Moving patient from bed to wheelchair.m4v

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Cody Hicks
6 years ago
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1 Moving patient from bed to wheelchair.m4v Good morning, Ms. Chevron. My name is Jennifer. I'm your registered nurse for today. I'm here to help transfer you from the bed to the chair. How are you feeling this morning? OK. I'm just going to wash my hands. Are you having any pain at all? On a scale of 0 to 10, 0 being no pain at all, 10 being the worst pain you've ever had, can you rate it for me? One. And is that acceptable to you? OK. We're going to be getting up and moving, so I want to make sure that you're comfortable. Can you tell me your name and your date of birth?

2 Barb Chevron, 8/20. OK. I'm going to go ahead and raise the head of your bed up, just to make sure that you're not feeling dizzy or anything. Have you been having any problems with dizziness? So we're going to leave you sitting here for a couple minutes with your head of the bed up. I've noticed the last couple days in the chart, that you've been able to get up and out of bed with just the assistance of just one nurse or one of the aides. Has that been OK? Do you feel like you can transfer with just me today? OK. Do you mind if I take one of these pillows out from behind you? OK. So you're feeling OK?

3 I'm ensuring that the bed is locked. Also, I've got the wheelchair pretty close to where we're going to be, and I've got the brakes on. They also have breakaway legs, so I'm ensuring that these are out of our way when we're transferring. So you're feeling OK? So first what we're going to do is I'm going to go ahead and put some non-skid slippers on you. These have a little non-skid stuff on the bottom of them, so that you don't slip when we get out of bed. So I'm going to pull your covers down. We're just going to put these-- they have smiley faces on them. They're nice. Put these on your feet. These do come in different sizes, so you can certainly-- you don't want too large of a size on your patient and/or too small of a size on the patient. This is a transfer gait belt. You've been getting up with these when other people have been getting you up. I'm just going to put this around your waist. I'm going to slide this behind you. You want to put the buckle under the tooth end first, and then through the second loop, making sure it's not too snug, but snug enough. I want to fit about two fingerbreadths underneath. Still a little too loose. And that's good. And then you can go ahead and tuck this around the belt buckle, so that actually the metal part that's on the buckle doesn't dig into the patient. And I move it to the side. So again, this is something that I can grasp onto when I pull the patient up in bed. I want to make sure I'm maintaining proper good body alignment. Again, wide base of support. I want to be moving towards where we're moving, which is going to be to the chair, eventually. But right now, what we're going to do is have you dangle on the side of the bed. I'm going to lower the side rail. I'm going to have you put your arms between my shoulders and my waist, so right around here. I'm going to grasp on to the gait belt here with one hand. And with my other hand, I'm going to help you to shift or swing your legs to the side.

4 And this patient can help me pretty much to move. So she's pretty good. So just hold on to me. How are you feeling? Good. OK. So again, now I want a wide base of support. I'm going to put my knee between her legs here. And on the count of three, we're going to stand up. You've been bearing weight, so you're OK with standing up for a little bit? OK. Ready? One, two, three. And I'm holding onto the gait belt, and so we're standing. So we're going to pivot over to the chair on the count of three, if you're feeling like you can do that. And I want you to reach back onto those armrests to help you get back down. OK? On the count of three. One, two, three. We're just pivoting. And I'm going to have you sit down. Perfect. OK. How are you feeling? Good. OK. So I would then go ahead. I can either remove the gait belt, or leave it on the patient, whatever's most comfortable to the patient. Would you like this removed? No, it's OK. OK. So actually, let me tuck this back around. Again, this is in the locked position. I would get the patient their call light, so it's right there. Grab the tray table. Is there anything I can get you before I leave today?

5 Nope. And I would finish by performing hand hygiene.

[00:03:00] There is another movement, which is essentially the pupils of the eyes expanding and contracting.

[00:03:00] There is another movement, which is essentially the pupils of the eyes expanding and contracting. 1 Okay. For this session, I'd like you to find a place where you can sit comfortably for a while, preferably on a chair, somewhere where you can have your feet flat on the ground and where you can find