3.01 Positioning the Patient is a Diagnostic Service

Positioning the Patient Observe safety factors to prevent falls and injury Assist the patient on to the exam table Provide for comfort Protect the patient’s privacy During the procedure: reassure the patient observe for signs of distress After use, tables are cleaned with a disinfectant 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Sitting Patient sitting on exam table 3.01 Understand Diagnostic and Therapeutic Services

Horizontal Recumbent (Supine) Positioning the Patient Horizontal Recumbent (Supine) Patient lying on back, legs extended, arms to sides Sometimes with the hands behind the head or neck 3.01 Understand Diagnostic and Therapeutic Services

Horizontal Recumbent (Supine) Positioning the Patient Horizontal Recumbent (Supine) Used for examinations and treatments of the front part of the body; i.e. abdomen, breasts 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Prone Patient lying face side down 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Prone Used for examinations and treatments of the back part of the body; i.e. spine 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Left Lateral (Left side) Sim’s Patient lying on left side, left arm to back, right arm to front, right knee bent to chest 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Left Lateral (Left side) Sim’s Used for examinations and treatments of the rectal area ; i.e. rectal exam, rectal temperature, hemorrhoids, right hip exam 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Fowler’s Patient lying on back with head of bed elevated 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Fowler’s Variations Patient lying on back with head of bed elevated Low-Fowler’s =elevate HOB 30° Semi-Fowler’s =elevate HOB 45° High-Fowler’s =elevate HOB 90° 3.01 Understand Diagnostic and Therapeutic Services

Fowler’s-High Fowler’s Positioning the Patient Fowler’s-High Fowler’s Used to facilitate breathing, promote drainage and for examinations of the neck ;i.e. wheezing, SOB, chest pain, bleeding from mouth

Positioning the Patient Lithotomy Patient lying on back, knees bent, feet flat on bed approximately two feet apart or in stirrups 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Lithotomy Used for vaginal examinations, Pap tests, urinary exams and procedures, pelvic surgery, and child birth 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Trendelenburg Patient lying on back, head of bed lowered 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Trendelenburg Used to promote blood flow to the head and brain, such as shock ; i.e. low BP 50/30 3.01 Understand Diagnostic and Therapeutic Services

Positioning the Patient Observe safety factors to prevent falls and injury Assist the patient on to the exam table Provide for comfort Protect the patient’s privacy During the procedure: reassure the patient observe for signs of distress After use, tables are cleaned with a disinfectant 3.01 Understand Diagnostic and Therapeutic Services

3.01 Positioning the Patient is a Diagnostic Service

Positioning the Patient Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing

3.01 Patient Movement is a Therapeutic Service

Patient Movement Ambulation=Walking Choose an ambulation aid based on patient age type of injury patient’s condition patient’s weight bearing status A gait belt should be used by the health care provider to provide safety and support for the patient 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Cane Used to help with: balance weakness, injury or pain on one side Place the cane on the unaffected side Correct fitting: Handle of cane is level with the head of the femur Patient’s elbow is flexed 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Crutches Axillary Used by placing the pads under the armpits and holding on to the grip Grips are below and parallel to the armpit pads Forearm Used by slipping the arm into the cuff and holding on to the grip Platform Forearm is placed on an armrest with secure strap Used by person with poor hand grip Axillary Forearm Platform 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Crutches Correct Fitting Patient and crutch tips form a tripod: Crutch tips are 4-6” in front and to side of patient’s foot 2” between axilla and crutch Elbows flexed 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Crutch Gait Gait is the pattern of movement. Four Point Gait: Slow, both legs can bear some weight Two Point Gait: Faster, more natural, both legs can bear some weight 4 point gait pattern 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Crutch Gait Three Point Gait: One leg is non-weight bearing 3 point gait pattern 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Crutch Gait Swing –Through: One leg is non-weight bearing; 2 point pattern. Most rapid gait pattern Swing – To: One leg is non weight bearing; 2 point pattern. 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Walker Ambulation aide that provides support Patient must be strong enough to hold themselves upright 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Walker Styles: standard folding rolling platform 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Aids Walker Correct Fitting Handles level with top of femur Elbow flexed to 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Ambulation Walker Gait Step-to/3 point gait pattern for weight bearing on both legs Swing-to/2 point gait pattern for non-weight bearing 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement is a Therapeutic Service

Patient Movement Ambulation Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing

Patient Movement Transferring a Patient Transfer to a Chair/Wheelchair Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Transferring a Patient Transfer to a Chair/Wheelchair Identify patient & explain procedure Place w/c at side of bed, fold up foot pedals Lock wheels on chair & bed Put on patient shoes Assist patient to dangle, stand, pivot, & sit down Provide for comfort with feet on pedals & call bell in reach 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Transferring a Patient Transfer to a Stretcher 3.01 Understand Diagnostic and Therapeutic Services

Patient Movement Transferring a Patient Transfer to a Stretcher Identify patient & explain procedure Place stretcher parallel to bed Lock wheels on bed & stretcher Hold stretcher against bed with weight of body Assist patient to transfer Provide for comfort 3.01 Understand Diagnostic and Therapeutic Services