Safe Patient Handling - Nursing Reference

Safe Patient Handling - Nursing ReferencePatient Mobility Assessment Flow-ChartIs the patient- Cooperative- Able to bear weight fully- Consistent & reliable in balance- Patient mobilizes w/out assistanceYES Independentsafely- May need to define environment –ie: room unitNo AssistanceNO- Cooperative, able to bear weight- Consistent & reliable in balancebut requiring some verbal reminders- And/or some help with equipment- Needs oversight/standby for safetyYESSupervisedGait BeltNO- Patient can perform ~ 75% of activity- Able to bear some weight- Able to balance somewhat, and/or- Able to cooperate some what?- Patient highly involved in activity- Patient has considerable upperbody strength- Patient bears some weight- Patient sits up well, may need someYESMin Assist- 1-Person Assist- STEDY- Bed Features- Pt Assist- Gait Belt / Walkerto AmbulateNONO- Patient can perform ~ 50% of activity- Patient follows simple directions- Patient bears some weight- Patient has some upper bodystrength- Patient sits up with assistance- Able to bear any weight?YESMod Assist- 2-Person Assist- Sabina, Sara- Bed features- Slide sheets- Hovermatt- PT to Ambulate- Patient can perform ~25% of activityor No activity- Total lift- Dependent - In other words- Patient unable to help(Tempo, Opera,YES Max Assist- Full staff assistance requiredViking or Ceiling)- Inconsistent? Total Assist- Bed features- Heavy or obese?- Slide Sheets- Limited in movement? - Hovermatt- Unable to bear weight?- No Ambulation- Unable or unwilling to cooperate?SPH - TEAMS 10-05

Equipment Descriptions/AbbreviationsLiko Ceiling Lift (Likorall or Freespan)Arjo Tempo (Total Lift)Liko Viking M (Total Lift, Floor or Ceiling)Liko Sabina (Sit-to-Stand)Arjo Sara (Sit-to-Stand)Arjo Stedy (Pt. Assist)HovermattGait BeltSlide/Transfer SheetsCEILINGTEMPOVIKINGSABINASARASTEDYHMGBSSSpecial ConsiderationsHip Replacement:Paralysis / Paresis:(ie – CVA)Spinal Surgery:Abdominal Surgery,Open Heart Surgery,or Chest Tubes:Total Joints:Weight bearing status specified by MDTHA precautions: Don’t cross legsDon’t bend hip > 90°Don’t pivotTransfer toward strong sideRoll → sit toward weak sideNever leave alone sitting unsupportedFollow MD ordersOOB with brace as orderedFollow sitting limitations – 15 minutes / episodeConsider: location of wound or tube,stage of healingMay need additional covering/padding before use of SabinaMay need PT AssessmentNo mechanical lifts everSPH - TEAMS 10-05