Transfers and Bed Mobility

When assisting a patient with a stand-pivot transfer from a bed to a wheelchair, where should the physical therapist most appropriately position themselves?

• To the side of the patient, slightly behind, maintaining a hand on the gait belt

• In front of the patient, blocking their knees for stability

• At a distance, providing only verbal cues to encourage independence

• Directly behind the patient, with both hands lifting on the gait belt

Which two pieces of equipment are commonly used to assist with bed mobility for patients with significant weakness?

• A trapeze bar and a draw sheet

• A weighted vest and ankle weights

• Crutches and a walker

• Pillows and bolsters

Before initiating any patient transfer, the physical therapist should always ensure the following safety measures EXCEPT?

• The wheels of the bed, wheelchair, or other transfer surfaces are locked

• A gait belt has been appropriately secured

• All medical tubing is completely disconnected

• The environment has been cleared of obstacles and hazards

A patient who is able to perform 75% of the transfer activity independently, with the therapist providing cues and occasional light touching for balance, would be classified as requiring what level of assistance?

• Dependent

• Max Assistance

• Mod Assistance

• Min Assistance

You are working with a patient who is fearful of moving in bed due to pain. Which two strategies are most appropriate to make them feel more secure and encourage participation in bed mobility activities?

• Leave them alone to rest and avoid bed mobility until their pain has resolved

• Provide clear and concise instructions

• Demonstrate the movement yourself

• Encourage them to move quickly through the transfer to avoid lingering in pain

A patient consistently requires Contact Guard Assist (CGA) for ambulation and stand-pivot transfers due to dynamic balance deficits and intermittent mild lower extremity weakness. Which of the following is the most accurate interpretation of this level of assistance?

• The therapist is consistently providing physical assistance to move the patient, but the patient performs 75% of the effort.

• The therapist's hands are on the patient, or on a gait belt, to immediately intervene if loss of balance occurs, but no physical assistance is provided unless needed.

• The patient requires verbal cues for safety and sequencing, but the therapist provides no physical contact.

• The patient requires continuous hands-on assistance throughout the entire task, performing less than 25% of the effort.

Performing a chart review prior to completing a patient transfer allows the physical therapist to identify all of the following EXCEPT?

• What equipment is needed

• Any precautions

• Patient's WB status

• Environmental obstacles

Ensuring patient understanding in a transfer you are attempting to complete is best accomplished by?

• Having the patient demonstrate the transfer

• Asking the patient to explain the procedure

• Ask them to describe the head to hip relationship

• Make sure the patient has everything they need

Which of the following is the correct order for donning PPE for isolation precautions?

• Gown, mask, eye protection, gloves

• Mask, gloves, gown, eye protection

• Gloves, mask, gown

• Gloves, gown, mask, eye protection

What is the purpose of standard precautions in physical therapy settings?

• To sterilize therapy equipment after each use

• To sterilize the patient's skin before treatment

• To prevent exposure to blood, body fluids, and non-intact skin

• To determine the appropriate antibiotic treatment for infections