(Figure 2-33)

Used when moving the patient, if he can participate in it and control the position of the head and hands; the need to move the patient at a 90° angle from a chair to a wheelchair or other seat.

Explain the procedure to the patient, make sure that he understands it, and obtain his consent to the procedure.

Assess the environment. Move both seats together, fixing the brakes and removing the side rails of the chairs (chairs).

Stand facing the patient.

Spread your legs shoulder-width apart, hold the patient's feet with one foot, and the chair leg with the other.

Ask the patient to lean forward so that his shoulder rests on his sister's chest.

Move the patient to the edge of the chair, rocking it from side to side and moving the legs forward. Patient knees at 90°. Knees and feet together.

Put one foot next to the patient, fix his knees with the other.

Start smooth rocking, moving the mass of your body back and forth, keep the patient next to you.

Lift the patient and move him at an angle of 90° to another chair (chair).

Transferring the patient from sitting on a chair to lying on a bed (performed by one nurse) (Fig. 2-34)

Explain the procedure to the patient, make sure that he understands it, and obtain his consent to the procedure.

Hold the patient using one of the methods known to you (see Figure 2-10).

Warn the patient that on the count of "three" you will help him to stand up.

Rice. 2-34. Transferring a patient from sitting on a chair to lying on a bed

Counting to "three", swing.

On the count of three, put the patient, then turn with him, leg to leg, until he touches the edge of the bed with his hips.

Place the patient on the bed. Stand on the side facing him. Spread your legs 30 cm wide. Bend your knees. Keep your back straight!

Bring a hand under the knees, grasp them from above, with the other hand grasp the patient's shoulders.

Raise the patient's legs on the bed, turning his torso 90 °, lower his head on the pillow.

Cover the patient, make sure he is comfortable.

Moving a patient from bed (adjustable height bed) to stretcher and back (performed by four people) (Fig. 2-35)

After the operation, the patient remains for some time in a state of anesthesia or in consciousness, but experiences pain. When starting to move to a stretcher (bed), you need to know in which area he underwent surgery, as well as other restrictions.

During the transfer, visitors are asked to temporarily leave the room. You need to ask someone to hold the IV, drainage tubes and other devices.

You and your assistant stand on one side, the other two sisters on the other side of the bed. Fasten the brakes.

Place the wheelchair on the side of the bed where you will move the patient. Space must be left to be able to stand between the bed and the wheelchair.

Cover the patient with a sheet or blanket.

Tell him to hold the sheet or blanket with his hands, and fold the sheet at his feet.

Rice. 2-35. Transferring a patient from bed to wheelchair and vice versa

Move the patient to the edge of the bed.

Straighten the sheet and leave it on the mattress (without tucking). Wrap the top sheet around the patient, tucking the ends under him. Stand close to the bed so that the patient does not fall. Note. The head of the bed is in a horizontal position. Two sisters stand on the opposite side of the wheelchair and hold the patient; two other assistants move the gurney to the edge of the bed.

Note. Make sure the wheelchair is level with the bed. Leave no space between the bed and the wheelchair. Check that the sheet is on the mattress.

Attach the brakes to the wheelchair.

Roll the sheet into a roll and hold it in your hands on all sides, palms up.

Two sisters kneel on the free part of the bed (after putting the protector).

On the count of "three" (the command is given by the leader), all four lift the sheet and transfer the patient to the stretcher along with the sheet.

Make sure the patient lies in the middle.

Note. If the stretcher is equipped with straps, secure the patient with them.

Transport the patient to the destination: one sister is at the head, the other is at the patient's feet.

When transferring a patient from a wheelchair to a bed.

Put the wheelchair close to the bed, fixing the brakes, release the edges of the sheet on the wheelchair.

Two assistants kneel on the bed with the protector on.

All sisters fold the edges of the sheet towards the center.

On the count of "three" (the leader gives the command), everyone lifts the sheet, holding it by the edges, palms up, and moves the patient to the edge of the bed.

The nurses, kneeling on the bed, descend to the floor and hold the patient while others move the gurney back.

Move the patient, tuck the sheet under the mattress and straighten it.

Place a small pillow under your head if necessary. If the patient experiences pain during transfer, or the dressing gets wet, or there is blood in the drainage tubes, report to the doctor.

Moving a patient from a regular bed to a stretcher (and vice versa) is performed by three people (Fig. 2-36)

Position the wheelchair at an angle of at least 60° at the edge of the bed (at the feet).

