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E & D 4 transfers

QuestionAnswer
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.
Created by: micah10