ACTIVITY NO.

2
CP-100 RLE
Ms. Flores, Krezelmae BSM-1A STUDENT
 Learning Outcomes
At the end of the lesson, the students should be able to:

 to the procedures.
 To know the following Procedures .
 To Demonstrate the Procedures.
A. STANDING

 Standing is a position in which the body is held in an

erect ("orthostatic") position and supported only by the
feet.
B.SITTING

 Sitting is a basic action and resting position in which the body weight is
supported primarily by the bony ischial tuberosities with the buttocks in
contact with the ground or a horizontal surface such as a chair seat
C. BODY MOVEMENT

 Movement is the change in the position of a body part with respect to the
whole body. It is one of the significant features of all living beings. The
blinking of the eyes, breathing, eating are all examples of movement.
 D. ASSISTING THE CLIENT TO MOVE UP IN BED

Disclaimer: Always review and follow your hospital policy regarding

this specific skill.
Safety considerations:

-Perform hand hygiene.

-Check room for contact precautions.
-Introduce yourself to patient.
Confirm patient ID using two patient identifiers (e.g., name and date of birth).
-Listen and attend to patient cues.
-Ensure patient’s privacy and dignity.
-Ensure tubes and attachments are properly placed prior to the procedure to prevent
accidental removal.
-Ensure patient has a draw sheet or a friction-reducing sheet on the bed prior to
repositioning.
ASSISTING THE CLIENT TO MOVE UP IN BED

STEPS ADDITIONAL INFORMATION

1. Make sure an additional health care This procedure requires two health
provider is available to help with the care providers.
move.

2. Explain to the patient what will Doing this provides the patient with an
happen and how the patient can help. opportunity to ask questions and help
with the positioning.

3. Complete risk assessment ( This step prevents injury to patient

Checklist 24) of patient’s ability to and health care provider.
help with the positioning.
ASSISTING THE CLIENT TO MOVE UP IN BED
4. Raise bed to safe working height
and ensure that brakes are applied.
Health care providers stand on each
side of the bed.
5. Lay patient supine; place pillow
at the head of the bed and against
the headboard.
6. Stand between shoulders and hips
of patient, feet shoulder width
apart. Weight will be shifted from
back foot to front foot.
Principles of proper body mechanics
help prevent MSI.
Safe working height is at waist level
for the shortest health care
provider.
Bed at waist level
This step protects the head from
accidentally hitting the headboard
during repositioning.
This keeps the heaviest part of the
patient closest to the centre of
gravity of the health care providers.
Feet shoulder width apart
ASSISTING THE CLIENT TO MOVE UP IN BED
7. Fan-fold the draw sheet toward
the patient with palms facing up.
8. Ask patient to tilt head toward
chest, fold arms across chest, and
bend knees to assist with the
movement. Let the patient know
when the move will happen.
9. Tighten your gluteal and
abdominal muscles, bend your
knees, and keep back straight and
neutral.
This provides a strong grip to move
the patient up using the draw sheet.
Fold sheet with fingers facing
upward
This step prevents injury from
patient and prepares patient for the
move.
Chin tucked in and arms across
chest
The principles of proper body
mechanics help prevent injury.
ASSISTING THE CLIENT TO MOVE UP IN BED

10. On the count of three by the lead The principles of proper body mechanics
person, gently slide (not lift) the patient help prevent injury.
up the bed, shifting your weight from the Facing direction of movement
back foot to the front, keeping back
straight with knees slightly bent.

11. Replace pillow under head, position This step promotes comfort and prevents
patient in bed, and cover with sheets. harm to patient.

12. Lower bed, raise side rails as
required, and ensure call bell is within
reach. Perform hand hygiene.
Placing bed and side rails in safe
positions reduces the likelihood of injury
to patient. Proper placement of call bell
facilitates patient’s ability to ask for
assistance.
Bed in lowest position, side rail up, call
bell within reachHand hygiene reduces
the spread of microorganisms
E. TRANSFERRING A CLIENT FROM BED TO CHAIR/
WHEELCHAIR

 Important safety tips

 Lifting a person can be hard on your back. To reduce the risk of a back injury,
remember to do the following:
 Organize the steps in your head before you start.
 Explain the steps of the move and ask the person to tell you when they are
ready to transfer.
 Keep your knees bent and your back straight.
 Use a transfer belt to provide a firm hold, rather than clasping your hands
behind the person's back.
 Get help when you need it.
 Ask to practice with supervision
TRANSFERRING A CLIENT FROM BED TO CHAIR/ WHEELCHAIR

STEP 2 SIT THE PERSON UP

 Lock the wheelchair.

 Help the person turn over onto their side, facing you.
 Put an arm under their upper back with your hand supporting their shoulder.
Put your other hand behind their knees.
 Swing their legs over the edge of the bed, helping them to sit up.
TRANSFERRING A CLIENT FROM BED TO CHAIR/ WHEELCHAIR

Step 2. Stand the person up:

 Have the person scoot to the edge of the bed.