Attach wheelchair and bed brakes.

Everyone stand along the bed:

The strongest (physically) sister is in the center;

Put one leg forward, bending at the knee, put the other back.

Put your hands (up to the elbow) under the patient:

The sister at the head lifts her head, supports her shoulders and upper back;

The sister in the center supports the lower back and buttocks;

The nurse, standing at the feet of the patient, supports the shins. Note. If the patient is very severe, more

people and will have to redistribute the load.

Rice. 2-36. Transferring a patient from a regular bed to a stretcher and vice versa

Lifting the patient:

At the command of the leader “three”, transfer the mass of your body to the leg set back;

Gently pull the patient to the edge of the bed;

To have a break;

On the new “three” command, roll the patient over, press him down and lift him up, straightening his knees and straightening his back (do not hold the patient on outstretched arms!).

Move backward to turn around to face the wheelchair:

The nurse holding the patient's legs takes wider steps;

The nurse holding the head, shoulders and back of the patient is less wide, turning around to face the gurney.

Move forward (to the wheelchair).

On the count of three, bend your knees and gently lower the patient onto the gurney.

Turning the patient on his side with the help of a diaper and placing in this position (performed by two people) (Fig. 2-37)

Usage

Explain the course of the upcoming procedure, make sure that the patient understands it, and obtain his consent to carry out.

Assess the patient's condition and environment. Attach the bed brakes.

Ask your assistant to stand on the opposite side of the bed from you.

Lower the side rails (or one of them if the procedure is performed without an assistant).

Ask the patient to raise his head (if possible) or raise his head and shoulders, remove the pillow.

Rest the pillow against the head of the bed.

Make sure the patient is lying horizontally on the edge of the bed.

Ask the patient to cross their arms over their chest.

If you turn him over on his right side, then he should put his left foot on his right.

Help him if necessary.

Stand on the side of the bed where you turn it over.

Rice. 2-37. Turning the patient to the side with a diaper

Place a protector next to the patient.

Stand closer to the bed, put your knee on the protector, the second leg serves as a support.

Put a hand on the patient's shoulder, which is farther from the sister, the second - on the corresponding thigh, i.e. if the patient rolls onto his right side, place your left hand on his left shoulder and your right hand on his left thigh.

Your assistant should pull the edge of the diaper out from under the mattress and roll it close to the patient's body, then take the rolled end of the diaper with the palms up and, resting their feet, turn the patient on their side on the count of three.

You turn the patient towards you, transferring your weight to the standing leg on the floor.

Assist the patient to raise their head and place a pillow. Note. Further actions depend on the purpose of the rotation.

For example, in the case accommodation:

Turn the patient so that he is not lying on his arm;

Place a folded blanket under your back for stability;

Put a pillow under the arm lying on top;

Bend the leg lying on top at the knee and place a pillow between the knees;

Straighten the lining diaper;

Raise the side rails;

Make sure the patient is comfortable.

Turning the patient on his side using the method of "joint log rolling" and placing in this position (performed by two people) (Fig. 2-38)

Usage when changing linen; placement in a position on the side; preliminary stage for other movements.

Assess the patient's condition and environment. Attach the bed brakes.

Ask your assistant to stand next to you.

Remove the pillow from under the head and place it at the head.

Place your hands under the patient's head and shoulders.

Tell your assistant to put his hands under the patient's thighs.

Rice. 2-38. Turning the patient on his side by joint rolling of the log

Place one foot slightly in front of the other, on the count of three, rock back, shift your body weight onto the back foot, and move the patient to the edge of the bed.

Lower the bed so that one knee of the sister is on the bed (on the protector), and the other leg is firmly on the floor.

Together with an assistant, go to the other side of the bed. Place a pillow between the patient's legs and cross his arms over his chest.

Both sisters put protectors on the edge of the bed and put one knee on the protector.

Put one hand on the shoulder, the other on the patient's pelvis, ask the assistant to put his hands on the patient's thighs and shins.

On the count of three, turn the patient to face you, keeping his head, back and legs in line.

Bend the top leg slightly.

Make sure the pillow remains between the patient's legs.

Place an emphasis at the sole of the foot lying below.

Be sure to place a pillow under the back to keep the patient in this position.

Place a pillow under your upper arm as well.

If possible, place a small pillow under the patient's head.

Cover him.

