability for body position and movement.
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Center of gravity
• Center of body weight. The point around which body weight is balanced.
• Usually located in the midportion of the pelvis or lower abdomen, depending on body build.
• Any object your hold adds to the weight on the base of support… affecting the location of your center of gravity
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• Body is most stable when the center of gravity is nearest the center of the base of support
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Center of gravity for most people is S 2
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Line of gravity
• Imaginary vertical line passing thought the center of gravity.
• The body is most stable when the line of gravity bisects the base of support
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Not so good Good
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Rules of Body Mechanics
• Provide a broad base of support
• Work at a comfortable height
• When lifting, bend your knees and keep your back straight
• Keep your load well balanced and close to your body
• Roll or push a heavy object. Avoid pulling or lifting.
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Patient Comfort and Safety
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Padding & Support
• Lordotic = (concave)
• Kyphotic = (convex)
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Radiation Protection Considerations
• Good patient care……
• Padding placed under body prominences, such as the sacrum, heels, or midthoracic curvature.
1. Patient are better able to maintain the position needed.
- Decubitus ulcers
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Rule of thumb..
• If a patient will be in one position on the x-ray table for longer than 10 minutes a full-size radiolucent pad should be used.
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Patient Positions
• Semi-Fowler’s
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• Trendelenburg
• Lithotomy
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Patient Transportation
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Preparing for Safe Patient Transfer
• Check with nursing service, and obtain chart
• Check patient identification
• Make a plan, prepare the room
• Get transport equipment, and make sure it works!
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Preparing for Safe Patient Transfer
• Enlist the patient’s help and cooperation. Tell the patient what you are doing as you proceed
• Obtain additional help when necessary. Check to make certain your assistants understand their role in the transfer
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Wheelchair Transfer
• To get started lower the patients bed as far as it will go and raise the head.
• Support the patients head and knees. Lift and rotate the patient to a sitting position with their legs hanging over the edge of the bed.
• Help the patient with slippers and robe.
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Wheelchair Transfer
• This will allow patient time to regain a sense of balance.
–Orthorstatic hypotension
At this point some patient will be able to stand and get to the wheelchair on their own.
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Transfer from bed or chair
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Two person transfer
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Questions……