 Put your arms around their chest and clasp your hands behind their back. Do
not allow them to grab or hold you around your neck.
 Support the leg farthest from the wheelchair between your legs, lean back,
shift your weight, and lift.
 TRANSFERRING A CLIENT FROM BED TO CHAIR/ WHEELCHAIR

Step 3. Sit the person in the wheelchair:

 Have the person pivot toward the wheelchair, as you continue to hold on.
Always transfer toward the person’s stronger side.
 As they bend toward you, bend your knees and lower the person into the back
of the wheelchair.
 F. TRANSFERRNG A CLIENT FROM BED TO STRETCHER

Disclaimer: Always review and follow your hospital policy regarding this specific skill.

Safety considerations:
-Perform hand hygiene.
-Introduce yourself to patient.
-Confirm patient ID using two patient identifiers (e.g., name and date of birth).
-Listen and attend to patient cues.
-Ensure patient’s privacy and dignity.
-Ensure tubes and attachments are properly placed prior to the procedure to prevent accidental removal.
-A slider board and full-size sheet or friction-reducing sheet is required for the transfer.
TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
STEPS
1. Always predetermine the
number of staff required to
safely transfer a patient
horizontally.
2. Explain what will happen and
how the patient can help (tuck
chin in, keep hands on chest).
Collect supplies.
ADDITIONAL
INFORMATION
Three to four health care
providers are required for the
transfer.
This step provides the patient
with an opportunity to ask
questions and help with the
transfer.
-Chin tucked in and arms across
chest
 TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
3.Raise bed to safe working height. Lower
head of bed and side rails.
Position the patient closest to the side of
the bed where the stretcher will be
placed.
4. Roll patient over and place slider board
halfway under the patient, forming a bridge
between the bed and the stretcher.
Place sheet on top of the slider board. The
sheet is used to slide patient over to the
stretcher.
The patient is returned to the supine position.
Patient’s feet are positioned on the slider
board.
Safe working height is at waist level for the
shortest health care provider.
The patient must be positioned correctly prior
to the transfer to avoid straining and reaching.
May need additional health care providers to
move patient to the side of the bed.
The slider board must be positioned as a bridge
between both surfaces.
The sheet must be between the patient and the
slider board to decrease friction between
patient and board.
-Place slider board
-Ensure all tubes and attachments are
out of the way.
TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
5. Position stretcher beside the bed on the side The position of the health care providers keeps
closest to the patient, with stretcher slightly the heaviest part of the patient near the
lower. Apply brakes. health care providers’ centre of gravity for
Two health care providers climb onto the stability
stretcher and grasp the sheet. The lead person
is at the head of the bed and will grasp the
pillow and sheet. The other health care
provider is positioned on the far side of the
bed, between the chest and hips of the
patient, and will grasp the sheet with palms
facing up.
The two caregivers on the stretcher grasp the
draw sheet using a palms up technique, sitting
up tall, and keeping their elbows close to their
body and backs straight.
 TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
6. The caregiver on the other side of
the bed places his or her hands under
the patient’s hip and shoulder area
with forearms resting on bed.
7. The designated leader will count 1, 2, 3, Coordinating the move between health care
and start the move. providers prevents injury while transferring
The person on the far side of the bed will patients.
push patient just to arm’s length using a Using a weight shift from front to back uses
back-to-front weight shift. the legs to minimize effort when moving a
At the same time, the two caregivers on patien
the stretcher will move from a sitting-up-
tall position to sitting on their heels,
shifting their weight from the front leg to
the back, bringing the patient with them
using the sheet.
 TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
8. The two caregivers will climb off the The step allows the patient to be properly positioned in the
stretcher and stand at the side and bed and prevents back injury to health care providers
grasp the sheet, keeping elbows tucked
in.
One of the two caregivers should be in
line with the patient’s shoulders and
the other should be at the hip area.
On the count of three, with back
straight and knees bent, the two
caregivers use a front-to-back weight
shift and slide the patient into the
middle of the bed.
 TRANSFERRNG A CLIENT FROM BED TO
STRETCHER
9. At the same time, the caregiver
on the other side slides the slider
board out from under the patient.
10. Replace pillow under head,
ensure patient is comfortable, and
cover the patient with sheets.
11. Lower bed and lock brakes, raise
side rails as required, and ensure
call bell is within reach.
Perform hand hygiene.
This step allows the patient to lie
flat on the bed.
This promotes comfort and prevents
harm to patient.
Placing bed and side rails in a safe
position reduces the likelihood of
injury to patient. Proper placement
of call bell facilitates patient’s
ability to ask for assistance.
-Bed in lowest position, side rail up, call bell within
reach
Hand hygiene reduces the spread of microorganisms.
G.LOGROLLING

 the log roll or logrolling is a maneuver used to move a

patient without flexing the spinal column. Patient's legs
are stretched, the head is held, to immobilize the neck.
 Logrolling is a common patient care procedure performed by many
health care workers. The purpose of logrolling is to maintain
alignment of the spine while turning and moving the patient who has
had spinal surgery or suspected or documented spinal injury.
G.LOGROLLING
THANK YOU! =)