SAN SEBASTIAN COLLEGE RECOLETOS-DE CAVITE

COLLEGE OF NURSING
R.L.E FINALS REVIEWER
alfaro, justine a bsn1b

● TREATMENT CHART
● ADMISSION CHART
CHARTING
● ADMISSION SHEET
● INITIAL NURSING ASSESSMENT
● GRAPHIC RECORD
THE NURSING PROFESSION INVOLVES LEGALITIES WHEN IT
COMES TO CARING FOR CLIENTS IN ALL GROUPS. THESE LEGAL
ISSUES CAN ONLY STRAIGHTEN WHEN THERE IS ACCURATE PROBLEM ORIENTED RECORD
DOCUMENTATION.
● THIS WAS INTRODUCED BY LAWRENCE WEED IN THE
THE COMMON TERM USED IN THE FIELD OF NURSING WHEN IT 1960s IN ORDER TO GIVE FOCUS ON THE PROBLEMS
COMES TO DOCUMENTATION IS CHARTING. THOUGH NURSES THAT PATIENTS FACE. WITH THE PROBLEMS LISTED,
MAY FILL UP MANY FORMS IN EACH WORKING DAY, THE MOST
EACH MEDICAL PERSONNEL CAN CONTRIBUTE AND
INTEGRAL PART OF THE NURSES RESPONSIBILITY IS THE
COLLABORATE ON THE PLAN OF CARE.
CHARTING FOR NURSES.
● THE ADVANTAGE SEEN IN THIS TYPE OF CHARTING IS A
COLLABORATION AMONG MEDICAL PERSONNEL.
● THE DISADVANTAGE HERE IS THAT IT TAKES COMPLETE
PURPOSE OF CHARTING AND ON-TIME ASSESSMENT OF PROBLEM LISTS.
● THE PROBLEM ORIENTED RECORD IS COMPOSED OF
1. IT IS A PERMANENT RECORD OF THE PATIENTS INFORMATION.
THE FOLLOWING : DATABASE, PROBLEM LIST, PLAN OF
2. TRACKS THE PROGRESS OF THE PATIENTS CONDITION DURING
CARE , PROGRESS NOTES.
THE HOSPITALIZATION AS WELL AS THE STATUS UPON
DISCHARGE.
3. IT SERVES AS AN INFORMATION SHEET OF THE MEDICATIONS PROGRESS NOTES
AND PROCEDURES RENDERED TO THE PATIENTS.
SOAPIE FORMAT - THIS FORMAT IS USUALLY USED SINCE IT GIVES
4. LEGAL EVIDENCE FOR CROSS-EXAMINATION WHENEVER
A QUICK LOOK AT THE OBSERVATION OF EACH NURSE AS WELL AS
COMPLAINTS OR MALPRACTICE CLAIMS HAVE BEEN SIGHTED
THE NURSING ACTION ON EACH OBSERVATION.
OUT.
S- SUBJECTIVE DATE INCLUDES THE PATIENTS COMPLAINTS OR
5. IT SERVES AS THE EVIDENCE OF CONTINUITY OF CARE.
PERCEPTION OF PRESENT PROBLEM SITED.
6. IT SERVES AS A RESEARCH MATERIAL FOR THE RETROSPECTIVE
0- OBJECTIVE DATA INCLUDES THE NURSES OBSERVATION USING
STUDY.
HIS OR HER CLINICAL EYE.
A- ASSESSMENT INCLUDES THE INFERENCE MADE BY THE NURSE
TYPES OF CHARTING FROM THE TWO TYPES OF DATA. THIS IS THE PART WHEREIN THE
PROBLEM IS STATED. THE NURSING PROBLEM IS STATED IN A
● NARRATIVE CHARTING
FORM OF NURSING DIAGNOSES USING “NANDA”
● PROBLEM ORIENTED RECORD
P- PLAN THIS INCLUDES THE NURSING ACTIONS TO BE MADE IN
ORDER TO SOLVE THE STATED PROBLEM. THIS PART CAN BE
REVISED.
NARRATIVE CHARTING I-INTERVENTION IS THE PART WHEREIN SPECIFIC NURSING
ACTIONS ARE STATED.
● TRADITIONAL FORM OF CHARTING. IT IS A SOURCE – ORIENTED
E-EVALUATION IS THE PART WHEREIN THE NURSE EVALUATES THE
RECORD WHEREIN EACH MEDICAL PERSONNEL MAKES
REACTION OF THE PATIENT OR THE PROGRESS OF THE PROBLEM
DOCUMENTATION ON THE PATIENTS RECORD IN A SEPARATED
BEING SOLVED.
SECTION.
● THE ADVANTAGE OF USING THIS TYPE OF RECORDING IS THE
PROVISION OF AN ORGANIZED SECTIONS FOR EACH MEMBER OF
THE HEALTHCARE TEAM. FOCUS CHARTING
● THE DISADVANTAGE IN USING THIS TYPE OF RECORDING IS THAT
THIS TYPE OF CHARTING INVOLVES DATA, ACTION AND RESPONSE
THE INFORMATION IS SCATTERED THROUGHOUT THE CHART. A
CATEGORY. THIS IS A CLIENT FOCUSED CHARTING. SINCE IT’S THE
REVIEW OF HISTORY AND ACCURATE ENDORSEMENTS MUST BE
CLIENT TALKED ABOUT MOST OF THE DOCUMENTATION, THIS IS A
DONE.
FORM OF A HOLISTIC PERSPECTIVE OF THE CLIENTS NEEDS.

