Safe Patient handling for immobile patients transfer devices, lift teams
Safe Patient handling for patients that can assist •Wide base of support •Lower center of gravity •Equilibrium of an object is maintained as long as the line of gravity passes through the base of its support •Facing t...
NURS 251 Final Exam Questions and
Correct Answers
Safe Patient handling for immobile patients ✅transfer devices, lift teams
Safe Patient handling for patients that can assist ✅•Wide base of support
•Lower center of gravity
•Equilibrium of an object is maintained as long as the line of gravity passes through the
base of its support
•Facing the direction of movement prevents abnormal twisting of the spine
•Dividing balanced activity between arms & legs reduces the risk of injury
•Leverage, rolling turning, or pivoting requires less work
•When friction is reduced between the object to be moved & the surface on which it is
moved, less force is required to move it.
Patient Safety Goals ✅Focus is on preventable medical events
Pt. Safety goals focuses on ✅Accuracy of patient ID. Wrong pt, wrong site, wrong
procedure. Communication between caregivers. Prevent HAI. Patient saftey
Information on Falls ✅Common both in & out of healthcare settings.
More common in elderly
Result in pain, disability & death.
Account for 90% of all incident reports
Fall Risk: Extrinsic Factors ✅Unfamiliar environment
Drains/Tubes
Intravenous devices
Catheters
Fall Diagnosis instructions ✅Leave side rails up
Make sure everything is in reach of pt.
Always ask for assistance getting out of bed
Identify as fall risk
Alternatives to restrains
Types of Restraints ✅Chemical & Physical
,Restraints ________ be ordered prn ✅CANT
When using a restrictive device: ✅Assess circulation of limb every 15 min
Offer food, fluids, toileting every 2h
Remove restrains & do ROM
Assess skin under restrains
Reposition every 2h
Communication ✅An exchange of information, ideas, and feelings that requires
interpretation, sensitivity, imagination, and active participation
Referent ✅Motivates one to communicate with another
Sender and receiver ✅One who encodes and one who decodes the message
Message ✅Content of the message
Channels ✅Means of conveying and receiving messages
Feedback ✅Message the receiver returns
Interpersonal variables ✅Factors that influence communication
Environment ✅The setting for sender-receiver interaction
Critical thinking and communication ✅Interpret messages received from others
Analyze the content
Make inferences about what the message means
Evaluate the effect
Explain the rationale for the technique used
Examine the communication style/pattern
Intrapersonal ✅Occurs within an individual
Interpersonal ✅One-to-one interaction between two people
Transpersonal ✅Interaction within a persons spiritual domain
Small group ✅Interactions with a small number of people
Public ✅Interaction with an audience
Factors influencing communication ✅-perceptions
,-values
-emotions
-sociocultural background
-knowledge level
-roles and relationships
-environments
-space and territory
Personal space (distance) ✅Intimate 0-18 inches
Personal 18 in - 4 feet
Social 4ft- 12 ft
Public 12 ft and up
Touch zones ✅Social zone (permission not needed)
Consent zone (permission needed)
Vulnerable zone (special care needed)
Intimate zone (great sensitivity needed)
Challenging factors influencing communication ✅People who are: •Silent, withdrawn,
•depressed
•Angry
•Uncooperative
•Talkative
•Demanding
•Frightened,
•Sensory impairment
•Confused or disoriented
•Unable to speak or understand English (or only a little)
•Flirtatious
Types of communication ✅Verbal & Nonverbal
Verbal Communcation ✅Vocab
Tone
Clarity & Brevity
Pace
Timing & Relevance
Nonverbal communication ✅Personal appearance
Posture and gait
Facial expressions
Eye contact
Gestures
Sounds
Touch
, Nursing Process: Assessment ✅Physical Factors: Visual or hearing deficits
Emotional Factors: Mental illness
Developmental factors: Infant vs adult
Sociocultural factors: Cultural influence
Gender: Men vs women
Impaired verbal communication ✅lacking skills in attending, listening, or responding, or
self-expression
Inability to articulate, inappropriate verbalization
Difficultly forming words
Difficulty with comprehension
Interventions to communicate ✅Speak slowly - not louder
Actively listen, be patient
Use augmented & alternative communication
Communicating with patients who are cognitively impaired ✅Always try to
communicate first
Dont rush
Reduce environmental distractions
Approach client directly
Talk first, touch second
Use verbal & written instructions
Use short sentences
Limit choices
Communicating with patients who are hearing impaired ✅Assess for hearing aide
function
Is pt able to read lips or use sign language?
Face the patient, make sure they are aware of your presence,
Speak closer to the less affected ear
Minimize environmental noise
Speak clear, slowly & natural (don't shout)
Use simple language
Use gestures paper & pencil or computer
Rephrase rather than repeat same words
For older adults: use lower pitch
Communicating with patients who are visually impaired ✅Describe room to help client
understand room & activity
Explain unfamiliar sounds (IV Pumps/alarms)
Speak before you touch
Avoid expressions "over there"
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