Raise the side rails.

Make sure the patient is comfortable.

Turning the patient and placing him in a position on his side. Performed on a bed with adjustable height (performed by one nurse, the patient can help) (Fig. 2-39)

Use at forced or passive position; the risk of developing bedsores, a change in position.

Prepare: extra pillow, footrest, sandbag.

Explain to the patient the course of the upcoming procedure, make sure that he understands it, and obtain his consent to the procedure.

Assess the patient's condition and environment. Attach the bed brakes.

Rice. 2-39. Turning the patient over and placing him on his side

Fully (if possible) lower the head of the bed; the patient should lie horizontally. Lower the bed to mid-thigh level.

Move the patient closer to the edge of the bed, opposite to where he is turned.

Tell the patient to cross his arms over his chest.

If you turn him over on his right side, then he will put his left foot on his right (if he cannot do this, help him). Bend the patient's left leg: one hand covers the lower leg, the other - the popliteal cavity).

Stand on the side of the bed where you will turn the patient. Put the protector next to it.

Bend your leg at the knee and place it on the protector.

The second leg is the support.

If the patient needs to be turned onto his right side, put his left hand on his left shoulder and his right hand on his left thigh.

Turn the patient on their side, transferring their weight to the leg that is on the floor.

Place a pillow under the patient's head. Note. The patient should lie on his arm.

Bend the patient's arms slightly.

The hand on top rests on the pillow.

Place a pillow under the patient's back.

Under the bent leg of the patient, lying on top, put a pillow (from the inguinal region to the foot).

Place a sandbag (foot rest) at the sole of the foot that lies underneath.

Unfold the lining.

Turning over and placing the patient in the “lying on the stomach” position is performed by one sister as prescribed by the doctor; the patient is unable to help (Figure 2-40)

It is performed both on a functional and on a regular bed.

Usage in a forced or passive position; the risk of developing bedsores, a change in position.

Prepare: a rolled-up blanket or bath towel, a small pillow, bolsters.

Explain to the patient the course of the upcoming procedure, make sure that he understands it and obtain his consent to the procedure.

Assess the patient's condition and environment. Attach the bed brakes.

Lower the side rails (if any) from the side where the nurse is.

Rice. 2-40. Transferring the patient to the prone position

Lower the head of the bed (or remove the pillows). Make sure the patient is lying horizontally.

Gently raise the patient's head, remove the regular pillow and place a small one.

Move the patient to the edge of the bed.

Unbend the patient's arm, press it to the body.

Raise the side rails. Go to the other side of the bed and lower the side rails there.

Put your knee on the bed.

Place a folded blanket (towel) or small pillow under the patient's upper abdomen.

Put one hand on the shoulder, and the other on the thigh, which are farther from you, put the knee on the patient's bed, placing a small pillow (protector) under it.

Turn the patient on his stomach towards the sister. The patient's head is on its side.

Place a pillow under your shins so your toes don't touch the bed.

Rice. 2-41. Transferring the patient from back to abdomen and vice versa

Bend one arm of the patient at the elbow joint at an angle of 90 °, put the other along the body.

Place pillows (or foam rubber in a case) under the elbows, forearms and hands.

Place small rollers next to the feet (on the outside).

Straighten the sheet and underclothes.

Make sure the patient is comfortable. Raise the side rails.

Figure 2-41 shows the technique of transferring the patient by two nurses to the abdomen and back.

TOXIC SUBSTANCES

In a medical institution, nursing staff is exposed to various groups of toxic substances contained in medicines, disinfectants, detergents, gloves.

They enter the body in the form of dust or vapors in various ways (Fig. 2-42). The most common side effect of toxic substances is "professional dermatitis" - irritation and inflammation of the skin of varying severity.

In addition to occupational dermatitis, toxic substances cause damage to other organs and systems.

preventive measures, reducing the impact of toxic substances are quite multifaceted.

First of all, you should be aware that chemicals that have disinfectant properties can be replaced by cleaning agents and disinfection using high temperatures. They have equal or even greater efficiency and are cheaper.

Secondly, protective clothing such as gloves, gowns, aprons, face shields and goggles, shoe covers reduce skin contact with toxic substances, and masks and respirators provide some level of protection against toxic dusts and aerosols. If rubber gloves in people with hypersensitivity provoke dermatitis, you can wear silicone or PVC with a cotton lining. Powders should only be handled with cotton gloves, but they do not protect the skin well when working with liquid chemicals.

