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E & D 4 transfers
Question | Answer |
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The three-person carry or lift is used to transfer | a patient from a stretcher to a bed or treatment plinth. |
The three-person carry | Three therapists carry the patient in a supine position; one therapist supports the head and upper trunk, the second therapist supports the trunk, and the third supports the lower extremities. |
The three-person carry The therapist at the head is | usually the one to initiate commands. |
The three-person carry The therapists | flex their elbows that are positioned under the patient and roll the patient on their side towards them. |
The three-person carry The therapists then lift on | command and move in a line to the destination surface, lower, and position the patient properly. |
The two-person lift is used to transfer a patient | between two surfaces of different heights or when transferring a patient to the floor. |
The two-person lift Standing behind the patient, | the first therapist should place their arms underneath the patientʼs axilla. |
The two-person lift The therapist should grasp the patientʼs | left forearm with their right hand and grasp the patientʼs right forearm with their left hand. |
The two-person lift The second therapist places one arm | under the mid to distal thighs and the other arm is used to support the lower legs. |
The two-person lift The therapist at the head usually initiates | the command to lift and transfer the patient out of the chair to the destination surface. |
The dependent squat pivot transfer is used to transfer a patient | who cannot stand independently, but can bear some weight through the trunk and lower extremities. |
The dependent squat pivot transfer The therapist should position the patient | at a 45-degree angle to the destination surface. |
The dependent squat pivot transfer The patient | places their upper extremities on the therapistʼs shoulders, but should not be allowed to pull on the therapistʼs neck. |
The dependent squat pivot transfer The therapist should position the patient | at the edge of the surface, hold the patient around the hips and under the buttocks, |
The dependent squat pivot transfer and block the | patientʼs knees in order to avoid buckling while standing. |
The dependent squat pivot transfer | utilize momentum, straighten legs, and raise the patient or allow the patient to remain in a squatting position. |
The dependent squat pivot transfer The therapist should then | pivot and slowly lower the patient to the destination surface. |
The hydraulic lift | is a device required for dependent transfers when a patient is obese, there is only one therapist available to assist with the transfer or the patient is totally dependent. |
The hydraulic lift needs to be | locked in position before the transfer. |
The hydraulic lift The therapist positions a | webbed sling under the patient and attaches the S-ring to the bars on the lift. |
The hydraulic lift Once all attachments are checked, | the therapist should pump the handle on the device in order to elevate the patient. |
The hydraulic lift Once the patient is elevated, | the therapist can navigate the lift with the patient to the destination surface. |
The hydraulic lift Once transferred, | the chains should be removed, however, the webbed sling should remain in place in preparation for the return transfer. |
The sliding board transfer | is used for a patient who has some sitting balance, some upper extremity strength, and can adequately follow directions. |
The sliding board transfer The patient should be positioned | at the edge of the wheelchair or bed and should lean to one side while placing one end of the sliding board sufficiently under the proximal thigh. |
The other end of the sliding board should be positioned on the | destination surface. |
The sliding board transfer The patient should not holdboard in order to avoid pinching the fingers. | onto the end of the sliding |
The sliding board transfer The patient should place across the board. | the lead hand four to six inches away from the sliding board and use both arms to initiate a push-up and scoot |
The sliding board transfer The therapist should guard | in front of the patient and assist as needed as the patient performs a series of push-ups across the board. |
The stand pivot transfer is used when a patient is able to | stand and bear weight through one or both of the lower extremities. |
The stand pivot transfer The patient must possess | functional balance and the ability to pivot. Patients with unilateral weight bearing restrictions or hemiplegia may utilize this transfer and lead with the uninvolved side. |
The stand pivot transfer The transfer may also be used | therapeutically, leading with the involved side for a patient post CVA. |
The stand pivot transfer A patient should be positioned at | the edge of the wheelchair or bed to initiate the transfer. |
The stand pivot transfer The therapist can assist | the patient to keep their feet flat on the floor while bringing the head and trunk forward. |
The stand pivot transfer The therapist should assist the patient | as needed with their feet. |
The stand pivot transfer The therapist must guard or assist the patient | through the transfer and instruct the patient to reach back for the surface before they begin to sit down. |
The stand pivot transfer Once the stand pivot is performed, | the therapist should assist as needed to ensure control with lowering the patient to the destination surface. |
The stand step transfer is used with a patient who | has the necessary strength and balance to weight shift and step during the transfer. |
The stand step transfer | The patient requires guarding or supervision from the therapist and performs the transfer as a stand pivot transfer except the patient actually takes a step to maneuver and reposition his or her feet instead of a pivot. |