NURSES TRANSFER TRAINING.

INTRODUCTION.

• In NKF rate of patient fall is getting higher as evidenced by incidence report in 2015 was 40 and it was raised to 56 in 2016

• So we choose this topic to improve awareness about fall prevention and safety of staff and patient, during patient transfers in dialysis centre.

1. BODY MECHANICS

2. COMMUNICATION

3. SAFE TRANSFER

AND MOBILITY

TECHNIQUES

DEFINITION

Body mechanics the term used to describe the efficient,

coordinated, and safe use of the body to move

objects and carry out the Activities of Daily Living

(ADL’s).

PURPOSE

To maintain good balance.

To reduce the energy required.

To avoid excessive fatigue.

To avoid muscle strains or tears.

To avoid skeletal injuries.

To avoid injury to the patient.

To avoid injury to assisting staff

members

PRINCIPLES OF BODY MECHANICS

The wider the base of support, the

greater the stability.

The lower the centre of gravity, the

greater the stability.

The equilibrium of an object is

maintained as long as the line of gravity

passes through its base of support.

LIMITS OF STABILITY

LINE OF GRAVITY

BASE OF SUPPORT

CENTRE OF GRAVITY

Use the arm and leg muscles as much as possible, the back

muscles as little as possible.

Dividing balanced activity between arms and legs reduces the risk of back injury

•It is easier to pull, push, or roll an object than it is to lift it .

•Movements should be smooth and coordinated rather than jerky

•Facing the direction of movement prevents

abnormal twisting of the spine.

Keep the work as close as possible to your body. It puts

less of a strain on your back, legs, and arms

Keep the work at a comfortable height to avoid

excessive bending at the waist.

Keep your body in good physical condition to reduce the

chance of injury.

Rest between periods of work promotes work endurance

COMMUNICATION

Why it is necessary during transfer of patient ?

VISUAL

VESTIBULARPROPRIOCEPTIVE

CNS

BALANCE

LEVEL OF TRANSFER

Standby aka supervision – just supervise the patient

Contact guard – maintains contact with patient to provide immediate assistance

Minimum assist – patient performs atleast 75 % of the activity

Moderate assist – patient performs < 50% of the activity

Maximum assist – patient performs < 25% of the activity