Thirdly, the preparation of solutions of disinfectants should be carried out in specially equipped rooms with supply and exhaust ventilation.

Fourth, you should carefully study the guidelines for the use of certain protective equipment when working with toxic substances.

Fifth, you need to carefully care for the skin of the hands, lubricate all wounds and abrasions. It is better to use liquid soap, dry your hands well after washing. Protective and moisturizing creams can help restore the skin's natural oils that are lost when exposed to certain chemicals.

At sixth, If a chemical gets into the eyes, rinse them immediately and thoroughly with plenty of cold water. If any chemical is ingested, rinse your mouth with water, in some cases it is recommended to drink plenty of water. Chemical preparations that have got on the skin should be washed off immediately, and if they got on clothes or overalls, change it.

Many drugs have side effects, which are described in the annotations. But, unfortunately, the effect of these unusual harmful factors on nursing personnel is often ignored.

Medicines affect the sister's body in various ways: with direct contact - the use of creams and ointments without gloves, contact of solutions with the skin and eyes; inhalation - crushing or counting tablets; when using aerosols; if it enters the digestive system - through the hands or accidentally in the mouth.

It has been estimated that 1-5% of nursing staff are sensitized after contact with antibiotics, especially penicillin, neomycin and streptomycin.

Antihistamines (promethazine), chlorpromazine, aminophylline can also cause skin reactions.

Some antibiotics (actinomycin D, myctomycin C, streptomycin) are teratogenic.

Cytotoxic drugs have a negative impact on the health of nursing staff when the necessary conditions for safety are not met.

(or a wheelchair) using the “shoulder lift” method

(performed by two or more nurses)

Indications: the patient can sit, but cannot move independently with the help of legs.

Contraindications: shoulder injury, chest and upper back pain.

3. Put a chair (wheelchair) next to the bed, make sure the bed and wheelchair are on the brake.

4. Move and seat the patient in a position with legs hanging freely.

5. Stand on both sides of the patient facing him.

6. Bring the hand closest to the patient under his hips (both nurses take each other's hands with a “wrist grip”).

7. Support the patient by the hips as close to the buttocks as possible.

8. Substitute the shoulders in the armpits of the patient, and the patient puts his hands on the back of honey. nurses (both nurses monitor the observance of the correct biomechanics of their body in order to prevent back injuries).

9. Use your free hand, bent at the elbow, as a support, leaning with it on the bed behind the patient's buttocks (keep your legs apart, bend your knees).

10. To ensure synchronization of actions, one of the m/s gives the command: “On the count of “three”, straighten your knees and elbow until the m/s stand straight.”

11. Move the patient to a chair (wheelchair) supporting his back with his free hand.

12. Place your holding hand on the armrest or chair seat.

13. Lower the patient into a chair (wheelchair) by bending your knees and elbow (talk among yourselves to make sure you lower the patient into the chair at the same time, pay attention that the chair does not tilt back, for this one of the nurses can hold the back of the chair ).

14. Make sure the patient is sitting comfortably and comfortably.

15. Wash your hands, dry with a disposable tissue or individual towel.

Rice. 2 stage moving method

"Shoulder raises"

(on the command "Raise the patient")

Rice. 3 stage moving method

shoulder raises, moving

patient on a chair

Retaining the patient with the "axillary grip" method

Indications: support and movement of the patient, able to provide assistance.

Execution sequence:

3. Stand on your side facing the seated patient.

4. Put one foot next to it, and the other, slightly turning the foot, in front of the patient's legs, fixing his knees.

5. Pass one hand into the patient's far axillary cavity, and move the second hand in the direction from behind and to the front with the palm up (the thumb is outside, outside the armpit).

6. Make sure you are able to move your body weight freely from one foot to the other and that you are standing comfortably.

7. Ask the patient to help him lean forward from the hip so that his shoulder, which is closer to you, rests firmly on your torso.

8. After holding, wash your hands, dry with a disposable tissue or individual towel.

The patient can change from bed to a chair or wheelchair on their own or with your help. The height of the bed should be at the same level as the wheelchair or chair.

