Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to Stretcher - Flowchart
Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to Stretcher - Flowchart Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to Stretcher Example of an Algorithm to Aid in Decision Making Regarding Safe Patient Handling and Mobility to Transfer a Patient from Bed to Stretcher
«Flowchart»

Start here

Start here

Start here

Is patient cooperative?

Is patient cooperative?

Is patient cooperative?

Yes

Yes

Yes

No

No

No

May require additional staff.

Evaluate/screen patient and reschedule if needed.

If safe to perform task, use one of these options.

May require additional staff.

Evaluate/screen patient and reschedule if needed.

If safe to perform task, use one of these options.

May require additional staff.

Evaluate/screen patient and reschedule if needed.

If safe to perform task, use one of these options.

Options:


    Ceiling lift or full body litting device with repositioning or supine sling.
    Air assisted or other lateral transfer/friction reducing device.

Bariatric patients require additional caregivers.

Options:


    Ceiling lift or full body litting device with repositioning or supine sling.
    Air assisted or other lateral transfer/friction reducing device.

Bariatric patients require additional caregivers.

Options:

Options:

    Ceiling lift or full body litting device with repositioning or supine sling.
    Air assisted or other lateral transfer/friction reducing device.

Ceiling lift or full body litting device with repositioning or supine sling.
Air assisted or other lateral transfer/friction reducing device.

Bariatric patients require additional caregivers.

Caregiver assistance not needed.

Coach or cue patient.

Caregiver assistance not needed.

Coach or cue patient.

Caregiver assistance not needed.

Coach or cue patient.

End

End

End

Can patient independently transfer?

Can patient independently transfer?

Can patient independently transfer?

Yes

Yes

Yes

No

No

No

Notes:


Confirm destination surfaces (bed, stretcher, exam table, etc.) and patient handling equipment MEET WEIGHT, WIDTH, and HEIGHT REQUIREMENTS of patient.
If patient needs to be pulled up in bed prior to transfer, see Repositioning in Bed (Algorithm 3).
High/low beds, adjustable exam table and stretchers are ideal for making transfers easier.
Lock all wheeled equipment before transfer.
When using air assisted lateral transfer device. ALWAYS move feet first, followed by upper torso and head, to determine if is safe to continue the move and to prevent patient from falling through between sending and receiving surfaces.
Destination surface should be 1/2-inch lower than sending surface for all lateral patient moves.
Ensure that at least one caregiver is on the destination side.
For patients with delicate skin or pressure ulcers, care must be taken to avoid shearing force by dragging patient against surfaces.
Friction reducing devices vary greatly in design and efficiency. Sometimes a combination of a slide board and another type can reduce forces more than either one alone.
The force required to logroll a patient is about 32% of the patient's body weight.
Caregivers should avoid push or pull forces greater than 20% of their own weight.

Notes:


Confirm destination surfaces (bed, stretcher, exam table, etc.) and patient handling equipment MEET WEIGHT, WIDTH, and HEIGHT REQUIREMENTS of patient.
If patient needs to be pulled up in bed prior to transfer, see Repositioning in Bed (Algorithm 3).
High/low beds, adjustable exam table and stretchers are ideal for making transfers easier.
Lock all wheeled equipment before transfer.
When using air assisted lateral transfer device. ALWAYS move feet first, followed by upper torso and head, to determine if is safe to continue the move and to prevent patient from falling through between sending and receiving surfaces.
Destination surface should be 1/2-inch lower than sending surface for all lateral patient moves.
Ensure that at least one caregiver is on the destination side.
For patients with delicate skin or pressure ulcers, care must be taken to avoid shearing force by dragging patient against surfaces.
Friction reducing devices vary greatly in design and efficiency. Sometimes a combination of a slide board and another type can reduce forces more than either one alone.
The force required to logroll a patient is about 32% of the patient's body weight.
Caregivers should avoid push or pull forces greater than 20% of their own weight.

Notes:

Notes:


Confirm destination surfaces (bed, stretcher, exam table, etc.) and patient handling equipment MEET WEIGHT, WIDTH, and HEIGHT REQUIREMENTS of patient.
If patient needs to be pulled up in bed prior to transfer, see Repositioning in Bed (Algorithm 3).
High/low beds, adjustable exam table and stretchers are ideal for making transfers easier.
Lock all wheeled equipment before transfer.
When using air assisted lateral transfer device. ALWAYS move feet first, followed by upper torso and head, to determine if is safe to continue the move and to prevent patient from falling through between sending and receiving surfaces.
Destination surface should be 1/2-inch lower than sending surface for all lateral patient moves.
Ensure that at least one caregiver is on the destination side.
For patients with delicate skin or pressure ulcers, care must be taken to avoid shearing force by dragging patient against surfaces.
Friction reducing devices vary greatly in design and efficiency. Sometimes a combination of a slide board and another type can reduce forces more than either one alone.
The force required to logroll a patient is about 32% of the patient's body weight.
Caregivers should avoid push or pull forces greater than 20% of their own weight.


Confirm destination surfaces (bed, stretcher, exam table, etc.) and patient handling equipment MEET WEIGHT, WIDTH, and HEIGHT REQUIREMENTS of patient.
If patient needs to be pulled up in bed prior to transfer, see Repositioning in Bed (Algorithm 3).
High/low beds, adjustable exam table and stretchers are ideal for making transfers easier.
Lock all wheeled equipment before transfer.
When using air assisted lateral transfer device. ALWAYS move feet first, followed by upper torso and head, to determine if is safe to continue the move and to prevent patient from falling through between sending and receiving surfaces.
Destination surface should be 1/2-inch lower than sending surface for all lateral patient moves.
Ensure that at least one caregiver is on the destination side.
For patients with delicate skin or pressure ulcers, care must be taken to avoid shearing force by dragging patient against surfaces.
Friction reducing devices vary greatly in design and efficiency. Sometimes a combination of a slide board and another type can reduce forces more than either one alone.
The force required to logroll a patient is about 32% of the patient's body weight.
Caregivers should avoid push or pull forces greater than 20% of their own weight.