Patient Care Skills - Transfers

What sources would you use to assess the patients status?

Nurses, caregivers, other healthcare providers that interact w patient

When you work with a patient you should assess their _____ & _______ status:

Physical & mental

Before performing a

...

PWB

partial weight bearing (50%or 60 lbs.)

TDWB or TTWB

Touch Down Weight Bearing or Toe Touch Weight Bearing- indicated only that the toe can be placed on the ground to provide some balance while standing- 90% of the weight is still on the non-affected LE. The client is asked to imagine an egg is under his or

NWB

non-weight-bearing (absolutely no weight on leg)

WBTT or WBAT

Weight bearing to tolerance/Weight bearing at tolerance
Put as much weight through lower extremity as tolerated

Transfer

moving a patient from one surface to another

Dependent Transfer

List

FWB

Full Weight Bearing (100%)

Transfer in which patient helps.

Patient Assist Transfer

What terminology should be used with a patient?

-strong & weak sides
-sore side

What terminology should NOT be used with patient?

Bad side/leg or Affected leg

Procedure before a transfer:

-Assess/create space
-Select transfer technique
-Prepare the surfaces (wheelchair locked, bed rails down, bed wheels locked, flatten & lower bed etc)
-Prepare Patient (clothing, shoes or non-skid socks, NO BAREFEET)
-Watch for safety

What are some precautions for using a gait belt?

-Spinal instability
-Colostomy bag
-Abdominal incisions

Documentation for Trsf Trng:

ADD LATER

Documentation for 2 man/ 3 man lift:

ADD LAtER

Documentation for New Skill in Trsf Trng:

ADD LATER

Building tolerance to upright posture (Sitting):

On EOB
Up in chair

Building tolerance to Upright Posture (Standing):

-Quality (do they have good posture)
-Quantity (time how long)
-Helps gt & trsfr trng & ADLS
-Std @ bedside
-Equipment

What equipment might be used to get a pt to standing?

-Tilt Table
-Standing frame
-Prone stander (usually done with pediatrics)

Transitional movement:

movement from one position to another

Main components of moving from sit to stand:

-Scoot forward towards edge of chair
-Head looking forward
-Knees over toes