EXAMPLE
● DISUSE MUSCLE ATROPHY & DECREASED ENDURANCE
FDAR
OF MUSCLES.
F- NAPE PAIN ● SOFT TISSUE CHANGES, TIGHTNESS AND
D- FACIAL GRIMACING, GRADED THE NAPE PAIN AS 7 IN THE CONTRACTURES
SCALE OF 1 TO 10 WITH 10 AS SEVERE PAIN ● DISUSE OSTEOPOROSIS
A- GIVEN NORGESIC FORTE PER OREM AS NOW DOSE. ● GENERALIZED MUSCLE WEAKNESS.
R- RATED PAIN AS 2 AND ABLE TO WALK ON HER OWN.

CARDIO VASCULAR
GUIDELINES IN CHARTING FOR NURSES
● INCREASED HEART RATE
PRECISION- AS A NURSE , PRECISION IS THE KEY TO CLEAR ● DECREASED CARDIAC RESERVE
UNDERSTANDING BETWEEN COLLEAGUES AS WEEL AS THE ● ORTHOSTATIC HYPOTENSION
LEGALITIES THAT SURROUNDS THE CHARTING. BEING PRECISE ● VENOUS THROMBOEMBOLISM
MEANS BEING SPECIFIC WHEN IT COMES TO DESCRIBING THE
OBSERVATION DONE, ON THE OTHER HAND BEING ACCURATE
RESPIRATORY SYSTEM
MUST ALSO GIVE FACTUAL AND MEASURABLE UNITS. THE
ACCURACY ALSO INVOLVES THE TIME ELEMENT WHICH AN ● DECREASED VENTILATION
IMPORTANT PART OF SEQUENCING THE EVENTS. ● COLLECTION OF SECRETIONS
● ATELECTASIS
● DECREASED AEROBIC FITNESS
OBJECTIVITY
AS A NURSE, YOU ARE TRAINED TO USE TERMS THAT STATED
EXCRETORY SYSTEM
OBJECTIVE DATA AND NOT MERE OPINIONS. VIEWPOINTS OR
HUNCHES ARE NOT ACCEPTED IN CHARTING. THIS MEANS YOU ● RETENTION OF URINE
ARE TRYING TO SECLUDE YOUR EMOTIONS FROM THE ● INFECTION
OBSERVATION. IN THIS WAY, TRANSPARENCY CAN BE ACHIEVED IN ● RISK FOR KIDNEY AND BLADDER CALCULI
DOCUMENTING THE HAPPENINGS THROUGHOUT THE NURSING ● CONSTIPATION
CARE.

