This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.

1. OF THE PATIENT
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2. MEANING
Moving and lifting of the patients
means shift or transfer the patient
from one place to another place
with use of different types of
devices.
For example-.Wheel chair,strecher.
When the patient is not able to
move or lift own self.
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3. DEVICES USED
 1]wheel chair.or arm chair.
 2]wheel bed.
 3] strecher etc.
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4. INDICATIONS {moving the
patient from bed to wheelchair
and back}
 Pre-operative patient.
 Anemic patients.
 Old-age patients.
 To shift the Gyneac patients.
 For shifting the patient from ward to
the investigation area.
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5. CONTRA INDICATIONS
 Critically ill patients.
 Spinal injury and fracture patients.
 Ceaserian patients.
 Head injury patients.
 Semi conscious,unconscious and
coma patients.
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6. INDICATIONS{moving of the
patients from bed to stretcher and
back}
 Critically ill patients.
 Post operative patients cardio
vascular, spinal injury and fracture
patients.
 Ceaserian patients.
 Head injury patients.
 Semi conscious,unconscious and coma
patients. www.drjayeshpatidar.blogspot.in

7. GENERAL INSTRUCTIONS IN
MOVING AND LIFTING OF THE
PATIENT
 plan the movement of the patient ahead
of the time and be sure the path is clear.
 Face the direction in which the movement
will be made to avoid twisting.
 The areas to be supported are.
*head, shoulder and chest.
*hips.
*thighs and ankle.
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8. *Take the help of the worker and co-ordinate the
movements.
*unless contraindicated, encourage the patient to
use his abilities as much as possible.
*Observe the patient for orthostatic hypotension.
*Don't support the patient under his armpit.
*Always lock the wheels of the chair and
stretcher.
*Avoid jerking and twisting during the lift.
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9. NURSES RESPONSIBILITY.
 PRELIMINARY ASSESSMENT—
1. Check the diagnosis of the patient.
2. Check the level of the consciousness and
ability to follow instructions.
3. Check the ability of the self care.
4. Check the abilities and limitations such as
paralysis,fractures,and splints.
5. Check the presence of the muscle, skin
and bone lesions and attachment e.g.
catheters and I.V.connections.
6. Check numbers of personnel required.
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10. PREPARATION OF THE PATIENT
AND UNIT
 Provid the prvicy.
 Explain the procedure.
 Adjust the bed at working height.
 Fanfold the top linen.
 Chenge the wet linen.
 Offer the bedpan.
 Remove all comfort devices.
 Clamp the catheter. Attach the i.V pole to the
device.
 Position foot stool if needed.www.drjayeshpatidar.blogspot.in

11. ASSISTING THE PATIENT FROM
BED TO CHAIR OR STRETCHER
 1]Before the procedure.
*preparation of the environment.
* preparation of the patient.
* preparation of the Articles.
* preparation of the ownself.
2] During the procedure{ steps of the
procedure}
3] After the procedure.
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12. Thank you
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