1. 3.01 Positioning the Patient is a Diagnostic Service

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

4. 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

5. 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

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

7. 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

8. 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

9. 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

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

11. 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

12. 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

13. 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

14. 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

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

16. 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

17. 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

18. 3.01 Positioning the Patient is a Diagnostic Service

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

20. 3.01 Patient Movement is a Therapeutic Service

21. 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

22. 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 degrees
3.01 Understand Diagnostic and Therapeutic Services

23. 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

24. 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 degrees
3.01 Understand Diagnostic and Therapeutic Services

25. 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

26. 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

27. 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

28. 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

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

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

31. 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

32. Patient Movement is a Therapeutic Service

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

34. 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

35. 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

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

37. 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