When preparing to move a patient up in the bed what action should you do first?

Inhaltsverzeichnis Show

Moving Patients from Bed to Stretcher (Gurney)
Step 1. Prepare to move
Step 2. Pull to edge of bed
Step 3. Position stretcher
Step 4. Slide onto stretcher
Nursing Concepts
What are the steps in moving a patient up in bed?
What is the first step when preparing to handle or move a patient?
When preparing to move a patient up in bed which posture will both caregivers use to ensure their own safety?

Moving Patients from Bed to Stretcher (Gurney)

The leader should have one foot forward with knees bent.

Patient safety is often the main concern when moving patients from bed. But remember not to lift at the expense of your own back. And, never move a patient by yourself. Two people usually can do this move safely. The leader, who pulls, should be the stronger of the 2. The helper holds the draw-sheet, neither pushing nor lifting. An additional assistant could hold the patient's head and neck during the transfer. Use additional assistants or a mechanical transfer device if the patient is over 200 pounds (90.7 kg).

Remember: If you move a patient’s legs first, you can decrease the stress on your back by as much as a third.

Step 1. Prepare to move

Put the head of the bed down and adjust the bed height. Be sure the wheels of the bed are locked.
Put a garbage bag or plastic slide board between the sheet and draw-sheet, beneath one edge of the patient’s torso.
Move the patient’s legs closer to the edge of the bed.
Instruct the patient to cross his or her arms across his or her chest, and explain the move to the patient.

Step 2. Pull to edge of bed

Grasp the draw-sheet on both sides of the bed.
On the count of 3, lean back and shift your weight, sliding the patient to the edge of the bed. The helper holds the sheet, keeping it from slipping.

Step 3. Position stretcher

Have the helper “cradle” the patient in the draw-sheet while you retrieve a stretcher.
Adjust the bed to be slightly higher than the stretcher. Then, position the stretcher, locking it in place.
Move the patient’s legs onto the stretcher.

Step 4. Slide onto stretcher

Have the helper kneel on the bed, holding on to the draw-sheet.
On the count of 3, grasp the draw-sheet and slide the patient onto the stretcher. You may need to repeat this step.

