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Zorluk: OrtaErgonomics and Safe Use of Equipment

A client who recently underwent bilateral below-the-knee amputations is preparing to move from the hospital bed to a wheelchair. The practical nurse is facilitating the procedure using a friction-reducing slide board. Which action demonstrates the appropriate implementation of equipment safety and ergonomics?

  1. Position the wheelchair at a 45-degree angle to the bed, engage the wheel locks, and remove the armrest on the transfer side.Cevap
  2. B
    Delegate the task of evaluating the client's core strength and sitting balance to the unlicensed assistive personnel.
  3. C
    Secure a physical vest restraint to the client prior to the movement to prevent them from leaning forward off the board.
  4. D
    Continue the sliding motion without pause if the client suddenly complains of severe, crushing chest pain.

Cevap

The correct action is to position the wheelchair at a 45-degree angle, engage the wheel locks, and remove the armrest on the side closest to the bed.
Safe slide board transfers require the wheelchair to be placed at an angle (typically 45 degrees) to minimize the open space the client must cross. Locking the brakes prevents the chair from sliding away, and removing the armrest provides a clear, unobstructed path for the board, reducing the risk of musculoskeletal injury.

Adım Adım Çözüm

1
Analyze the equipment and transfer method required for the client.
The scenario involves a slide board transfer for a client with lower extremity amputations, requiring specific wheelchair positioning.
Understanding the mechanics of the specific equipment dictates the safety protocols needed to prevent injury to both client and nurse.
2
Identify the principles of proper ergonomics and environmental safety for a slide board transfer.
The receiving equipment must be stabilized (brakes locked), the physical gap minimized (45-degree angle), and physical barriers removed (armrest detached).
These steps create a safe, clear path that allows the client to slide using their upper body strength without twisting their spine or falling.
3
Evaluate the remaining options against safe nursing practice standards.
Delegating assessment, applying inappropriate restraints, and ignoring acute chest pain violate fundamental nursing principles.
Safe practice requires adhering to the scope of delegation, using the least restrictive safety measures, and prioritizing ABCs during any intervention.

Anahtar Kavram

Slide board transfer safety and ergonomics require stabilizing the receiving equipment by locking brakes, minimizing the physical gap by using a 45-degree angle, and removing barriers like armrests to prevent musculoskeletal injury.
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