Check the patient’s bed number and name, the doctor’s advice to inform the method and purpose of wheelchair transportation. Necessary cooperation to assist the patient in the wheelchair: 1. The wheelchair is flush with the end of the bed, facing the head of the bed or placed at 450 with the bed, hemiplegia, push the wheelchair Place the healthy side 2. Brake the brake patientTransfer chair to prevent the wheelchair from sliding 3. Assist the patient to transfer from the bed to the wheelchair ① Move the patient to the side of the bed and help him to sit up ② The nurse faces the patient with his legs apart Put the patient’s hands on the nurse’s shoulders, hold the patient’s waist or armpit with both hands, and move it to the wheelchair to sit firmly ③Turn the footboard over and adjust it to a suitable position ④Assist the patient to take a comfortable seat, keep warm, and fasten the seat belt. Points: 1. If the wheelchair has no brakes, one person should stand behind the wheelchair to fix the wheelchair. 2. Those who are awake and cooperative and have normal upper limb muscle strength can use both hands to support the arms on both sides and move into the wheelchair by themselves. 3. When moving hemiplegics, let the patient use his own hands Pull your hands to avoid dragging the affected arm. 4. When starting to hold, the transporter bends the knees and hips so as to draw on the muscle strength of the hips and thighs, and pay attention to the application of the joint force principle. 1. When the cart goes downhill, you should slow down and turn the wheelchair around so that the rear wheel is in front; when crossing the threshold or going up the steps, tilt the front wheel while tilting the patient’s head and back, and watch the patient grasp the armrest Keep your balance 2. Sit back as far as possible, avoid leaning forward or slanting; if the torso is difficult to maintain balance, use a belt to fix it; if you have poor head and neck control, you can use a neck brace. When leaving the patient, be sure to lock the wheel .
2. Patients should communicate with the doctor in time when they are not suitable for transportation due to their illness. 3. The examination and treatment of bedridden patients should be concentrated as much as possible. 4. Determine the transportation method and the number of people according to the specific conditions of the patient and the transportation personnel. 3. Informing: 1. Purpose and method of transfer 2. Possible risks and necessary cooperation precautions: 5. The patient’s head should be at the upper end when going up and down. 6. Properly fix fracture patients; patients with head injury or coma should tilt their head to one side; keep the pipeline unobstructed when there is infusion and drainage. 7. Pay attention to occupational protection during transportation: (1) Separate the feet from front to back during transportation. (2) When carrying low-position patients, bend knees and hips at the same time to lower the center of gravity. (3) Try to keep the patient close to the operator’s body to reduce the change of the gravity line. Multifunctional flat car Medical over bed board Easy to over bed Questions: 1. How do you ensure the safety and comfort of patients when using a wheelchair or flat car to transport? 2. During shippingPatient transfer chair, how do you deal with cases such as cardiac arrest? ④ Lift the two at the same time, tilt the patient’s body slightly towards the nurse, and move the patient to place the patient on the flat car, and cover the quilt. ⑤ Those who are tall should support the upper body of the patient so that the patient is in a head-high position to reduce discomfort. ⑥Assist the patient to take a comfortable lying position and pull the guardrail. 4) The three-person transport method is suitable for people who are lightly ill, unable to move, and have heavier weight. Move the patient to the bedside. A supports the patient’s head, neck, and shoulders; B supports the patient’s back and buttocks; C supports the patient’s popliteal and calf. 5) The four-person transport method is suitable for patients with critical illness or cervical and lumbar fractures.
