Patient transfer technique
Currently in our society, academic training related to the care and handling of sick people focuses more on the preparation of future professionals in technical aspects of patient treatment, leaving aside essential basic subjects to which greater importance should be given, such as, for example, mobilization and transfer techniques.
In the case of professionals who are not sufficiently prepared and whose work environment is poorly adapted to human physiology, these mobilization and transfer techniques are going to pose a very significant risk of accidents, highlighting work-related musculoskeletal disorders that over time can lead to a disabling pathology with the consequent decrease in the physical potential of the professional.
Therefore, in the case of physiotherapists, health professionals who due to their training and knowledge intervene offering biomechanical and ergonomic solutions to prevent or control injuries of the musculoskeletal system, it is contradictory to know that they are also susceptible to suffer this type of injuries derived from their occupation, due to an inadequate postural hygiene or due to ergonomic risk factors that come from repetitive work and intense physical labor.
Patient transfer and mobilization techniques
Follow these steps to transfer a patient from bed to a wheelchair. The following technique assumes that the patient can stand on at least one leg. If the patient cannot use at least one leg, you will need to use an elevator to transfer the patient. Preparation
Discuss the steps thoroughly before you act, and get help if necessary. If you are not able to assist the patient yourself, you could injure yourself and the patient. Make sure any loose rugs are out of the way to prevent slipping. You may need to put non-skid socks or shoes on the patient’s feet if the patient needs to stand on a slippery surface. The following steps should be followed:Getting the patient ready to be transferred
Before transferring to the wheelchair, the patient should be seated. Allow the patient to sit up for a moment, in case the patient feels dizzy when getting into the sitting position.The following steps should be performed when preparing to move a patient:Pivot Turn
How to seat or incorporate the patient into the bed.
The choice of the method of transferring patients will depend on the patient’s condition and pathology, age, etc. The transfer of patients can be carried out horizontally or vertically. Any evacuation is in principle a horizontal transfer, and can be carried out in the patient’s own bed.
In the case of a vertical evacuation, the use of beds or chairs is ruled out. The choice of the transfer method will be made by the Physician in charge of the Unit and in his absence by the Supervisor of the same.
The evacuation of patients who cannot move by themselves will be done in their bed (horizontal) to the safety zone previously marked, or any of the vertical transfer methods described below will be used.
What are the transfer techniques
Have knowledge of correct techniques for immobilization and transfer of an injured patient. Ensure attention to possible injuries or wounds that may be aggravated by immobilization and transfer, determine the risks that may exist in order to avoid further accidents, both for the patient and for the person involved in the assistance.
In situations where the terrain does not allow traction by the feet, due to the presence of various obstacles, the health technician will stand behind and, avoiding sudden movements of the neck, cross the arms of the injured person on his chest. The technician will pass his arms under the victim’s armpits and will grab the victim’s arms to drag him carefully.
If there are no major injuries and two rescuers are available, the victim can be carried using the sit-on-hands technique. With this technique, the rescuers interlock their arms and grab the victim, sitting on the victim’s arms, while the victim is held on the rescuers’ shoulders.