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manoj-prabakaran
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NURSES TRANSFER TRAINING.
INTRODUCTION.
• In NKF rate of patient fall is getting higher as evidenced by incidence report in 2015 was 40 and it was raised to 56 in 2016
• So we choose this topic to improve awareness about fall prevention and safety of staff and patient, during patient transfers in dialysis centre.
1. BODY MECHANICS
2. COMMUNICATION
3. SAFE TRANSFER
AND MOBILITY
TECHNIQUES
DEFINITION
Body mechanics the term used to describe the efficient,
coordinated, and safe use of the body to move
objects and carry out the Activities of Daily Living
(ADL’s).
PURPOSE
To maintain good balance.
To reduce the energy required.
To avoid excessive fatigue.
To avoid muscle strains or tears.
To avoid skeletal injuries.
To avoid injury to the patient.
To avoid injury to assisting staff
members
PRINCIPLES OF BODY MECHANICS
The wider the base of support, the
greater the stability.
The lower the centre of gravity, the
greater the stability.
The equilibrium of an object is
maintained as long as the line of gravity
passes through its base of support.
LIMITS OF STABILITY
LINE OF GRAVITY
BASE OF SUPPORT
CENTRE OF GRAVITY
Use the arm and leg muscles as much as possible, the back
muscles as little as possible.
Dividing balanced activity between arms and legs reduces the risk of back injury
•It is easier to pull, push, or roll an object than it is to lift it .
•Movements should be smooth and coordinated rather than jerky
•Facing the direction of movement prevents
abnormal twisting of the spine.
Keep the work as close as possible to your body. It puts
less of a strain on your back, legs, and arms
Keep the work at a comfortable height to avoid
excessive bending at the waist.
Keep your body in good physical condition to reduce the
chance of injury.
Rest between periods of work promotes work endurance
COMMUNICATION
Why it is necessary during transfer of patient ?
VISUAL
VESTIBULARPROPRIOCEPTIVE
CNS
BALANCE
LEVEL OF TRANSFER
Standby aka supervision – just supervise the patient
Contact guard – maintains contact with patient to provide immediate assistance
Minimum assist – patient performs atleast 75 % of the activity
Moderate assist – patient performs < 50% of the activity
Maximum assist – patient performs < 25% of the activity