Self-transfer from bed to wheelchair

• First, a dressing gown, slippers, a chair or a wheelchair are prepared for the patient;
• Help the patient to dress and sit up in bed so that his feet touch the floor;
• A wheelchair or chair is placed at a slight angle to the bed on the side of the patient that is physically stronger;
• The bed is put on the brakes;
• If the patient moves to a wheelchair, the brakes are fixed at the chair, the armrest is removed from the side close to the patient, and the footrest;
• The patient should sit on the edge of the bed, lean on it with one hand, and grasp the armrest of the wheelchair with the other;
• Then he gets out of bed, leaning with one hand on the bed and the other on the arm of the chair, turns his back to the chair and carefully sits down in it.

When moving from a wheelchair to bed, the patient holds on to the armrest of the chair with one hand, and leans on the bed with the other, then gets up from the wheelchair, leaning on the bed with one hand, and with the other - holding on to the armrest of the chair, turns his back to the bed and carefully sits on her.

When moving from bed to chair and back, you can use the same techniques as when moving from bed to wheelchair. For the safety of the patient, it is better to use a chair with armrests.

Using a smooth board to move the patient from bed to chair or wheelchair and back

Such boards reduce friction when sliding and can be useful for patients with strong arms, but who are unable to lean on their legs when transplanting.

• An armchair or chair is moved close to the bed, the chair is put on the brakes, the armrest is removed from the chair from the side of the bed.
• The patient should sit in bed without taking his legs off her, so that the chair is on the side of him.
• The patient must transfer the weight of his body to the buttock farthest from the chair.
• The patient slips one end of the board under the buttock closest to the wheelchair.
• Leaning with one hand on the bed, and with the other on the free edge of the board, the patient slides into the chair along the board, pressing it to the seat.
• After sitting down in a chair, he takes out a board from under him.
• Sitting in a chair, he moves his legs off the bed and puts them on the footstool. In the same way, you can move from a chair to a bed.

Moving from bed to chair and back with the help of a sitter

• Explain your transfer plan to the patient and encourage him to help as much as he can;
• Prepare a bathrobe, slippers, a chair or a wheelchair for the patient. The bed should be at the same height as the chair (wheelchair);
• Place the patient in bed with his feet touching the floor;
• Place a chair or wheelchair at a slight angle to the bed on the side that is physically stronger for the patient;
• Put the bed on the brakes. If you are transferring the patient to a wheelchair, remove the armrest, footrest and lock the brakes;
• Help the patient to dress and put on shoes;
• Your knees should be bent and your back should be straight. Place one hand under the patient's shoulders and the other under his hips. Do not turn your back at the waist;
• Ask the patient to put his arm around your waist or shoulders (but not around your neck!), and you put your hands under his arms, leaning forward;
• When your patient is ready to move, their buttocks should be on the edge of the bed so they can keep their balance as you move their body weight forward. The patient's feet should be on the floor, and the heels should be slightly turned in the direction of movement. This is necessary so that his legs do not get tangled when he turns his body to sit in a wheelchair or chair;
• Place your leg, which is further from the chair, between the knees of the patient with your knee towards him, and the other in the direction of movement;
• Bend your knees, tighten the muscles of your abdomen and buttocks, keep your back straight;
• Get as close to the patient as possible. Warn him that on the count of 3 you will help him up. Rock back and forth slightly for each count to create momentum. On count 3, holding the patient close to you and keeping your back straight, lift the patient using your body as a lever;
• Turn yourself at the same time as turning the patient's body until he is in a position directly in front of the wheelchair. Ask the patient to warn you when he feels the edge of the chair on the back of his thighs;
• Gently lower the patient into a chair. To do this, you need to bend your knees and keep your back straight. While sinking into a chair, the patient can help you if he puts his hands on the arm of the chair. After the patient sits in the chair, put the armrest and footrest in place, place the patient's legs on the stand.

Moving plank from bed to wheelchair with the help of a sitter

• Move the chair or chair close to the bed, put the chair on the brakes, remove the armrest from the chair from the side of the bed;
• The patient should sit in bed without taking his legs off her, so that the chair is on the side of him;
• The patient must transfer the weight of his own body to the buttock farthest from the chair;
• Slide one end of the board under the buttock closest to the stroller;
• Stand behind the patient and put your hands on his waist;
• With one hand, the patient should lean on the bed, and with the other - on the free edge of the board;
• Then, leaning on the free edge of the board and bending it to the chair, the patient, with your help and the help of the other hand, should move to the chair;
• Pull the board out from under it;
• Move his legs off the bed and place them on the footstool. In the same way, you can move from a chair to a bed.

