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Zorluk: OrtaErgonomics and Safe Use of Equipment

A practical nurse (PN) and an unlicensed assistive personnel (UAP) are preparing to move an alert, partially mobile client up in bed using a draw sheet. In what order should the team perform the following actions to ensure client safety and maintain proper body mechanics? Arrange the actions in the correct sequence.

  1. 1Adjust the bed to a flat position at the height of the nurses' waists.
  2. 2Place a pillow vertically against the headboard.
  3. 3Instruct the client to cross their arms over their chest and bend their knees.
  4. 4Roll the edges of the draw sheet closely against the sides of the client's body.
  5. 5Shift weight from the back leg to the front leg to slide the client upward.

Cevap

The correct sequence is: Adjust the bed height and position, place a pillow at the headboard, position the client's arms and legs, roll the draw sheet close to the client, and finally shift weight to move the client.
The correct sequence prioritizes environmental preparation and staff ergonomics first, followed by client safety and positioning, and concludes with the physical transfer using proper body mechanics. By flattening and raising the bed, nurses avoid working against gravity and bending over. Padding the headboard protects the client from injury. Having the client bend their knees allows them to assist, significantly reducing the physical load. Finally, securing the draw sheet close to the body and shifting weight ensures the use of strong leg muscles instead of the vulnerable back muscles.

Adım Adım Çözüm

1
Prepare the physical environment by adjusting the bed.
The bed is flat and raised to the nurses' waist height.
Flattening the bed reduces gravity resistance. Raising the bed to waist height maintains the nurses' center of gravity and prevents back strain.
2
Protect the client's head by relocating the pillow.
A pillow is positioned vertically against the headboard.
This prevents the client's head from accidentally striking the hard headboard surface during the upward movement.
3
Prepare the client for the movement.
The client crosses their arms and bends their knees, placing their feet flat on the mattress.
Crossing the arms reduces surface friction. Bending the knees allows the client to push down with their feet, assisting the nurses and reducing the physical load.
4
Establish a secure, ergonomic grip.
The draw sheet is rolled tightly against both sides of the client's body.
A close grip keeps the weight of the client near the nurses' center of gravity, significantly reducing strain on the lower back.
5
Execute the movement using large muscle groups.
The nurses shift their weight from their back leg to their front leg, gliding the client up the bed.
Using a weight-shifting rocking motion employs the strong muscles of the thighs and legs rather than the weaker back muscles.

Anahtar Kavram

Proper body mechanics and safe client handling techniques
Tahmini Süre:1m 30s
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Konular

Ergonomics and Safe Use of Equipment

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