METABOLISM
CRUTCH WALKING
● LOSS OF APPETITE
NON AND PARTIAL WEIGHT BEARING WALKING AFTER FRACTURES ● DECREASE LEAN MASS TO BODY WEIGHT
OF LOWER LIMB ● INCREASED HANCES OF DEVELOPING DIABETES

WHY EARLY MOBILITY OF PATIENT IS TO BE ENCOURAGED?

SKIN
● TO AVOID COMPLICATIONS OF PROLONGED BED REST –
● TO PROMOTE HEALING ● PRESSURE SORES
● TO LESSEN THE NEED FOR HOSPITAL STAY
PSYCHO SOMATIC
● SLEEP DISTURBANCE
COMPLICATIONS OF PROLONGED BED REST
● ANXIETY
EFFECTS ON VARIOUS SYSTEMS ● DEPRESSION
1) MUSCULO SKELETAL ● IRRITABILITY
2) CARDIO VASCULAR ● APATHY
3) RESPIRATORY ● INCREASED DEPENDENCE ON CARE GIVER
4) SKIN
5) EXCRETORY
MEASUREMENT OF CRUTCHES
6) METABOLIC
7) PSYCHO SOMATIC CRUTCH PAD DISTANCE FROM ARMPITS: THE CRUTCH PADS (TOPS
OF CRUTCHES) SHOULD BE 1½" TO 2" (ABOUT TWO FINGER
WIDTHS) BELOW THE ARMPITS, WITH THE SHOULDERS RELAXED.
MUSCULO SKELETAL SYSTEM
• HANDGRIP: PLACE IT SO THAT THE ELBOW IS SLIGHTLY BENT –
ENOUGH SO ONE CAN FULLY EXTEND THE ELBOW WHEN TAKING
A STEP.

• CRUTCH LENGTH (TOP TO BOTTOM): THE TOTAL CRUTCH

LENGTH SHOULD EQUAL THE DISTANCE FROM THE ARMPIT TO
ABOUT 6" IN FRONT OF THE SHOE.

TYPES OF CRUTCH WALKING

● NWB - NON WEIGHT BEARING
● TDWB (OR) TTWB - TOUCH DOWN WEIGHT BEARING
(OR) TOE TOUCH WEIGHT BEARING TOUCH DOWN WEIGHT BEARING OR TOE TOUCH WEIGHT
● PWB - PARTIAL WEIGHT BEARING BEARING WALKING
● WBTT - WEIGHT BEARING TO (OR) TOLERANCE
● INSTRUCTION LIGHTLY TOUCH THE AFFECTED LIMB’S
● FWB - FULL WEIGHT BEARING
FOOT TO THE FLOOR, AND LET THE CRUTCHES BEAR
MOST OF THE WEIGHT. IMAGINE AS IF STEPPING ON A
NON WEIGHT BEARING WALKING INSTRUCTIONS RIPE TOMATO: STEP LIGHTLY, SO IT WON’T BE
SQUASHED.
● PLACE NO WEIGHT ON THE AFFECTED LIMB

• DO NOT TOUCH THE GROUND WITH THE AFFECTED LIMB WHILE

STANDING OR WALKING

• BEAR THE FULL WEIGHT THROUGH THE NORMAL LIMB AND

CRUTCHES WHILE STANDING AND WALKING.

TO START WALKING BALANCED STANDING TRIPOD POSITION

● USE THIS POSITION WHEN AT START OR END A GAIT OR
WHEN STANDING FOR ANY LENGTH OF TIME.

• MOVE CRUTCHES TO THE FRONT ABOUT 12 INCHES. FIND THE

BALANCE.

• DON'T REST THE ARMPITS ON THE CRUTCH PADS.

• BEAR WEIGHT THROUGH NORMAL LIMB AND THE HAND GRIPS

OF THE CRUTCHES

PARTIAL WEIGHT BEARING WALKING

TRIPOD POSITION
INSTRUCTIONS BEAR SOME WEIGHT ABOUT 50 PER CENT ON
AFFECTED LIMB AS ONE WALKS
FULL WEIGHT BEARING WALKING
INSTRUCTION BEAR MOST OF TH WEIGHT ON AFFECTED LIMB AS GENERAL INSTRUCTIONS AND PRECAUTIONS IN CRUTCH
TOLERATED. PLACE ONLY A LITTLE REMAINING WEIGHT ON WALKING
CRUTCHES. • Take care on slick or wet surfaces (for example, the kitchen and
bathroom).

