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CHAPTER 6
PRINCIPLES OF LIFTING MOVING POSITIONING OF PATIENTS
| Question | Answer |
|---|---|
| BODY MECHANICS | THE USE OF THE BODY TO FACILITATE LIFTING AND MOVING TO MINIMIZE INJURY |
| POWER LIFT | A TECHNIQUE USED TO LIFT A PATIENT WHO IS ON A STRETCHER OR COT |
| WHEN LIFTING AN OBJECT WITH ONE HAND: | AVOID LEANING TO EITHER SIDE, BEND YOUR KNEES TO GRASP THE OBJECT AND KEEP YOUR BACK STRAIGHT |
| MINIMIZE TWISTING DURING LIFT | ATTENPTS TO TURN OR TWIST WHILE YOUR ARE LIFTING CAN RESULT IN SERIOUS INJURY |
| KEEP THE WEIGHT AS CLOSE TO YOUR BODY AS POSSIBLE: | THE FARTHER THE WEIGHT IS FROM YOUR BODY, THE GREATER YOUR CHANCE OF INJURY |
| WHEN CARRY A PATIENT ON STAIRWAY: | USE A CHAIR OR COMMERCIAL STAIR CHAIR INSTEAD OF A WHEELED STRETCHER WHENEVER POSSIBLE |
| WHEN TO MOVE A PATIENT: | SOMETIMES THE BEST DECISION IS NOT TO MOVE THE PATIENT. IF THE PATIENT IS TOO HEAVY IN AN AWKWARD POSITION OR YOU SIMPLY DO NOT HAVE ENOUGH PEOPLE TO HELP, CONSIDER A NEW PLAN OR CAL FOR ADDITIONAL HELP. |
| EMERGENT MOVE | A PATIENT MOVE THAT IS CARRIED OUT QUICKLY WHEN THE SCENE IS HAZARDOUS CARE OF THE PAATIENT REQUIRES IMMEDIATE REPOSITIONING OR YOU MUST REACH ANOTHER PATIENT WHO NEEDS LIFESAVING CARE ALSO CALLED AN EMERGENCY MOVE |
| CLOTHING DRAG | AN EMERGENT MOVE IN WHICH A RESCUER GRABS THE PATIENTS CLOTHING NEAR THE SHOULDERS AND PULLS HIM OR HER TO SAFETY |
| BLANKET DRAG | A METHOD USED TO MOVE A PATIENT BY PLACING HIM ON A BLANKET OR SHEET AND PULLING IT ACROSS THE FLOOR OR GROUND |
| STANDARD MOVE | THE PREFERRED CHOICE WHEN THE SITUATION IS NOT URGENT THE PATIENT IS STABLE AND YOU HAVE ADEQUATE TIME AND PERSONNEL FOR A MOVE |
| RULES WHEN PREPARING TO USE A STANDARD MOVE | COMPLETE A PRIMARY ASSESSMENT.HAVE A GOOD REASON TO MOVE THE PT. HAVE THE APPROPRIATE # OFRESCUERS FOR THE TYPE OF MOVE.AVOID COMPROMISING A POSSIBLE NECK/SPINAL INJURY,PAIN WEAKNESS,NUMBNESS.SPLINTING A SUSPECTED FRACTURES. |
| STANDARD MOVE MAY BE APPROPRIATE | THE PT IS UNCOMFORTABLE. INDICATED CARE REQUIRES MOVING THE PT. GETTING CLOSER TO A SOURCE OF WATER/CASES OF SERIOUS CHEMICAL BURNS.THE PT INSISTS ON BEING MOVED. |
| DIRECT GROUND LIFT | A STANDARD LIFT IN WHICH THREE RESCUERS MOVE A PATIENT FROM THE GROUND TO A BED OR STRETCHER |
| EXTREMITY LIFT | A MOVE PERFORMED BY TWO RESCUERS ONE LIFTING THE PATIENTS ARMS AND ONE LIFTING THE PATIENTS LEGS |
| DIRECT CARRY | A CARRY PERFORMED TO MOVE A PATIENT WITH NO SUSPECTED SPINAL INJURY FROM A BED OR FROM A BED LEVEL POSITION TO A STRETCHER |
| DRAW SHEET METHOD | A METHOD FOR MOVING A PATIENT FROM A BED TO A STRETCHER |