StayWell last reviewed this educational content on 3/1/2018

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Nursing Concepts

Question	Answer
The nurse is helping a patient with hemiparesis take a few steps. A gait belt has been applied. The patient is using a cane. Where should the nurse stand in relation to the patient?	On the patient's weak side
The nurse is preparing to initiate ambulation with a patient who is recovering from a stroke. What information will help the nurse determine how far to walk?	Ask the patient how far she would like to go.
The nurse has applied a gait belt to a postoperative patient to facilitate ambulation. Within a few feet of the bed, the patient begins to complain of dizziness and leans heavily on the nurse. What would be the nurse's initial response?	Slowly lower the patient to the floor.
The nurse is preparing to delegate the ambulation of a patient with the use of a gait belt to nursing assistive personnel (NAP). Which statement made by NAP requires the nurse to follow up?	I will use the under-axillae technique to help him up to a standing position.
The nurse is ambulating a patient with a gait belt when he says he feels sick to his stomach. What would the nurse do?	Return the patient to the bed or chair (whichever is closer).
When preparing to apply elastic stockings, why does the nurse assess for skin discoloration?	To identify the potential risk for deep vein thrombosis (DVT)
Which condition is not associated with venous stasis, part of Virchow's triad?	Anxiety
Why does the nurse remove the patient's elastic stockings at least once per shift?	To check the skin for irritation or breakdown.
Why might the nurse choose not to apply a pair of prescribed elastic stockings to a patient's legs?	The patient's skin is irritated.
The nurse discovers that the NAP has been using moisturizer on the patient's legs before applying the stockings. What is the best action by the nurse?	Instruct NAP to use a small amount of cornstarch or powder.
Which of the following techniques is used to assess muscle strength in a patient?	Apply an opposing force or resistance.
What is an increased thoracic curvature, common in older adults, called?	Kyphosis
Neck flexion and extension should be:	45 Degrees
Which of the following findings in a musculoskeletal assessment would be considered abnormal?	Nodules and Bogginess
What does a goniometer measure?	Angles of extension and flexion
When preparing to safely transfer a patient from a bed to a wheelchair using a transfer belt, the nurse would do what first?	Assess the patient's physiological capacity to transfer.
Which instruction would the nurse give a patient who is able to assist with transfer from a bed to a wheelchair using a transfer belt?	Please push down onto the mattress with both hands and stand when I count to three.
A patient lying supine in bed is being transferred to a wheelchair using a transfer belt. Which action would the nurse perform just before moving the patient to the side of the bed?	Raise the head of the bed 30 degrees.
The nurse is preparing to transfer a patient with left-sided weakness from the bed to a wheelchair using a transfer belt. Which position would the nurse instruct the patient to assume?	Place your stronger leg forward and your weaker leg toward the back.
A patient has been transferred to a wheelchair with a transfer belt. What is one action the nurse would take to position the patient safely in the chair?	Lower the foot rests, and place the patient's feet on them.
When preparing to move a patient in bed, what will the nurse do first?	Assess the patient's ability to help with moving.
In which position will the nurse place the patient to move him or her up in bed?	Supine with the head of the bed flat
A patient will be moved up in bed with the use of a friction-reducing device. How will the nurse place this device under the patient?	Roll the patient from side to side, and place the device under the draw sheet.
When preparing for safe patient transfer using a hydraulic lift, the nurse performs which action first?	Assesses the patient for weakness, dizziness, or postural hypotension
Which position is used when applying the sling to transfer a patient from the bed to a chair with a hydraulic lift?	Supine
Which action would decrease a patient's pain before a transfer with a hydraulic lift?	Administer a prescribed analgesic 30 to 60 minutes before the transfer.
What does the nurse do after attaching the hooks to the holes in the sling on a hydraulic lift?	Elevate the head of the bed.
When using a hydraulic lift to transfer a patient from the bed to a chair, when does the nurse turn off the check valve?	As soon as the patient has been placed in the chair
Which patient is most at risk of developing permanently impaired mobility?	A 72-year-old woman hospitalized for anemia associated with diabetic nephropathy (kidney disease)
The nurse is performing passive shoulder and elbow exercises for a patient. Why does the nurse cup one hand around the patient's elbow and support the forearm and wrist during the ROM exercises?	To ensure stability while exercising the joint
The nurse notes that a patient's left elbow is resistant to extension and flexion while performing range of motion exercises. What is the appropriate nursing action?	Perform range of motion to the left elbow until resistance is met.
Which of the following are basic guidelines when assisting a patient with passive range of motion?	Each joint is exercised to the point of resistance but not pain.
Why would the nurse ask a physical therapist to perform passive ROM exercises for a patient with lower extremity injuries sustained in a motor vehicle crash?	The patient has orthopedic trauma.

What are the steps in moving a patient up in bed?

Pulling up.

Grab the slide sheet or draw sheet at the patient's upper back and hips on the side of the bed closest to you..

Put one foot forward as you prepare to move the patient. ... .

On the count of three, move the patient by shifting your weight to your front leg and pulling the sheet toward the head of the bed..

What is the first step when preparing to handle or move a patient?

When preparing to move or position a patient, the nurse should first:.

Assemble adequate help to facilitate the change..

Assess the patient's ability to assist with the change..

Determine the effect of the patient's weight on the change..

Decide upon the most effective method to facilitate the change..

When preparing to move a patient up in bed which posture will both caregivers use to ensure their own safety?

CORRECT. Flexing the hips and knees is the safest posture for both caregivers to assume when moving a patient in bed. A patient who weighs 200 lbs. needs to be moved up in bed with the aid of a friction-reducing device.

When preparing to move a patient up in the bed what action should you do first?

Moving Patients from Bed to Stretcher (Gurney)

Step 1. Prepare to move

Step 2. Pull to edge of bed

Step 3. Position stretcher

Step 4. Slide onto stretcher

Nursing Concepts

What are the steps in moving a patient up in bed?

What is the first step when preparing to handle or move a patient?

When preparing to move a patient up in bed which posture will both caregivers use to ensure their own safety?

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