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Hello Fellow Nurses,
This may sound like a dumb title, but I am asking for advice on the proper positioning/transporting method of transporting a 17yr female pt from tub to walker.
The last time I practiced transporting/positioning patients was in nursing school 2 years ago in my first semester. I became a school nurse right out of BSN school and do not pick up/move/position or transport patients. This is my first job as PDN. My only concern is that this patient has CP and she is my height and size. I am a petite 23 yr old female, and hardly strong enough to pick up someone my same size out of a tub to a walker. My fear is of hurting the patient or possibly dropping her during the transport! :/ I know I sound stupid, but I would just like some positioning advice on how to safely move this patient without causing harm. Any advice would be greatly appreciated.
In the same situation (alone)? Yes.
i like your consistancy
personally, i don't work on female cases (PDN)
it just doesn't seem right to me (maybe my upbringing)
but i've worked on several adolescent et young adult male
cases with other female nurses and never thought about it twice
as uthscsa2011 said, it is a personal preference and i'm not
changing mine, but i struggle with being inconsistant
uthscsa2011, sorry for going off topic
to get back, here are some quotes from
a recent nursing journal article about pt.
transfers and musculoskeletal injuries to
healthcare workers
"manual handling is Not an expectation of safe and high
quality healthcare"
"evidence based practice has shown that All manual lifting
of patients is dangerous"
"traditionally taught methods of 'good body mechanics'
that are supposed to counteract the physical stress of
patient handling have proven to be a myth, because these
methods were based on lifting and moving static loads
(ie. boxes with handles), applied primarily to men, concentrate
primarily on the lower back for lifting and do not account for other
vulnerable body parts involved in other types of patient handling
tasks, such as lateral transfers from gurney to bed along a horizontal
plane"
i hope the pt. can get a lifting device, but in any case, getting advice
on transfers from a male may not be good for you
i remember the pt tests with my hospital unit
no way the females could even come close to doing
the same number of push ups, but when it came to
sit ups it was another story alltogether
i like your consistancypersonally, i don't work on female cases (PDN)
it just doesn't seem right to me (maybe my upbringing)
but i've worked on several adolescent et young adult male
cases with other female nurses and never thought about it twice
as uthscsa2011 said, it is a personal preference and i'm not
changing mine, but i struggle with being inconsistant
I had no idea you were a male nurse, Systoly! I don't know why since your avatar is clearly a male symbol, I just never pay attention to them. I have mental images of the nurses that write on here a lot and I will have to change my image of you now!
Just some thoughts . .first insist on a thorough orientation to every aspect of the client/patient's care. I've noted that many times the orienting nurse will gloss over details just to get through the process. Go through the plan of care and make sure you can answer "yes" to all the "hows" in her care. I agree with those who suggest that current caregivers demonstrate how they currently move the patient. Ask them to observe you as you try it yourself if at all possible.
Because a good number of home patients and caregivers balk at the Hoyer Lift and other devices, I have seen some creative work-arounds that are very individualized to the patient's level of motor function and ability to control the movements of their own extremities, which can vary quite a bit with CP and can result in injury to both of you.
As a general rule, we want to help, and we want to get the job done. Sometimes this leads us to try things that can result in permanent damage to our health and ability to continue to work, or to inadvertently harm the patient. I have to remind myself of this truth even now. Best wishes as you start in this unique area in nursing!
uthscsa2011
106 Posts
From what I was told, this patient has CP and cannot do any bathing herself.