Transfers, Safety and Precautions

Transfers, Safety and Precautions

by Prpfessor Rhonda White. MSPT

​Praire State College

​PTA Program

​KLNLK N.

​Safety

• ​Proper shoewear or socks with grip

• ​Use of a gait belt or transfer sling appropriate in most transfers

• ​Be alert for unexpected risks including difficulty with drains, dressings, and IV tubes

• ​Make sure any rolling surfaces within the transfer is locked

• ​Be aware of when you need help

• ​Don't leave the patient unattended once the transfer is complete unless you are sure they are safe

Multiple Choice

The patient requires verbal or tactile cues, directions, or instructions from another person positioned close to, but not touching, the patient to perform the activity safely and in an acceptable time frame; the assistant may provide protection in case the patient's safety is threatened

• contact guard

• Stand by assistance or supervision

• minimal assist

• moderate assist

Multiple Choice

The patient performs 25%–49% of the activity; assistance is required to complete the activity

• standby assist

• minimal assist

• moderate assistance

• maximal assistance

Multiple Choice

A special precaution that should be avoided when a patient has experienced a THR is 

• hip should not be adducted or rotated, flexed >90 degrees

• cross the ankle of the surgically affected extremity over the opposite extremity

• Maintain the surgical extremity in adduction when moving

• Use of an adduction pillow

Multiple Choice

A patient may prefer or find it easier to transfer to the floor while facing forward and return to the chair in the backward position, or to transfer to the floor in the backward position and return to the chair while facing forward.

• TRUE

• FALSE

Multiple Choice

Excessive lumbar rotation, trunk side bending, and trunk flexion should be avoided in a patient with low back trauma or discomfort.

• TRUE

• FALSE

Multiple Choice

The primary precaution is to avoid creating a shear force across the surface of the burn wound, graft site, or area from which the graft was taken in a patient with a burn.

• TRUE

• FALSE

Multiple Choice

Pulling on the involved or weakened extremities should be avoided to control or move the patient; this precaution is particularly important for the affected shoulder because the muscles will not provide adequate support to the joint secondary to the effects of paralysis.

• Spinal Cord Injury

• Total hip replacement

• Hemiplegia

• Low back trauma

Multiple Choice

A ________transfer can be performed when a bariatric patient with limited mobility is transferred and no mechanical equipment is available.

• dependent lift with a sheet

• minimal assist transfer

• stand by pivot transfer

• quad lift

• one person dependent lift