What are the ABC's of lifting?
- A: assess the situation
- B: bend at your knees
- C: call for help if needed
- D: don't twist, hug the load
- E: equipment when needed
What are some considerations for mobilization?
- reduce trauma to skin (use sheet or transfer aide)
- elevate trunk gradually
- establish a true deck height (hips at 90, feet on floor)
- level the thigh (may deflate mattress, or use stool)
What are different tips and tools?
- trendelenberg (up in bed)
- maximum inflate (up in bed)
- mechanical lifts
- transfer aides
- mobility screen
- egress test
What are some triggers for mechanical conveyance (aids)?
- inability to elevate head from bed >45'
- perceived exertion mobility rating of HARD
- inability of patient to move extremities against gravity
- inability to boost in bed
- insufficient observed functional skills >72 hrs
- excessive staff numbers >3 people
- significant changes in medical status/vital signs
- orthostatic intolerance
- pain index rating of >7
- retreat, fear, anxiety, psychological intolerance
What are some gait belt factors for the belt and hammock technique?
- don't double the gait belts
- no sawing
- watch buckles to avoid skin trauma
What is the purpose of the Egress test?
safe progression of guarding techniques
What are the steps to the Egress test?
- one rep demonstrating clearance of support surface by 1-2"
- additional two reps of sit to stand
- 3 steps of marching in place
- advance and retreat
What is the weight limit on most hospital equipment?