Pt206 Transfers Chapter 3,7,8

Front 1

Independent Transfers

Back 1

Patient consistently preforms all aspects of the transfer, including the setup. Example is the push up transfer

Front 2

Assisted Transfers

Back 2

Patient participates actively and requires assistance by addition clinicians. Examples are two-person lift, sliding board transfer

Front 3

Dependent Transfers

Back 3

Patient does not participate actively, or only minimally. Additional clinicians perform all aspects of transfer. Examples are dependent standing pivot transfer, hydraulic lift, three person carry

Front 4

Transfers that may be assisted or independent

Back 4

standing pivot, squat pivot, push-up, sliding board, wheelchair to floor, and floor to wheelchair

Front 5

Stand by assistance

Back 5

Patient can perform activity without assistance, but cannot do so consistently. Examples include verbal cues to assist, problem solving and sequencing assistance, and assistance in emergency situations

Front 6

Close Guarding

Back 6

Same as SBA but with increased monitoring, e.g. for support or balance. Within close proximity to patient, ready to assist if needed.

Front 7

Contact Guarding

Back 7

Patient can perform activity and has a significant likelihood of requiring physical assistance for support or balance. Maintain contact with patient for immediate assistance.

Front 8

Minimum Assistance

Back 8

Indicated for patients who can perform at least 75% of the activity

Front 9

Moderate Assistance

Back 9

Indicated for patients who can perform at least 50% of the activity

Front 10

Maximum Assistance

Back 10

Indicated for patients who can perform less than 25% of the activity

Front 11

Dependent assistance

Back 11

Patient unable to participate or assist in mobility

Front 12

Moderate Assist X2 (Mod A x2)

Back 12

Patient requires moderate assistance of two people during a transfer

Front 13

Max Assist X2 (Max A x2)

Back 13

Patient requires maximum assistance of two people during a transfer

Front 14

Types of Assistance examples

Back 14

Verbal cuing, balance control, physical assistance for lifting or supporting

Front 15

Management of treatment environments and preparation for transfer (1)

Back 15

Plan and organize treatment by looking at soap note, history, charting. Come in with plan for treatment.

Front 16

Management of treatment environments and preparation for transfer (2)

Back 16

Remove obstructions, observe the environment and consider space, objects in direct path and that may impede the process

Front 17

Management of treatment environments and preparation for transfer (3)

Back 17

Set up environment for efficiency and safety. Equipment servicing that may be used, dispose of supplies that are not usable, and communicate with your team. Pre-position patient.

Front 18

Body Mechanics

Back 18

Pre-position a patient to be within your base of support. Isometric muscle contractions - avoid valsalva maneuver. Lift legs and do not twist. Summon for help if doubtful.

Front 19

Verbal commands for transfers

Back 19

Keep it simple, encourage; for non-English patients use charades and demonstration

Front 20

Visual demonstrations for transfers

Back 20

Model what you want the patient to do, create pictures per patient need

Front 21

Draping uses clothes, sheets, and towels to:

Back 21

Protect patient modesty, provide warmth, protect wounds, scars and residual limbs, and expose specific body segments for treatment.

Front 22

Patient Preparation : special considerations

Back 22

Appropriate clothing for activity, gait belts for safety and comfort of patient, and equipment such as IV lines, ventilators, catheters

Front 23

Proper positioning goals (3)

Back 23

Ensure patient comfort, Maintain integumentary integrity/ulcer prevention, Maintain musculoskeletal integrity by preventing peripheral nerve impingement as result of pressure

Front 24

Proper positioning goals (1)

Back 24

Maintain cardiovascular/pulmonary integrity by using changes in position to assist in secretion elimination, breathing patterns and vascular flow

Front 25

Proper positioning goals (2)

Back 25

Provide patient access to the environments, and provide proper position for specific interventions

Front 26

General rule for time when patient is placed in new positions

Back 26

Check 5-10 minutes at areas that have bony prominences (ie sacrum and greater trochanter) and frequently thereafter

Front 27

General rule for time in positions when lying

Back 27

Reposition every 2 hours

Front 28

General rule for time in positions when sitting

Back 28

Reposition every 10 minutes

Front 29

Purpose of Transfers

Back 29

permit patient to function in different environments or use different kinds of equipment.

Front 30

Purpose of Transfers: Generalizability

Back 30

Some skills learned for one transfer can be used for other transfers. E.g. bed to and from chair similar to bed to and from wheelchair