Presentation Information Lifting and Moving Patients CONFIDENTIAL

Presentation Information Guidelines for Safe Lifting Consider the weight of object/ patient. The stretcher alone weighs 70-80 lbs. Communicate with partner. Know your physical limitations Identify the need for help before lifting. Have a plan. CONFIDENTIAL

Presentation Information Guidelines for Safe Lifting Use your legs to lift…NOT BACK Have feet positioned properly. Keep weight close to body. Lift without twisting. CONFIDENTIAL

Presentation Information Use legs, not back, to lift. CONFIDENTIAL

Presentation Information Keep weight close to your body. CONFIDENTIAL

Guidelines for Safe Lifting Presentation Information Guidelines for Safe Lifting Power-lift position Useful for individuals with weak knees/thighs Feet are a comfortable distance apart Back is tight and abdominal muscles lock the back in a slight inward curve Straddle the object Keep feet flat Distribute weight to balls of feet or just behind them. Stand by making sure the back is locked in and the upper body comes up before the hips. CONFIDENTIAL CONFIDENTIAL

Guidelines for Safe Lifting Presentation Information Guidelines for Safe Lifting Power-grip position To get maximum force from hands The palm and fingers come into complete contact with the object and all fingers are bent at the same angles Hands should be at least 10 inches apart CONFIDENTIAL CONFIDENTIAL

Presentation Information Power-Lift Position CONFIDENTIAL

Presentation Information Power-Grip CONFIDENTIAL

Presentation Information Safe Reaching Techniques Keep your back locked in. Avoid twisting while reaching. Avoid reaching more than 15-20 inches in front of your body. CONFIDENTIAL

Presentation Information Safe Pushing and Pulling Push, rather than pull. Keep your back locked in Keep weight close to your body. CONFIDENTIAL

Presentation Information Safe Pushing and Pulling Keep your knees bent. Avoid pushing or pulling overhead. Keep elbows bent and arms close to sides. If weight is below waist level, push or pull from a kneeling position. CONFIDENTIAL

Presentation Information Types of Moves CONFIDENTIAL

Presentation Information Emergency Moves There is immediate danger to the patient if not moved: Fire or danger of fire Explosives or other dangerous materials Life-saving care cannot be given because of patient’s location/position Patient must be moved to reach a critical patient. CONFIDENTIAL

Presentation Information Emergency Move: Clothes Drag CONFIDENTIAL

Presentation Information Emergency Move: Incline Drag (Head-First) CONFIDENTIAL

Presentation Information Emergency Move: Firefighter’s Drag CONFIDENTIAL

Presentation Information Emergency Move: Firefighter’s Carry CONFIDENTIAL

Presentation Information Emergency Move: One-Rescuer Assist CONFIDENTIAL

Presentation Information Emergency Move: Two-Rescuer Assist CONFIDENTIAL

Presentation Information Urgent Moves Used when there is an immediate threat to life: Altered mental status Inadequate breathing Shock (hypoperfusion) Treatment of patient’s condition requires a move. CONFIDENTIAL

Presentation Information Urgent Move with Spinal Precautions CONFIDENTIAL

Presentation Information Non-Urgent Moves Use when there is no threat to life. Use when patient’s condition allows for assessment and care. Typically utilize a carrying device. In narrow places, the best technique for moving a patient using a spinal board as an alternative to a 4 person log roll is the 4 person straddle slide CONFIDENTIAL

Non-Urgent Move: Extremity Carry Presentation Information Non-Urgent Move: Extremity Carry CONFIDENTIAL

Presentation Information Patient-Carrying Devices CONFIDENTIAL

Presentation Information 1. Wheeled Ambulance Stretcher CONFIDENTIAL

Presentation Information 2. Portable Stretcher – Top Deck CONFIDENTIAL

Presentation Information 3. Stair Chair – For people that can sit up and that have to be carried down stairs CONFIDENTIAL

Presentation Information 4. Long Spine Board CONFIDENTIAL

Presentation Information Patient Immobilized on Long Spine Board CONFIDENTIAL

Presentation Information 5. Short Spine Board CONFIDENTIAL

Presentation Information 6. Vest-Type Extrication Device - KED CONFIDENTIAL

Patient Immobilized in Vest-Type Extrication Device Presentation Information Patient Immobilized in Vest-Type Extrication Device CONFIDENTIAL

Presentation Information 7. Scoop (Orthopedic) Stretcher CONFIDENTIAL

Presentation Information 8. Basket (Stokes) Stretcher CONFIDENTIAL

Presentation Information 9. Flexible (Reeves) Stretcher CONFIDENTIAL

Presentation Information Patient Positioning Part of patient care plan Must not cause harm to patient Must be safe CONFIDENTIAL

Presentation Information 1. Recovery Position Unconscious Patient without Spinal Injury CONFIDENTIAL

Presentation Information 2. Position of Comfort – Semi-fowlers Upper body at 45° angle CONFIDENTIAL

Presentation Information 3. Shock Position - Trendelenburg Patient without Spinal Injury Legs elevated 8-12 inches CONFIDENTIAL

Presentation Information For a pregnant patient with hypotension, an early intervention is to position the patient on her left side. A patient who is nauseated or vomiting should be transported in a position of comfort. Remember airway always takes priority. CONFIDENTIAL

Presentation Information Transferring the Patient to a Hospital Bed Using a Draw sheet CONFIDENTIAL

Presentation Information 1. Position stretcher next to the bed. CONFIDENTIAL

Presentation Information 2. Pull sheet under patient taut. CONFIDENTIAL

Presentation Information 3. Slide patient to hospital cart. CONFIDENTIAL

Presentation Information 4. Be sure patient is centered. Raise side rail. CONFIDENTIAL