1) Stand in front of the patient;

2) Ask the patient to grasp your waist while holding the patient by the shoulders in the middle third. Your feet and the patient's feet should be in a foot-to-foot position;

3) Take a step back, holding the patient and helping him to stand up;

4) Turn to the left, while continuing to hold the patient, help him stand in front of the chair;

5) Ask the patient to sit on a chair behind him, while holding the patient by the shoulders, and fix his knees with your knees

6) Do not leave the patient alone until you are sure that he is sitting confidently and steadily;

7) Wash your hands.

The sequence of actions when transferring a patient from a sitting position on a chair to a sitting position on a bed

1) Stand facing the patient so that your knees and feet fix the knees and feet of the patient

5) Wash your hands.

When moving a patient by one person, apply lifting by swing in order to help the patient get up and move to another place, provided that patient can participate in locomotion and control the position of his head and hands.

They begin by helping the patient to move to the edge, gently rocking it from side to side and alternately moving the legs forward.

The patient's knees should be at a 90 degree angle, knees and feet together. Stand with one foot next to the patient and the other in front of him, fixing his knees.

In this position, you can:
- help the patient to stand up;
- move it at a 90 degree angle from a chair to a wheelchair, etc.;
- rotate it 180 degrees from a wheelchair.

In every case rocking carried out according to the same principle: they start moving rhythmically , shifting body weight back and forth, keeping the patient close to you.

In this case, the patient is given an impulse to rock back and forth, and there is no need to lift the patient.

Do a few preparatory swings to set the rhythm, then move more vigorously, stimulate the patient ("Get ready, do"), and the move is done.

You can use the reception axillary grip or hold on the pelvis , or waist-belt to help the patient stand up or move them from a 90-degree sitting position to another position.
The sequence of actions when transferring a patient from a sitting position on a chair to a lying position

1) Stand facing the patient so that your knees and feet fix the patient's knees and feet

2) Slightly bending the legs at the knees, grab the patient by the body, while the patient's hands are passively folded on their knees;

3) Slightly tilting the patient's body towards you, help him rise from the chair;

4) Turning to the right, help the patient sit on the bed. Do not release the patient until you are sure that he is sitting steadily;

5) Stand to the right of the patient; bring your right hand under his knees, hold your left behind your back at the level of your shoulder blades;

6) Raise the patient's legs on the bed, while turning him around the axis by 90 0, lower his head on the pillow;

7) Make sure the patient feels comfortable, cover him;

8) Wash your hands.

When lifting patient in bed or moving from bed to chair and vice versa Shoulder lift method

(known in practice as the "Australian Rise").

This method should not be used when the patient cannot sit. Also, this method is not suitable for patients with injuries, disease or shoulder, chest, or upper back pain .

If possible, set the bed to a height that is halfway between your hip and knee, and make sure the bed is on the brake. Help the patient to sit up. One nurse supports while the other can place a pillow, etc. Stand on both sides of the bed facing each other, close to the bed and slightly behind the patient so that the shoulders are in line with the patient's back. Feet are in a stable position leading leg in the direction of travel. Bend your hips and knees and keep your back as level and straight as possible.

Place your shoulder closest to the patient from behind to the patient's chest and under the armpit while the patient places their hands on their backs personnel .

Close your hands behind the wrists under the patient's hips as close to the buttocks as possible. Place your other hand on the bed behind the patient to support your torso, elbow flexed and ready to take the weight during the lift.

Then you or your colleague, depending on who is the leader, give the command to raise. Straighten your back leg and the elbow of the arm that helps the patient up and shift your weight to the leading leg. Raise the patient completely off the bed and lower them while flexing your leading leg and supporting your elbow. Move the patient in one movement short distance .

When it is not possible to use the shoulder lift method, an alternative method is used lifting with a stretched sheet

Make sure the sheet under the patient is between the chest and mid-thigh. Grab the top corner of the stretched sheet while helping the patient sit up. Then grab the bottom corners of the stretched sheet. Place your lead foot in the direction of travel and use your legs and body weight to bring the patient upright in bed gradually (one of nurses gives commands).
Lifting an obese patient requires two people on each side.