• Be careful of throw rugs; they should be taken up.

• Never hop around holding on to furniture; it may slide or fall.

• Keep the crutches near you so they are always in reach.

• Wear low-heeled shoes that will not slip off (for example,
sneakers).

• For the first few days, a strong belt may be worn to allow
someone to assist

• Be careful of ramps or slopes, as it is a little harder to walk.

DRUG STUDY for Nurses

What is the importance of Drug Study?
● It helps determine the action, indication, side effects and
adverse effect to be observed in a specific drug given.
● It provide us a background to about the classification and
route of administration.

REMEMBER THIS!
N – ame of drug?
U – sed for?
R – esponsibility of nurses in giving medication?
ROUTE OF GIVING MEDICATION
S – ide effect?
E – ducate them about the drug ● Subcutaneous injections
● Injections into the fatty tissue just below the skin and
above the muscle tissue. Smaller needle are used in
this type of injection to ensure the medication enters
the fatty tissue and not the muscle.
● Less painful type of giving injection

Common subcutaneous injection sites include:

● Outer side or back of the upper arm
● Front and outer side of the upper thigh
● The belly area

ROUTE OF GIVING MEDICATION

● Intramuscular injections
To deliver medication into a person’s muscle
tissue. The muscles have a rich blood supply, which helps the body
absorb the medication quickly.

common Intramuscular injection sites include:

● UPPER OUTER THIGH AREA MUSCLE
● SHOULDER MUSCLE AND UPPER ARM
● THE HIP

ROUTE OF GIVING MEDICATION

● Intradermal (ID) or also known as skin test
Injections just below the surface of the skin, creating a
small bump called a bleb or wheal. The intradermal injection route
has the longest absorption

Nursing Care Plan (NCP)

● A formal process that correctly identifies existing needs
and recognizes potential needs or risks.
● Care plans provides communication among:
- Nurses
- Clients
- Other Health care provider

Types of Nursing Care Plan:

Informal nursing care plan
● Strategy of action that exists in the nurses mind and
accomplish during the shift
Formal nursing care plan
● A written guide that organizes a specific plan of care
and its main objective OUTCOMES and PLANNING
Standardized care plan S –pecific
● Focus on a group of clients with everyday needs M-easurable
Individualized care plan A-chievable or Attainable
● A care plan that focus to the specific needs of the R-ealistic
client. T-ime Bounded

IMPLEMENTATION OR INTERVENTION PHASE

Purposes of a Nursing Care Plan This steps perform the nursing interventions
● Defines nurse’s role that outline in the care plan. Intervention phase can be
● Provides direction for individualized care of the client client or diagnosis-specific, but there are several that
● Continuity of care are completed each shift for every patient:
● Documentation Pain assessment
● Serves as a guide for assigning a specific staff to a Position changes
specific client Fall prevention
● Defines client’s goal Providing cluster care
Infection control
EVALUATION PHASE
5 Step process in doing NCP ● The desired outcome has been met during
ASSESSMENT the shift.
Gather pertinent subjective and objective data of the
client
● Verbal statements from patient and family
● Vital signs
● Physical complaints
TRANSFERRING OF PATIENT
● Full body physical assessment
● Medical history (Past and present) OBJECTIVES
● Height and weight 1. METHOD OF TRANSFER AND MOBILITY TASK.
● Intake and output 2. DETERMINE THE BEST TRANSFER OR MOBILITY
3. PROCEDURE BASED ON THE LEVEL OF PATIENT
NURSING DIAGNOSIS DEPENDENCE OR INDEPENDENCE.
● Is based on Maslow’s Hierarchy of Needs pyramid and 4. DISCUSS THE IMPORTANCE OF PATIENT SAFETY
helps prioritize treatments. DURING TRANSFER AND MOBILITY TASKS.
● NANDA (North American Nursing Diagnosis 5. DISCUSS THE IMPORTANCE OF CLINICIAN SAFETY
Association) DURING TRANSFER AND MOBILITY TASKS.
6. TRANSFER A PATIENT TO AND FROM A NUMBER OF
DIFFERENT TYPES OF SURFACES.
7. PERFORM A VARIETY OF OF MOBILITY TASKS.
8. DESCRIBE THE VARIOUS WHEELCHAIR COMPONENTS
AND THEIR FUNCTIONS.
9. MEASURE A PATIENT FOR A WHEELCHAIR.
10. TRAIN A PATIENT IN HOW TO USE A WHEELCHAIR.
TRANSFER
A TRANSFER CAN BE VIEWED AS THE SAFE MOVEMENT OF A
PERSON FROM ONE PLACE OR SURFACE TO ANOTHER, AND AS AN
OPPORTUNITY TO TRAIN AN INDIVIDUAL TO ENHANCE
INDEPENDENT FUNCTION. IN BOTH CASES THE CLINICIAN MUST
CHOOSE THE MOST EFFICIENT AND SAFEST METHOD.

