Rad 104 hospital practice and care of patients 7 safe patient movement and handling 2016

1. Hospital Practice
&
Care of Patient
RAD 104
Safe patient movement and
handling techniques

2. Objectives
Define the terms related with body
mechanics
Describe Orthostatic Hypotension
Describe the basic principals of proper
lifting and transfer of patients
Explain four types of wheelchair transfers
Describe a cart to table transfer procedure
Identify five standard patient position

3. Terminology
• MSDS
• OSHA
• Orthostatic hypotension
• Stability
• Pivot
• Mobility
• Syncope
• Bradycardia

4. Why ?
• 2% of employees have work related back
problem

5. Body mechanics
Base of support
refers to the area
beneath a person
that includes every
point of contact that
the object or person
makes with the
supporting surface.

6. Body mechanics
Center of gravity
is a hypothetical point
around which the force
of gravity appears to
act. It is point at which
the combined mass of
the body appears to be
concentrated

7. Body mechanics
Line of Gravity
an imaginary line
that extends from
the center of
gravity to the base
of support.

8. Principles of Body Mechanics:
• have a stable base of support (e.g. widening the
distance between the feet),
• have a stable center of gravity (e.g. keeping the
cumulative weight or load near to the center of
the base of support), &
• Have a stable line of gravity (e.g. center of
gravity passes a perpendicular line to the center
of the base of support.
To avoid back injury

9. Mobility and stability muscles

10. • Caused by venous pooling in the legs and abdomen,
loss of skeletal muscle pump, and impaired nervous
system control of BP
• May occur with position changes and can result in
syncope, bradycardia, or asystole.
Orthostatic Hypotension

11. Orthostatic Hypotension

12. Wheelchair Transfer

13. Standby assisted Transfer
• https://www.youtube.com/watch?v=tjgJXCyFX5s

15. Two Person Left
Top-Bottom

16. Side to Side
Two Person Left

17. Cart (stretcher / bed) to Table
Transfer

19. Principals for Safe Transfers

20. Important Tips
• Provide privacy to the patient by closing the door of the x-ray
room.
• Explain to the patient the procedure and his/her role in the
transfer to assure him/her and to make the cooperation easier and
more certain
• Never forget to lock the wheels of the wheelchair or the cart/
stretcher/ bed
• Synchronize your efforts ( on 3 ,,, 1 - 2 -3 GO)
• Determine which one is the stronger radiographer
• Follow the Body Mechanics Principals
• Do the same steps to transfer the patient from the x-ray table to
the stretcher.
• Allow the patient to help as much as possible.
• Never forget to support the head and neck , especial in ER
• Take care of loose arms and legs from getting caught midway

21. Patient Transfer
• Fully Mobile Patients

22. Patient Transfer

23. Patient Transfer

24. Stretcher transfers:

25. Using Sliding Device

26. Alternatives

27. Patients’
Positions

28. Pressure points

29. Patient Safety and Comfort:
Safety:
• NO obstacles
• clear fire exit signs.
• Avoid Electrical , Chemical or Infectious hazards.
comfort :
• 1. waiting area.
• 2. ventilation.
• 3. adequate explanation of delays.
• 4. Keep the waiting area neat/ clean, tidy and fresh
and provide comfortable chairs.
• 5. distract the children, patients, relatives

30. Patient Safety and Comfort:
Safety:
• NO obstacles
• clear fire exit signs.
• Avoid Electrical , Chemical or Infectious hazards.
comfort :
• 1. waiting area.
• 2. ventilation.
• 3. adequate explanation of delays.
• 4. Keep the waiting area neat/ clean, tidy and fresh
and provide comfortable chairs.
• 5. distract the children, patients, relatives