GURNEY

 A hospital gurney is a kind of narrow bed on a wheeled frame which may be adjustable in height. For ambulances, a collapsible gurney is a type of stretcher on a variableheight wheeled frame. It is usually covered with a disposable sheet to aid in preventing infections. Its key value is to facilitate moving the patient and sheet onto a fixed bed or table on arrival at the emergency room. Both types may have straps to secure the patient. Gurneys in hospitals come in two types:

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1. Non-power assisted: Totally manually powered. 2. Power assisted: Uses a small motor to help amplify the push energy. Usually used in bariatrics departments with heavy patients.

Methods of Moving Patients…By Gurney ( Cart or Stretcher ) 1. Obtain a heavy draw sheet or use a full bed sheet and fold it in half. 2. If assistance is needed, have one person on each side of the bed or table. 3. Turn the patient on his or her side toward the distal side of the bed or table. 4. Place the sheet on the bed or the table with the fold against the patient’s back. 5. Roll the top half of the sheet as close to the patient’s back as possible. 6. Inform the patient that he or she will be turned onto the side toward you and will be moving over the rolled sheet. 7. Have your assistant straighten the sheet on the distal side. 8. Return patient to a supine position.

 Another at the side of the surface to which the patient will be moved. extra padding should be placed over the metal parts of the table’s edge to protect the patient from being bruised while being moved.the team transfers the patient to the other surface. Note: If the radiographic table is stationary. plasticized board approximately 1. Place the sheet on the bed or the table with the fold against the patient’s back. . Have your assistant straighten the sheet on the distal side. Sliding Board Transfer Sliding Board .A glossy. If the patient is adult.  Third person at the side of the surface on which the patient is lying. three or four people should participate in the maneuver. 9. If three persons:  One person stands at the patient’s head to guide & support it during the move.  If four persons: Two may stand at each side In unison (usually on the count of three).7 meters (5 ft 10 in) in length and about 75 cm (2 feet 6 inches) wide.Sliding sheet. for example in order to turn a patient for treatment or reposition a patient on the bed. 10.reduces friction when you have to position bed-ridden person. Turn the patient on his or her side toward the distal side of the bed or table. Inform the patient that he or she will be turned onto the side toward you and will be moving over the rolled sheet.

if necessary. one person should hold the sheet that the patient is lying on over the top of the patient to keep the patient from possibly rolling off the gurney. 7. 3. Create a bridge with the board between the edge of the radiographic table. Obtain the sliding board. 9. if the patient is large. Enlist the assistance of one other person if the patient is of average size and weight. Move the patient to the edge of the gurney. 2. 5. With one person at the side of the radiographic table and the other at the side of the gurney. lock the wheels of the gurney. and spray it with anti-static spray. Steps: (Sliding Board Transfer) 1. slide the patient onto the radiographic table. 4. Assist the patient to roll toward the distal side of the radiographic table. and allow the patient to roll back onto the board. 8. three people may be necessary to move the patient safely. Assist the patient to turn onto his side away from the table.Purpose: Facilitates moving patients from one surface to another. usually from the gurney to an examining table. 6. Place the sheet over the board. keeping the patient secure by holding onto the sheet on . Move the gurney up against the radiographic table. and place the sliding board under the sheet upon which the patient was lying. and the edge of the gurney.

and leave them alone. The person standing on the side of the gurney should remove the sliding board from under the patient. Assisting the Patient to Dress and Undress Steps: 1. the clothing should be removed from the top part of the body first. If the patient is very young and is accompanied by a familiar adult. the patient can be transferred back to the gurney by repeating the steps. Once the patient is back on the gurney.which he was lying. and put the side rails of the gurney up. When the procedure is completed. If you must assist a patient who has a disability of the lower extremities. 12. 11. The patient may then be transferred. and clean the sliding board and the table with the disinfectant spray. 2. 10. 14. if this is permitted. 13. arrange the meeting place. place a pillow under the patient’s head. he or she will be more relaxed and cooperative if the adult helps him to dress and undress. . Explain to the adult how the child should be dressed for the procedure. When the move is complete. Place a soft immobilizer over the patient. Wash hand and place clean linen on the table. discard the soiled linen that was used on the radiographic table. Remove the gurney and perform the radiographic procedure.

a leg injury a cast. Remove the patient’s arms from the sleeves of the gown. When the outside items of clothing are on the patient. 5. Changing Clothing of Disabled Patient on a Gurney . have an assistant raise the patient off the chair so that you may slip the clothing over the hips and waist. 4. Re-dressing a patient with a paralyzed leg.3. If the patient is not able to pull the clothing over the hips alone. Have the patient stand. or a brace 1. Slide the clothing (pants or skirt) over the feet or legs as far as the hips while the patient is sitting and still wearing an examining gown. Place a long examining gown on the patient. reach under the gown and pull the trousers down over the hips. 2. Have the patient hold the gown over his or her chest. 4. 3. If he cannot do this for himself. and carefully pull the shirt over the head. Help her to put on an examining gown then remove the draw sheet. remove the gown from under the clothes. and pull the clothing over the hips if he or she can tolerate it. buttons or hooks around the waist and slip his trousers over his hips. Instruct him to loosen belt buckles. Place a draw sheet over the patient and then help her to remove her slip and brassiere. or put it on one sleeve at a time. You may have to squat in front of the patient and gently pull the clothing over the legs and feet to remove it. Have the patient sit down. 2. If the dress will be pulled over the woman’s head…… 1.

One person alone should not attempt to undress a disabled patient. 8. summon help before beginning the procedure. fist from the unaffected side and then from the affected side. loosen buckles and buttons and have the patient raise his buttocks as you slip the trousers over his hips. If the patient is wearing an article of clothing that must be pulled over the head. Remove the clothing from the less affected side first. ask the person to keep the patient’s clothing. have an assistant stand at the opposite side of the table. you will be responsible for caring for the clothing. 4. 7. After the trousers have been loosened.1. If the patient is alone. Take Note! When changing a disabled patient’s gown. allow enough material to work with by removing the unaffected side first or by placing the gown on the affected side first. If the patient is unable to help. If the patient is paralyzed or unconscious. Explain what is to be done and ask the patient to help if he or she is able. Gently lift the clothing over the patient’s head. Cover the patient with draw sheet and have an examining gown ready. Then remove the patient’s arms from the clothing. making sure to keep the patient covered with the draw sheet. then slide the trousers off one side of the hip. to do so may cause further injury or discomfort. draw the patient toward you and have the assistant slide the trousers off the other hip. 6. Next. have the assistant pull the patient toward him or her. 2. Slip the trousers below the knees and off. To remove trousers. 5. . Next place the clean gown on the unaffected side and tie the gown at the back. Then remove the clothing from the more affected side and place the clean gown on that side. roll the garment up above the waist. 3. If the patient is accompanied by a relative or a friend. Fold the clothing and place it in a paper bag on t=which the patient’s name has been printed.

then over the container of fluid. 4. . (For this step. first place the sleeve on the affected side over the container of fluid. If the patient’s gown must be changed. Carefully slide the sleeve of the unaffected side over the I. support the arm firmly so that the catheter does not become dislodged. tubing and catheter.V. catheter in place. Remember to keep the bottle of fluid above the infusion site to prevent blood from flowing into the tubing.V. slip the clothing off the unaffected side first. the container must be removed from the stand) 3. When replacing the soiled gown with a clean one.The patient with an Intravenous Infusion 1. Re-hang the bottle of fluid and complete the change. then over the tubing and onto the arm with the venous catheter in place. 2. When moving the arm of a patient who has an I.

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