CONTROLLING A PATIENTS MOVEMENT , WHILE MOVING THE

PATIENT FROM ONE POSITION OR SURFACE TO ANOTHER OR
PREVENTING A PATIENT FALLING REQUIRES THAT THE CLINICIAN
BE CLOSE TO THE CENTER OF THE MOTION (COM) OF THE
PATIENT, WHICH IS TYPICALLY LOCATED BETWEEN SHOULDERS
AND THE PELVIS.

WHEN THESE POINTS OF CONTROL ARE USED, PATIENT

TRANSFERS ARE MORE EFFICIENT AND PATIENT SAFETY IS
ENHANCED. THE MOST EFFICIENT WAY TO ENHANCE THE
MOVEMENT OF THE PATIENT IS TO ENCOURAGE MOVEMENT OF
THE DISTAL COMPONENT OF THE BODY. IT IS ALSO IMPORTANT TO
HAVE THE PATIENT LOOK IN THE DIRECTION OF THE TRANSFERS
DESTINATION TO ENCOURAGE CORRECT HEAD TURNING.
PURPOSE OF TRANSFERRING THE PATIENT
PURPOSE OF TRANSFERRING THE PATIENT IT IS IMPORTANT TO NOTE THAT CERTAIN TRANSFERS INCREASE
THE RISK FOR INJURY, NECESSITATING ADDITIONAL CARE AND
ONE OF THE PURPOSES OF TRANSFER IS TI PERMIT A PATIENT TO
ATTENTION. DEPENDING ON THE FUNCTIONAL ABILITY OF THE
FUNCTION IN DIFFERENT ENVIRONMENTS AND TO INCREASE THE
PATIENT, A TRANSFER MAY BE PERFORMED INDEPENDENTLY BY
LEVEL OF INDEPENDENCE OF THE PATIENT. BECAUSE OF
THE PATIENT WITH ASSISTANCE FROM THE CLINICIAN OR
ADVANCEMENT IN RECENT YEARS, A NUMBER OF MOVING AND
DEPENDENTLY.
LIFTING DEVICES HAVE BEEN DESIGNED AND INCORPORATED
INTO THE HEALTHCARE SYSTEM. HOWEVER, BECAUSE OF THE
EXPENSE AND SOMETIMES THE INCONVENIENCE OF THESE ISSUES AND CONCERN
DEVICES, MANUAL TRANSFERS CONTINUE TO BE COMMONLY
● PERFORM PROPER HAND HYGIENE
USED. IN THSES CASES THE BEST BODY MECHANICS POSSIBLE
● CHECK THE PATIENTS CHART AND ROOM FOR ANY
SHOULD BE USED TO MAXIMIZE THE ABILITY TO ENCOMPASS A
ADDITIONAL PRECAUTIONS.
TASK WITH MINIMAL EFFORT AND MAXIMUM SAFETY.
● INTRODUCE THE TEAM TO THE PATIENT
● CONFIRM THE PATIENTS IDENTIFICATION
● ENSURE PATIENTS PRIVACY
● ASSESS ABCDs

