Equipment
■ Nonlatex gloves, if you may be exposed to body fluids.
■ Transfer roller sheet or transfer board, if needed.
■ Gait transfer belt.
Assessment
■ Assess:
■ Level of consciousness, ability to follow directions, and ability to assist with the move.
■ The patient’s physical size and your own ability to move him.
■ Restrictions in movement or position.
■ Patient’s level of comfort; presence of equipment such as IV lines, drains, or catheters; possible side effects of medications (e.g., dizziness and sedation).
■ VS.
■ Monitor for postural hypotension.
■ Before transferring a patient to a chair, assess his tolerance of dangling.
Post-Procedure Reassessment
■ Assess:
■ Level of patient participation in the transfer.
■ Comfort level during the transfer and in the new position.
■ Proper body position and alignment after position change.
■ VS for postural hypotension.
Key Points
■ Place the patient supine, and raise the head of the bed to 90°.
■ Be Safe! Apply a gait transfer belt, and put the bed in the low position with wheels locked.
■ Stand facing the patient with a wide base of support. Place your foot closest to the head of the bed forward of the other foot.
■ Position your hands on each side of the gait transfer belt.
■ Rock onto your back foot as you move the patient into a sitting position; pivot to bring the patient’s legs over the side of the bed.
■ Be Smart! Stay with the patient as he dangles.
Documentation
■ For nursing notes, document:
■ How much assistance was required.
■ Use of assistive devices.
■ Any problems with positioning the patient.
■ How long the patient was dangling.
■ How the patient tolerated the activity.
 |
| Using proper body mechanics for dangling a patient at the side of the bed |
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| Pivoting the patient’s legs to a dangle position |
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