| SINGLE OPERATOR STRETCHER | SINGLE OPERATOR TO LOAD THE STRETCHER INTO THE AMBULANCE WITHOUT THE ASSISTANCE OF A SECOND INDIVIDUAL |
| DUAL OPERATOR STRETCHER | THIS REQUIRES A SECOND INDIVIDUAL TO LIFT THE UNDERCARRIAGE PRIOR TO PUSHING IT INTO THE AMBULANCE |
| ELECTRIC/PNEUMATIC LIFT STRETCHER | STRETCHER IS EQUIPPED WITH AND ELECTRIC OR PNEUMATIC MECHANISM THAT WILL LIFT AND LOWER IT AT THE TOUCH OF A BUTTON. |
| BARIATRIC STRETCHER | STRETCHER IS DESIGNED TO ACCOMMODATE OVERSIZED PATIENTS UP TO A MAXIMUM OF 1600 POUNDS. |
| PORTABLE STRETCHER | FOLDING STRETCHER OR FLAT STRETCHER |
| FLEXI BLE STRETCHER | THIS STRETCHER IS MADE OF RUBBERIZED CANVAS OR OTHER FLEXIBLE MATERIAL SUCH AS HEAVY PLASTIC OFTEN WITH WOODEN SLATS SEWN INTO POCKET |
| STAIR CHAIR | THE STAIR CHAIR HELPS RESCUERS MOVE SEATED MEDICAL PATIENTS DOWN STAIRWAYS AND THROUGH TIGHT PLACES WHERE A TRADITIONAL STRETCHER WILL NOT FIT |
| BASKET STRETCHER | THIS DEVICE IS SOMETIMES REFERRED TO AS A (STROKE BASKET). IT IS MOST COMMONLY USED FOR WILDERNESS OR CLIFF RESCUE SITUATIONS. |
| SCOOP STRETCHER | THIS DEVICE IS TYPICALLY MADE OF HARD PLASTIC OR ALUMINUM. IT IS CALLED A SCOOP STRETCHER BECAUSE IT SPLIT VERITCALLY INTO TWO PIECES WHIC CAN BE USED TO SCOOP THE PATIENT UP |
| LONG SPINE BOARD | AKA BACKBOARD - FOR PATIENTS WHO ARE SUPSECTED HAVING A SIGNIFICANT SPINAL INJURY |
| LONG SPINE BOARD AKA BACKBOARD USE | BLUNT TRAUMA AND ALTER LEVE OF CONSCIOUNESS. SPINAL PAIN OR TENDERNESS.NEUROLOGIC COMPLAINT(NUMBNESS/MOTOR WEAKNESS) ANATOMIC DEFORMITY OF THE SPINE.HIGH ENERGY MECHANISM OF INJURY. |
| VEST TYPE EXTRICATION DEVICE | THE EXTRICATION VEST IS USED TO HELP IMMOBILIZE AND REMOVE PATIENTS FOUNDIN A SEATED POSITIONIN A VEHICLE, STABLIZES SPINE,HEAD, NECK HAS FLAPS TO AID IN LIFTING |
| FULL BODY IMMOBILIZATION DEVICE | THE MOST COMMON TYPE IS THE FULL BODY VACUUM SPLINT. CONSISTS OF A LARGE AIRTIGHT BAG FILLED WITH TINY BEADS, IT MOLDED TO FIT THE SHAPE AND CONTOURS OF THE PT BODY, AIR IS VACUUMED OUT AND THE RESULTS IS A CAST LIKE SPLINT THAT IMMOBILKIZES THE PATIENT |
| PEDI BOARD | SPECIAL SPIANL IMMOBILIZATION BOARDS ARE MADE TO FIT INFANTS AND CHILDREN. THE BACK OF A CHILDS HEAD IS LARGER PROPORTIONALTELY THAN AN ADULTS SO BORADWSHAVE A DEPRESSION IN THE HEAD END TO FIT |
| RECOVERY POSITION | THE POSITION IN WHICH A PATIENT WITH NO SUSPECTED SPINAL INJURIES MAY BE PLACED USUALLY ON HIS OR HER LEFT SIDE ALSO CALL THE LATERAL RECUMBENT POSITION |
| FOWLERS POSITION | A POSITION IN WHICH A PATIENT IS PLACED FULLY UPRIGHT IN A SEATED POSITION CREATING A 90 DEGREE ANGLE |
| SEMI FOWLER POSITION | SEMI SEATED POSITION IN WHICH THE PATIENT RECLINES LAT A 45 DEGREE ANGLE |
