• standing tranfer
• sitting (lateral) transfer, ex: sliding board, mechanical lift(vertical transfer/movement)

Manual patient handling is moving a pts by hand or bodily force, including pushing, pulling, carrying, holding, or supporting the patient or patient's body part.

When moving a patient from one surface to another:

• Use an assistive device whenever possible
• Know your limits
• Get assistance from another worker whenever possible

• position the large part of the small front caster wheels facing forward and lock the brakes.
• Make sure the patient's legs are comfortably positioned on the footrests or the floor.

his strongest side.

Set chair parallel with bed.

slightly in back of the weaker foot. 

(pg. 277)

snug, so that it does not slide up, but not tight.

Check the fit of the belt by placing three fingers under it.

• crutches
• canes
• walkers

• Abdominal, back, or rib injuries, fractures, or recent surgery
• Abdominal pacemakers
• Advanced heart or lung disease
• Abdominal aneurysms
• Pregnancy
• Colostomy
• Gastrostomy tube or feeding tube

If balance is unsteady during ambulation, grasp the belt in the _______ with an  ________.

If balance is unsteady, place your other hand on the patient's _______

wheelchair  fits correctly, there will be :

• 4 inches between the top of the back upholstery and the pts's axillae (armpits)
• armrest that support the arms withot pushing the shouders up or forcing them to hang
• two to three inches clearance between the front edge of the seat and the back of the pts's knee
• Enought space between the patients's hip and the chair to slide your hand between the pts's hip on each side and the side of the wheelchair; avoid internal or external rotation of hip
• Two inches between the bottom of  the footrests and the floor
• 90º angles between the feet and the legs, wether on the footrest or on the door.

90-90-90 position, with the feet properly supported dan the knees lower than the hips.

Use pillows, props, adaptive devices, or restraint alternatives to ensure that the patient maintains an upright position.

position the chair along side the object with casters in forward position, lock the chair, and reach only as far as the arm will extend.

But instruct the patient to :

• avoid shifting weight in the direction of the reach
• not move forward in the seat
• not reach doen between the knees

tilt the wheechair back 30º and ease down the ramp in a forward direction.

When a nurse aide must push a resident down a ramp, the wheelchair should be tilted backward by pushing the foot down on the tipping levers until the chair reaches the balance position, which is a tilt of approximately of 30º. The nurse aide should then ease the wheelchair down the ramp in a forward direction while maintaining the chair in its balanced position.

15 minutes.

Be sure the wheelchair is locke, with the caster wheels in the forward position, before beginning any activities involving patient movement in the chair.

supportive devices

• pillow, folded sheets
• Splints, such as orthotic devices
• special boot or shoes that are worn in bed to keep the feet in alignment
• Bed cradles
• Footboards to maintain foot alignment

Enablers

Postural support devices used as enablers that maintain body position and alignment