ABCDs
A- IF AIRWAY COMPROMISE IS POSSIBLE, ELECTIVELY INTUBATE
THE PATIENT WITH AN ENDOTRACHEAL TUBE. SOME PATIENT
REQUIRE A NASOGASTRIC TUBE PLACEMENT TO PREVENT
GASTRIC CONTENTS ASPIRATION DURING TRANSFER, WHILE
OTHER PATIENTS MAY REQUIRE CERVICAL SPINE STABILIZATION.
B- CONTROL VENTILATION WITH OPTIMIZED ARTERIAL BLOOD
GAS LEVEL. ENSURE ADEQUATE OXYGENATION AT ALL TIMES.
C- CRITICALLY ILL PATIENTS TYPICALLY HAVE TWO LARGE BORE IV
A STAND AND PIVOT TECHNIQUE AND MAY INCLUDE THE USE
CANNULAS IN PLACE BEFORE TRANSFER IN EVENT OF SHOCK OR
OF TRANSFER BELT.
BLEEDING. SOMETIMES, PATIENTS WHO CANNOT BEAR WEIGHT ON THEIR
D- PATIENT WITH ALTERED MENTAL STATUS OR HEAD INJURY LEGS MAY HAVE UPPER BODY STRENGTH. IN SUCH CASES
SHOULD HAVE THEIR GCS MONITORED BEFORE,DURING AND TRANSFER MAY BE ASSISTED WITH TRANSFER BELT UNTIL THE
AFTER THE TRANSFER. PATIENT LEARNS TO MOVE INDEPENDENTLY.

ISSUES AND CONCERN

● ENSURE THAT ALL TUBES, ATTACHMENTS,MONITOR IS THE PATIENT TOO HEAVY TO TRANSFER ALONE?
ATTACHED MACHINES, PATIENT WRISTBANDS AND AVOID INJURY TO THE PATIENT AND YOURSELF. IF THE PATIENT IS
LINEN ARE PLACE PROPERLY. HEAVY, TWO PEOPLE SHOULD ASSIST IN THE TRANSFER. THIS
● OBTAIN NECESSARY EQUIPMENT. DOES NOT MEAN A PATIENT IS OVERWEIGHT. SOME SOURCES
SUGGEST THAT A LIFTING HOIST SHOULD BE USED FOR PATIENTS
OVER 154 LBS.
SPECIAL CONSIDERATION
● PROVIDERS SHOULD AVOID USING THEIR WEIGHT TO
LIFT PATIENTS. INSTEAD PATIENTS SHOULD USE THEIR THE TRANSFER BELT
STRENGTH DURING TRANSFERS WHEN POSSIBLE. A TRANSFER BELT IS PLACED AROUND THE PATIENTS WAIST AND
● PROVIDERS SHOULD STAY CLOSE TO THE PATIENTS AT SECURED SNUGLY. THE BELT CAN BE ADJUSTED TO FIT DIFFERENT
ALL TIMES DURING THE TRANSFER TO KEEP THE PATIENTS AND USUALLY FASTENS WITH VELCRO AND A BUCKLE. IF
PATIENTS WEIGHT CLOSE TO THE PROVIDERS CENTER THE TRANSFER BELT HAS LOOPS, HOLD THESE LOOPS TO SUPPORT
OF GRAVITY. THE PATIENT MORE FIRMLY DURING THE TRANSFER, IF THE BELT
● BE CAREFUL NO TO LET PATIENTS WRAP THEIR ARMS DOES NOT HAVE LOOPS HOLD ONTO THE BELT ITSELF. YOU
AROUND THE PROVIDERS HEAD. SHOULD USE A TRANSFER BELT WITH PATIENTS WHO CAN
● IF THERE IS A COMMUNICATION BARRIER, THE BEST PARTIALLY SUPPORT THEIR OWN WEIGHT BUT NEED ASSISTANCE.
RESOURCE IS DEMONSTRATING THE TRANSFER USING
ANOTHER PERSON

BED TO WHEELCHAIR TRANSFER

PATIENT ASSESSMENT
● BEFORE TRANSFERRING THE PATIENT FROM BED TO A
WHEELCHAIR IT IS IMPORTANT TO ASSESS THE
SITUATION. HOW MUCH CAN THE PATIENT HELP?
● THE ANSWER TO THIS QUESTION WILL HELP YOU
DECIDE HOW MUCH THE PATIENT CAN ASSIST AND
WHAT METHOD OR TRANSFER SHOULD BE USED
1. IS THE PATIENT COOPERATIVE?
2. CAN THE PATIENT SUPPORT HIS OR HER OWN WEIGHT?
3. IS THE PATIENT TOO HEAVY TO TRANSFER ALONE?