| SHOCK POSITION | ELEVATION OF THE FEET OF A SUPINE PATIENT 6 TO 12 INCHES RECOMMENDED FOR SHOCK THAT IS NOT CAUSED BY INJURY |
| LOG ROLL | A METHOD USED TO MOVE A PATIENT FROM THE PRONE POSITION TO THE SUPINE POSITION |
| RESTRAINT | THE PROCESS OF SECURING A COMBATIVE PATIENTS BODY AND/OR EXTREMITIES TO PREVENT INJURY TO HIM OR HERSELF OR OTHERS. |
| POSITIONAL ASPHYXIA | REFERS TO DEATH RESULTING FROM THE SECURING OF AN INDIVIDUAL IN THE PRONE POSITION LIMITING HIS OR HER ABILITY TO BREAATHE ADEQUALTELY -AKA: RESTRAINT ASPHYXIA |
| PROPER BODY MECHANICS ARE BEST DEFINED AS | PROPERLY USING YOUR BODY TO FACILIATE A LIFT OR MOVE |
| WHICH OF THE FOLLOWING CONDITIONS WOULD LEAST LIKELY REQUIRE AN EMERGENT MOVE | MILD SHORTNESS OF BREATH |
| WHEN LIFTING A PATIENT YOUR FEET SHOULD BE PLACED | SHOULDER WIDTH APART |
| GOOD BODY MECHANICS MEANS KEEPING YOUR BACK ______ AND BENDING AT THE KNEES WHEN LIFTING A PATIENT OR LARGE OBJECT | STRAIGHT |
| THE LOAD ON YOUR BACK IS MINIMIZED IF YOU CAN KEEP THE WEIGHT YOU ARE CARRYING | AS CLOSE TO YOUR BODY AS POSSIBLE |
| WHAT TYPE OF MOVE IS USED WHEN THERE IS NO IMMEDIATE THREAT TO THE PATIENT LIFE | STANDARD |
| WHEN RESTRAINING A PATIENT IT IS IMPORTANT TO REMEMBER THAT | THE PATIENT SHOULD BE KEPT SUPINE AT ALL TIMES |
| WHICH ONE OF THE FOLLOWING PATIENTS WOULD BEST BE SERVED BY BEING PLACED IN THE RECOVERY POSITION | A CHILD WHO IS UNRESPONIVE FOLLOWING A SEIZURE |
| BEFORE RESTRAINING A COMBATIVE PATIENT THE EMERGENCY MEDICAL RESPONDER SHOULD OBTAIN_______ASSISTANCE | LAW ENFORCEMENT |
| WHICH ONE OF THE FOLLOWING DEVICES IS BEST SUITED TO CARRY A RESPONSIVE PATIENT WITH NO SUSPECTED SPINAL INJURY DOWN A FLIGHT OF STAIRS | STAIR CHAIR |
| FOLLOWING THESE RULES WHEN PREPARING TO USE A STANDARD MOVE: | COMPLETE A PRIMARY ASSESSMENT. BE SURE THAT YOU HAVE A GOOD REASON TO MOVE THE PT.CHOOSE AN APPROPRIATE # OF RESCUERS FOR SPECIFIC MOVE.TAKE CARE TO AVOID COMPROMISING A POSSIBLE NECK OR SPINAL INJURY,PAIN NUMBNESS.SPLINTING FRACTURES. |
| THE FOLLOWING ARE SITUATIONS IN WHICH A STANDARD MOVE MAY BE APPROPRIATE | THE PT. IS UNCOMFORTABLE.INDICATED CARE REQUIRES MOVING THE PT.GETTING CLOSER TO A SOURCE OF WATER/SERIOUS CHEMICAL BURNS.THE PT. INSISTS ON BEING MOVED. |
| DIRECT GROUND LIFT | A STANDARD LIFT IN WHICH THREE RESCUERS MOVE A PATIENT FROM THE GROUND TO A BED OR STRETCHER |
| EXTREMITY LIFT | A MOVE PERFORMED BY TWO RESCUERS ONE LIFTING THE PATIENTS ARMS AND ONE LIFTING THE PATIENTS LEGS |
| DIRECT CARRY | A CARRY PERFORMED TO MOVE A PATIENT WITH NO SUSPECTED SPINAL INJURY FROM A BED OR FROM A BED LEVEL POSITION TO A STRETCHER |
| DRAW SHEET METHOD | A METHOD FOR MOVING A PATIENT FROM A BED TO A STRETCHER |
Created by:
mmfleischer