①Put middle or large singles under the patient’s waist and hips. ②The flat car is placed parallel to the bed, close to the side of the bed. ③The two transporters stand at the head and the foot of the bed, respectively supporting the patient’s head, shoulders and legs; the other two stand on both sides of the bed and the flat car. Firmly grasp the four corners of the mid laner, raise the four at the same time, and place the patient gently in the center of the flat car. ④Assist the patient to take a comfortable lying position and pull the guardrail. ⑤ Make up the bed unit. Notes: 1. Lock the flat car and bed brake before moving the patient. 2. The nurse stands on the side of the patient’s head to observe the patient. 3. When transporting by multiple people, the height of the transporter should be arranged from the head of the bed to the foot of the bed from high to short, so that the patient’s head is high to reduce discomfort. 4. Patients with tracheotomy/intubation should not tilt their head back. Move the patient’s body horizontally to prevent the tracheal intubation from coming off or inside. 1. The use of a wheelchair 1. Escort the patient who cannot walk but can sit and stand for admission, discharge, examination, treatment, surgery or outdoor activities. 2. Improve the physical strength of patients during the recovery period as a transition before going to the field. Assessment 1. Patient’s condition, consciousness, physical activity ability, understanding and cooperation, mental state 2. Age, weight, injured part 3. Carrier’s physical strength, transportation distance and road conditions Preparation of materials: Check the performance of the wheelchair Prepare coats and blankets according to the season. Patient preparation: Ask the patient about his needs, such as urine and stool environment. Preparation: Remove obstacles, be spacious and non-slip. During the transportation, observe the patient’s condition at any time, ask the patient’s head and back to lean back, and hold on to the handrails to avoid accidents.
When the weather is cold, cover with quilts to keep warm. Assist the patient to get off the wheelchair: ①Push the wheelchair to the end of the bed, brake the brakes, and turn up the pedals. ②The nurse faces the patient, spreads her legs back and forth, bends the knees and hips, puts both hands on the patient’s waist, and puts the patient’s hands on the nurse’s shoulders to assist the patient in standing. ③Or use wheelchair armrests, bed edges, etc. to assist the patient to stand up and slowly sit back to the edge of the bed; assist the patient to take a comfortable lying position, cover the quilt, and make the bed unit. 1. Whether the transportation is safe and whether the patient’s condition has changed. 2. Whether the patient is comfortable in the wheelchair and whether the patient can cooperate. 3. Keep all kinds of pipelines fixed and flow smoothly. 2. Flat-car transportation method. Transport patients who cannot get up out of bed, enter the hospital, do various special examinations, treatments, operations, or transport patients. 2. 1. The patient’s condition, weight, age, consciousness, muscle strength and physical activity, with or without drainage tube and splint fixation, traction, etc. 2. The patient’s understanding and degree of cooperation 3. Environment: Whether the ward is spacious 4. Transport staff and a four-car performance, prepare the operator: wash your hands to assist patients with urine, measure vital signs and figure 1. critical condition with a matter-car (Key points) if necessary, prepare emergency equipment and drugs, doctors follow. 2. Those who are uncooperative or irritable should prepare restraint belts. For those with cervical spine fractures, prepare sandbags and neck braces. Fractures of limbs should be properly fixed. 3. For tracheotomy/intubation, coma, excessive phlegm and unable to cough up on their own, suck sputum before transfer and prepare oxygen if necessary. 4. Those who have traction should pay attention to maintaining effective traction.
V. Implementation 1. Operation steps: (1) Push the flat car to the bedside, check the patient, and explain the operation purpose, method and cooperation items to the patient or family member. (2) Place the drainage tube on the patient to avoid falling off, pressure or liquid backflow. 1) Mobility method: Applicable to those who are ill and can cooperate in bed. 1. Place the flat car and the hospital bed in close proximity. The big wheel rests on the head of the bed and brakes the brakes. 2. The nurse holds the flat car and assists the patient to move 3. The sequence of movement: upper body-hips-lower limbs (the opposite when returning to bed) Move the upper limbs. 2) The single-handling method is suitable for infants and those with light weight. ①Place the flat car at the end of the bed so that the head of the car is at an obtuse angle to the end of the bed, and brake the brake ② Assist the patient to bend the knee ③ The carrier extends one hand from the patient’s arm On the contralateral shoulder, stretch the other hand under the contralateral thigh; the patient’s arms are crossed over the neck of the carrier. The transporter picked up the patient, gently placed it on the flat car, lay it flat in the center of the flat car, and covered the quilt. ④Assist the patient to take a comfortable lying position and pull the guardrail. 3) The two-person transport method is suitable for people who are lightly ill, unable to move by themselves, and heavier weight. ① Move the bedside chair to the end of the bed, push the flat car to the end of the bed, make the head of the car and the end of the bed an obtuse angle, and brake the brake. ② Cross the patient’s upper limbs over the chest or abdomen. ③Move the patient to the bed, A supports the patient’s head, neck, and shoulders with one hand, and the waist with one hand. B supports the patient’s buttocks with one hand, and supports the patient’s popliteal area with one hand.