CAN THE PATIENT SUPPORT HIS/HER OWN WEIGHT?

IF THE PATIENT IS ABLE TO SUPPORT HIS/HER WEIGHT,

ASSISTANCE FROM AN EMPLOYEE MAY NOT BE NEEDED. THE STUDIES SHOWS THAT USING A TRANSFER BELT INCREASES
PATIENT MAY BE ABLE TO MOVE FROM THE BED TO A CHAIR PATIENTS SATISFACTION. LIFTING PATIENTS MANUALLY WITHOUT
OR WHEELCHAIR WITHOUT HELP. YOU SHOULD ONLY STAND BY A TRANSFER BELT MAY CAUSE THE PATIENT DISCOMFORT UNDER
FOR THE SAFETY AS NEEDED. THE ARMS. PATIENT ALSO PREFER THE TRANSFER BELT BECAUSE
IF PATIENTS ARE ABLE TO PARTIALLY SUPPORT THEIR OWN THEY FEEL MORE SECURE. THE BELT GIVES THE EMPLOYEE THE
WEIGHT, ASSISTANCE WILL BE NECESSARY. THIS MAY INVOLVE
ABILITY TO BETTER CONTROL THE PATIENTS MOVEMENT DURING
A TRANSFER.

DO NOT USE FOR

● PREGNANT PATIENTS
● PATIENTS WHO HAVE UNDERGONE RECENT
ABDOMINAL SURGERY
● PATIENTS WHO ARE EXPERIENCING PAIN IN THE
ABDOMEN
● PATIENTS WHO HAVE OSTOMIES
● PATIENTS WHO ARE UNABLE TO TOLERATE THE
PRESSURE BELT

SIT TO STAND PIVOT TRANSFER

BEFORE TRANSFERRING A PATIENT FROM A BED TO WHEELCHAIR:
1. EXPLAIN THE PROCESS TO THE PATIENT
2. POSITION THE CHAIR AT THE HEAD OF THE BEAD ON
THE PATIENTS STRONG SIDE AND REMOVE OBSTACLES.
3. LOCK ANY WHEELS ON THE CHAIR AND BED.
4. IF TRANSFERRING TO A WHEELCHAIR, REMOVE THE
ARM NEAREST THE BED AND REMOVE THE LEG REST
BED TO STRETCHER TRANSFER
OR SWING THEM OUT OF THE WAY.
5. ADJUST BED HEIGHT SO THAT THE PATIENTS HIPS WILL TYPES OF LATERAL SLIDING AIDS
BE SLIGHTLY ABOVE THE KNEES WITH THE FEET FLAT A LATERAL TRANSFER IS THE MOVEMENT OF A PATIENT, WHO IS IN
ON THE FLOOR. A LYING DOWN POSITION, FROM ONE FLAT SURFACE TO
6. MAKE SURE THAT THE FLOOR IS DRY AND THAT BOTH ANOTHER.
YOU AND THE PATIENT ARE WEARING NON-SLIPPERY
FOOTWEAR. 1.DRAW SHEETS
7. APPLY A TRANSFER BELT TO THE PATIENTS WAIST. 2.TRANSFER PADS
3.TRANSFER BOARDS

