HCA 161 units 5-6
Point of care risk assessment - ANS Ongoing decision making process considering Care Plan,
Environment, Resident, and care worker safety.
Transfer-independent - ANS Independently mobile; can walk and get up by themselves; can
TRANSFER themselves.
How to accompany transfer-independent clients - ANS Do not try to help unnecessarily; It can
throw them off balance
Organize environment to ensure safety
STAND BY just in case.
Hemiplegia - ANS One sided paralysis or weakness
Ambulate - ANS To walk
Transfer - ANS To be able to bear all or most of their weight
Chair Pre handling check - ANS Raise feet off ground
Straighten each knee
Seat/lean forward w/o support
Cognitive - Instruction following, disorientation...
Bed pre handling check - ANS Bridge (putting on pants)
Leg raise up (socks)
Sitting balance (Side of bed)
Grip strength (Hold rail or hand)
Cognitive - Instruction following, disorientation...
Pre handling check environmental factors (6) - ANS Space around you
Available equipment
Bed height; door widths
Tripping hazards
Furniture
Spills
For ALL transfer (9) - ANS Refer to care plan
Pre-handling check
Get help if needed
Communicate
Organize environment (led w/ strong side)
, Stay close, keep good base
Point feet in direction of movement
Knees bent, back straight, butt out, chin in.
Count
Weight shift/don't twist.
Principles of transfers (6) - ANS Organization
Asepsis
Body mechanics
Safety
Communication
Comfort and privacy
Aspects of safe transfers - ANS Prep resident, equipment and environment
Communicate
Use non-skid footwear
Strong side parallel to bed
No foot pedals during movement
Brakes on
Bed height
Pre-handling check determines a clients... - ANS Physical ability
Balance
Cognitive ability
One person assist lie to sit (6) - ANS Raise HOB
Assist to side lying position
Assist to edge of bed
Lower bed
Shift resident forward if necessary
Apply transfer belt
One person assist lie to sit (4) - ANS Prep to stand (Hands on clients arm and belt, clients arms
at your waist)
Count to stand
Weight shift
Resident sits
Reposition in chair with 2 people - ANS Stand beside with one hand on transfer belt and one of
towel under legs
Client pushes on foot rests
Communicate, count
Lean resident forward, tilt chair back
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