Transfers

Front 1

Safe transfer requires _______ before movement?

Back 1

planning and organization

Front 2

2 things to know when planning transfers

Back 2

1. Assist level
2. Equipment needed

Front 3

2 things to do when preparing for transfers

Back 3

1. Review medical records
2. Plan for assistance level and precautions

Front 4

10 questions to ask yourself when planning transfers

Back 4

1. What medical precautions? (burns, hemi, SCI, etc)
2. Performed safely by one, or more assist required?
3. Enough time?
4. Does pt. understand? Are they afraid?
5. Equip. in good working order?
6. Height of srufaces? Can be adjusted?
7. Equip placed in correct position?
8. No obstructions?
9. Pt. dressed properly - need gait belt?
10. Consider other components? Bed mobility or leg management?

Front 5

First 3 things to do when teaching transfers

Back 5

1. Introduce yourself to pt.
2. Explain
3. Have them repeat

Front 6

Transfer precautions for THR, especially within initial 2 weeks after surgery (5)

Back 6

1. Replaced hip no adduction, rotation, flexed more than 90, or extended beyond neutral
2. Do not cross ankle of affected over other ankle, pull on affected extremity, or allow pt. to lie on replaced hip.
3. Maintain surgical extremity in abduction when moving to and during side lying.
4. Require pt. to sit in semireclining position
5. Require pt. to maintain the surgically affected extremity in abduction when moving from side to side.

Front 7

THR precautions can also be used for what diagnosis? (2)

Back 7

1. Recent hip fracture
2. Recent hip dislocation

Front 8

Transfer precautions for low back trauma or discomfort (3)

Back 8

1. Avoid excessive lumbar rotation, trunk side bending, and trunk flexion
2. Logroll when turning
3. May be more comfortable with hips and knees partially flexed when they are in supine or side-lying position

Front 9

Transfer precautions for SCI

Back 9

1. Avoid distracting and rotational forces
2. Do not move downward by pulling on LE
3. Logroll when turning
4. Use protective positioning or restraints when in side-lying position or sitting without back support

Front 10

Transfer precautions for burns (3)

Back 10

1. Avoid creating a shear force across surface of burn wound, graft site, or area from which graft was takin.
2. Sliding creates a shear force, causing friction and disruption of the healing process
3. Instruct pt. to elevate the body or extremities when moving an area with a burn to avoid shear

Front 11

Transfer precautions with hemiplegia (2)

Back 11

1. Avoid pulilng on weak extremities, especially affected shoulder.
2. Many patients will experience pain or discomfort when they lie on or roll over the involved shoulder

Front 12

Procedures associated with standing transfer (9)

Back 12

1. Examine and evaluate pt's mental and physical capacities to perform or assist with the transfer.
2. Position, secure, and stabilize the wheelchair and other items involved with the transfer, swing away front rigging or elevate foot plates, and apply gait belt.
3. Instruct pt. in steps of transfer. Indicate activities expected to be performed, and demonstrate. Instruct pt. to move forward in the chair, or provide assistance; position the pat's feet flat on the floor parallel or anteroposterior to each other.
4. Pt. initiates the transfer with trunk momentum or by inclining the trunk forward ("nose over toes"); the CG is positioned in front and slightly to one side of thept. to protect and guard.
5. Pt. uses the UE and LE to rise and stand; assistance provided by CG as needed using the knees and gait belt.
6. Pt. contacts the object using the UE and LE before lowering onto object; assistance is provided by CG as needed
8. Pt's position is adjusted for proper support, stability, and safety; and reaction and physiological response to the activity are evaluated by the CG
9. Remove the safety belt; document the pt's performance and amount of assistance needed.