TRANSFER FROM BED TO CHAIR

DRAWSHEETS
1. STAND CLOSE TO THE PATIENT TO AVOID LEANING OR
OVER REACHING AND PLACE YOUR FOOT THAT IS DRAWSHEETS OR ANY SHORT SHEET CAN BE USED AS A SLIDING
CLOSER TO THE HEAD OF THE BED ON THE FLOOR AID. THERE ARE ALSO SPECIALLY DESIGNED ROLLER SHEETS. THESE
BETWEEN THE PATIENTS LEGS. ARE MADE OF SPECIAL FABRICS THAT HAVE A LOW-FRICTION
2. REACH AROUND THE PATIENTS WAIST AND GRIP THE INNER SURFACE. THE PAYERS OF FABRIC ROLL OR SLIDE OVER ONE
TRANSFER BELT. ANOTHER DURING TRANSFER.
3. ASK THE PATIENT TO PUSH AGAINST THE BED WITH
ARMS AND TO STAND WITH YOU ON THE COUNT OF 3.
TRANSFER PADS
4. USING A ROCKING MOTION, COUNT TO 3 AND THEN
STAND THE PATIENT UP. VARIOUS TYPES OF PADS AVAILABLE. THESE MAY BE QUILTED PADS
5. HOLDING THE PATIENT CLOSE TO YOUR BODY, PIVOT WITH PULL STRAPS AND A ROLLER SHEET UNDERNEATH. THE PADS
ON THE FOOT BETWEEN THE PATIENTS LEGS UNTIL THE MAY ALSO COME WITH A SLATS THAT CAN BE USED TO BRIDGE
BACKS OF THE PATIENTS LEGS TOUCH THE FRONT SMALL GAPS BETWEEN SURFACES.
CHAIR.
6. WITH YOUR KNEES BENT, LOWER THE PATIENT INTO
TRANSFER BOARDS
THE CHAIR USING THE TRANSFER BELT.
7. THROUGHOUT THE PROCESS , ENSURE THAT YOUR TRANSFER BOARDS ARE ALSO USED. THESE MAY USE VARIOUS
BACK IS PROPERLY ALIGNED WITH YOUR EARS, LOW-FRICTION OR ROLLER TECHNOLOGIES SO THAT THE PATIENT
SHOULDERS AND HIPS IN A VERTICAL LINE CAN BE PULLED ACROSS EASILY.
PERFORMING A LATERAL TRANSFER
IF THE PATIENT IS ABLE TO MOVE FROM THE BED TO STRETCHER
WITHOUT HELP, YOU SHOULD ONLY STAND BY FOR SAFETY AS
NEEDED.

IF PATIENT CAN ASSIST ONLY PARTIALLY OR NOT AT ALL, A LATERAL

TRANSFER WILL NEED TO BE DONE. TWO EMPLOYEES SHOULD
ALWAYS PARTICIPATE IN A LATERAL TRANSFER AND LATERAL
SLIDING AID SHOULD BE USED. IF THE PATIENT IS VERY HEAVY,
THREE EMPLOYEES SHOULD ASSISTS OR A MECHANICAL
TRANSFER DEVICE SHOULD BE USED. YOU SHOULD NOT USE ANY
MECHANICAL DEVICES IF YOU ARE NOT TRAINED TO USE THEM.

BED TO STRETCHER
1. EXPLAIN THE PROCESS TO THE PATIENT
2. POSITION THE STRETCHER ALONGSIDE THE BED
3. ADJUST THE HEIGHT OF THE BED AND STRETCHER SO
THAT THEY ARE LEVEL.
4. LOCK WHEELS ON BOTH THE BED AND STRETCHER
5. IF THERE IS NOT ALREADY A DRAW SHEET IN PLACE,
POSITION THE DRAWSHEET OR SHORT SHEET BENEATH
THE PATIENT IN THE SAME MANNER THAT YOU WOULD
DO SO WHEN CHANGING AN OCCUPIED BED.

1. ROLL UP THE SIDES OF THE SHEET NEXT TO THE SIDES

OF THE PATIENT
2. ONE EMPLOYEE STAND AT ONE SIDE OF THE PATIENT
3. ANOTHER EMPLOYEE STAND AT THE OTHER SIDE OF
THE STRETCHER
4. EACH EMPLOYEE HOLD THE ROLLED UP SHEET CLOSE
TO THE PATIENTS BODY
5. USE THE SHEET TO MOVE THE PATIENT ONTO THE
STRETCHER
6. BOTH HEALTHCARE WORKERS SHOULD MAINTAIN
CORRECT ALIGNMENT OF THE BACK THROUGHOUT
THE PROCESS.