Moving and Handling Patients at a Glance

Preface vii

Acknowledgments viii

Part 1 Theory 1

1 Legislation: I 2

2 Legislation: II 4

3 Structure and function of the spine 6

4 Posture and back care 8

5 Safe principles of moving and handling 10

6 Controversial techniques 12

7 Risk assessment: moving and handling 14

8 Risk assessment: general 16

9 Individual patient handling assessment 18

Part 2 Practice 21

Load handling and practical application of ergonomics

10 Lifting a load 22

11 Pushing a bed 24

12 Good workstation set-up 26

13 Postural issues with laptops and tablets 28

Moving a patient in and out of a chair and walking

14 Assessing the patient before standing from a chair 30

15 Moving a patient forwards in a chair 32

16 Standing a patient: with one handler 34

17 Standing a patient: with two handlers 36

18 Seating a patient 38

19 Moving a patient back in a chair 40

20 Walking with handler(s) 42

21 Tips for using walking frames 44

22 Assisting a patient off the floor: verbal 46

Sitting a patient up, and in and out of bed

23 Sitting a patient using an electric profiling bed 48

24 Sitting a patient using a non-profiling bed 50

25 Sitting a patient onto the side of an electric profiling bed 52

26 Sitting a patient onto the side of a non-profiling bed 54

27 Lying down a patient from the bed edge 56

28 Standing a patient up from the bed edge 58

29 Standing a patient up from the bed edge using a profiling bed 60

Moving a patient within the bed

30 Turning a patient in bed: verbal 62

31 Turning a patient in bed: one handler 64

32 Turning a patient in bed: two handlers 66

33 Inserting two flat slide sheets under a patient: unravelling technique 68

34 Inserting two flat slide sheets under the patient: by rolling patient 70

35 Inserting a roller slide sheet under a patient 72

36 Moving a semi-independent patient up the bed with a roller slide sheet 74

37 Moving a patient up the bed with a roller slide sheet 76

38 Moving a patient up the bed with two flat slide sheets 78

39 Turning a patient in bed with roller slide sheets 80

40 Turning a patient in bed with two flat slide sheets 82

41 Moving a patient’s legs into bed with a slide sheet 84

Use of hoists and slings

42 Types of hoist 86

43 Types of sling 88

44 Insertion of sling into bed 90

45 Removal of sling from bed 92

46 Insertion of sling into chair 94

47 Removal of sling from chair 96

48 Insertion of sling into bed with slide sheets 98

49 Insertion of sling into chair with slide sheets 100

50 Hoisting from bed to chair with a mobile hoist 102

51 Hoisting from chair to bed with a mobile hoist 104

52 Hoisting from the floor with a mobile hoist 106

53 Using a standing hoist 108

Lateral transfers

54 Lateral transfer from bed to bed/trolley 110

55 Transfer from chair to bed using a transfer board 112

Other handling equipment

56 Assisting a patient to use a rota-stand: one handler 114

57 Assisting a patient to use a rota-stand: two handlers 116

58 Use of standing and raising aids (non-mechanical) 118

59 Use of equipment for bariatric patients 120

60 Kneeling and working at floor level 122

Case studies

Case study 1: Assessing a bariatric patient 124

Case study 2: Managing leg ulcer dressings in the community (kneeling) 128

Index 132