1. Presentation Information
Lifting and Moving Patients
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2. Presentation Information
Guidelines for Safe Lifting
Consider the weight of object/ patient.
The stretcher alone weighs lbs.
Communicate with partner.
Know your physical limitations
Identify the need for help before lifting.
Have a plan.
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3. 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.
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4. Presentation Information
Use legs, not back, to lift.
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5. Presentation Information
Keep weight close to your body.
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6. 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.
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7. 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
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8. Presentation Information
Power-Lift Position
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9. Presentation Information
Power-Grip
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10. Presentation Information
Safe Reaching Techniques
Keep your back locked in.
Avoid twisting while reaching.
Avoid reaching more than inches in front of your body.
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11. Presentation Information
Safe Pushing and Pulling
Push, rather than pull.
Keep your back locked in
Keep weight close to your body.
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12. 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.
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13. Presentation Information
Types of Moves
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14. 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.
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15. Presentation Information
Emergency Move: Clothes Drag
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16. Presentation Information
Emergency Move: Incline Drag (Head-First)
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17. Presentation Information
Emergency Move: Firefighter’s Drag
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18. Presentation Information
Emergency Move:
Firefighter’s Carry
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19. Presentation Information
Emergency Move: One-Rescuer Assist
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20. Presentation Information
Emergency Move: Two-Rescuer Assist
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21. 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.
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22. Presentation Information
Urgent Move with Spinal Precautions
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23. 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
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24. Non-Urgent Move: Extremity Carry
Presentation Information
Non-Urgent Move: Extremity Carry
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25. Presentation Information
Patient-Carrying Devices
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26. Presentation Information
1. Wheeled Ambulance Stretcher
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27. Presentation Information
2. Portable Stretcher – Top Deck
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28. Presentation Information
3. Stair Chair – For people that can sit up and that have to be carried down stairs
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29. Presentation Information
4. Long Spine Board
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30. Presentation Information
Patient Immobilized on Long Spine Board
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31. Presentation Information
5. Short Spine Board
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32. Presentation Information
6. Vest-Type Extrication Device - KED
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33. Patient Immobilized in Vest-Type Extrication Device
Presentation Information
Patient Immobilized in Vest-Type Extrication Device
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34. Presentation Information
7. Scoop (Orthopedic) Stretcher
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35. Presentation Information
8. Basket (Stokes) Stretcher
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36. Presentation Information
9. Flexible (Reeves) Stretcher
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37. Presentation Information
Patient Positioning
Part of patient care plan
Must not cause harm to patient
Must be safe
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38. Presentation Information
1. Recovery Position
Unconscious Patient without Spinal Injury
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39. Presentation Information
2. Position of Comfort – Semi-fowlers
Upper body at 45° angle
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40. Presentation Information
3. Shock Position - Trendelenburg
Patient without Spinal Injury
Legs elevated 8-12 inches
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41. 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.
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42. Presentation Information
Transferring the Patient to a
Hospital Bed Using a Draw sheet
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43. Presentation Information
1. Position stretcher next to the bed.
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44. Presentation Information
2. Pull sheet under patient taut.
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45. Presentation Information
3. Slide patient to hospital cart.
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46. Presentation Information
4. Be sure patient is centered. Raise side rail.
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