Holding the patient by the belt

(performed by one nurse, the patient is able to help)

Indications: support and movement of a patient able to provide assistance

Stages	Rationale
1. Explain to the patient the course of the procedure, obtain consent	The patient's right to information is respected, his participation in the procedure is ensured.
2, Assess the patient's condition and the environment
3.Stand on the side of the patient facing him. Put one foot next to his leg, and the other in front of his legs, fixing his knees.	Fixation of the knees ensures the safety of the patient, reduces the risk of falling.
4. Bring the thumbs of both hands to the belt of the patient's trousers (the patient's skirt), then clasp it with the whole arm. Note: An optional wide strap can be placed on the patient.	Provides reliable fixation and safety of the patient during movement. No slipping of the belt on the chest when moving
5.Make sure the belt is fastened securely.	Ensures patient safety
6. Ask the patient to help you and support yourself by placing their hands on your lower back or grabbing your belt	The safety of the nurse and the patient is ensured.
7. Wash and dry your hands after the procedure.	Ensures infection safety

Supporting the patient while walking (performed by one nurse)

Indications: helping a person with walking after an injury, stroke, etc.

Stages	Rationale
1. Explain the principle of holding while walking.	The conscious participation of the patient in the procedure is ensured.
2. Assess the condition and capabilities of the patient: - what he can do on his own; What support does he need? - Does he need assistive devices (cane, crutches, walkers).
3. Assess the environment (humidity of the floor, slippers, foreign objects on the floor, equipment standing in the way of the patient).	The safety of the patient is ensured.
4. Stand next to the patient. Apply "thumb grip": hold the patient's right hand in his right hand (or left in his left). The patient's hand is straight, leaning palm on the nurse's palm with the thumbs closed in the lock.	Provides reliable patient support and safety.
5. Support the patient with the other hand under the elbow or grab the patient around the waist.	The safety of the patient is ensured.
6. Stand as close to the patient as possible, support his knees with his right foot (the sister is on the right), if the patient honors himself insecurely.	In this position, it is easier to keep a person from falling with minimal effort.
7. Move around the patient until he honors himself uncertainly.	The safety of the patient is ensured.
8. Wash and dry your hands at the end of the procedure.	Provides infection control.

Mattress - Slider "Easy movement"

Sanitary and epidemiological conclusion No. 77.01.06.561.P.038152.05.07 dated 05.25.2007 "Easy Move" is a very simple, convenient and effective device for transferring patients from gurneys to bed, operating or manipulation table, etc. Mattress - slider "Easy movement" is designed to move bedridden patients from one surface to another (bed, stretcher, operating table, manipulation table, etc.) The slider makes moving patients an easy job for medical personnel and creates comfort and safety for patients. The slider provides an invaluable service to the work of a nurse, a nurse, especially when it comes to patients who need special care. It is easy to fold it and then use it again to move patients. Withstands a load of 200 kg. . The height difference between the wheelchair and the surface can be 15 cm

Moving the patient is best done with two people. When moving a patient from a hospital bed (operating table, etc.) to a stretcher, the operator from the side of the bed easily supports the patient by the shoulders and buttocks facing him. Another operator from the side of the gurney (operating table) unfolds the mattress-slider and (etc.) puts it under the patient on 1/3 or ¼ of his body. The bedside operator places the patient on the edge of the slider mattress and with a slow, light movement rolls the patient on the slider mattress from the hospital bed onto the stretcher. When the patient moves back from the wheelchair to the bed (operating room, table, etc.), all actions are repeated, but in the reverse order, and the operator from the side of the hospital bed removes the mattress slider.

SLIDER PROCESSING

The sliding cover is waterproof. It can be wiped with a damp cloth, it can be washed at a temperature of 60 ° C, but not in a washing machine. Disinfect (wash) with any disinfectant that does not cause corrosion of the synthetic polymer. For processing, products that do not contain strong oxidizing agents (chlorine, peroxide) with a washing effect are recommended, for example, "Brilliant" - a solution of 0.5-2%, "Brilliant Light" - a solution of 0.15-3%, "Brilliant Paradise" - solution 0.1% -2% and incl. containing alcohols, such as "Brilliant Spray". The board in synthetic fabric also withstands any gentle disinfectants with a detergent effect, including those based on alcohol. Do not rub the gray board with a hard brush.

ATTENTION!

1. Personnel must be familiar with the instructions for use.

2. Before transferring the patient, the gurney must be pulled tightly against the hospital bed (operating table, etc.) and fixed by the operator.

3. The height difference between the surfaces should not be higher or lower than 15cm

4. It is forbidden to use brute force when carrying out manipulations to move patients!!!