Now let's take a look at the skill transferring
from a bed to a chair. Now this is really commonly
used with our patients this can be used from bed
to a wheelchair or a bed to a bedside commode
for example or just a bed to the chair so the
patient can set up, you're going to use this quite
often. Now before we transfer them, one skill we
typically use is what we call dangling a patient
so really all this means is this, sitting them or
assisting a patient on the edge of the bed. Now
just keep know anytime you hear dangle a patient,
sometimes we actually use that post surgery as one
of the first things they do right after surgery
to promote circulation and lung improvement.
Now before we get started, what are you going to
transfer them to? Are you using a chair? A
bedside commode? or wheelchair? Make sure you
get the appropriate equipment also the size just
know that there's different sizes for chairs and
wheelchairs for example and even bedside commodes
so make sure one's comfortable for your patient.
Next, make sure you use your gait belt because
this is going to be really helpful in holding
on to the patient and transferring them later.
Now before we get started don't forget your
hand hygiene and provide privacy. Make sure
you talk specifically about what you need
the patient to do during the transfer.
Now for using a wheelchair this is really
important make sure you put the brakes
on the wheelchair if you're unfamiliar with doing
this make sure you check this out before taking
it to the patient's room so you can imagine if
you transfer a patient to a moving wheelchair
both that could injure not
only you but also your patient.
Now if we're using a bedside commode or a
chair we can also bring this close to the
patient's bed so whatever you're transferring the
patient to make sure it's as close as possible.
So before we get started make sure the patient has
their non-slip socks or non-slip shoes on. This is
going to help a lot for traction for your patient,
now before we get started let's talk about how
we dangle a patient. This is going to help a lot
to transfer to the chair or wheelchair. So if
you take a look at this image you want to assist the
patient much like log rolling to their side laying
on their side like you see here, you're going
to take the patient and roll them towards you,
now the closer to the edge of the bed they are,
it's much more helpful for you and the patient.
Now you may need to assist them to
set up, let's show how you do this
So what you're going to do is put
one hand on the patient's shoulder
and then you're going to take the other
hand and put it behind the patient's
knees so it's going to look a lot like
this then we're going to take this position
while the patient's pushing off the bed
and make sure you instruct them to do so,
we're going to use this momentum and swing them
up like this in the sitting position so this is
going to help quite a bit if you instruct your
patient to push up while you swing them up.
Now, assist the patient to scoot towards the edge
of that bed and this is important that their feet
can touch here so make sure they have their
non-slip socks and make sure they can touch
the ground at this point because we definitely
need to do this to transfer to the wheelchair.
Welcome to how to tangle a patient at bedside,
well you may wonder what I'm doing sitting here
in this bed but I'm going to be the patient for
you today so when you hear the word dangle you may
wonder what that even means when we're talking
about dangling this is actually really helpful
post-operative or post-surgery intervention
so typically all that means is we're going to
have the patient sit at the bedside, sit at the
edge of the bed and dangle their feet over or
just sitting at the edge of the bed. So this
is actually used as an intervention to help
post-op with lung capacity and making sure
those patients long stay clear and strong.
We also may use the dangle maneuver if the patient
needs to get up to go to the bathroom for example
or if we need to take the patient
from the, excuse me, the bed
to a wheelchair or to a bedside commode so
you're going to use this maneuver quite a bit.
So I'm going to play your patient today and so I'm
going to show you how that we're going to do that.
So one thing before you get a patient up, make
sure you have non-slip socks on or non-slip
footwear. This is really important because many of
the times when a patient steps on the floor they
may slide and they could fall and so make sure
your patient has the appropriate footwear first.
So now I'm going to step back and as the patient
many times they're laying in the bed and as much
as the patient can help you the better also one
pro tip here if you use the bed that's going to help
a lot so you notice we've raised the head of the
bed here and that's much easier for getting me
up than it would be from me trying to push off
from the flat surface so use your bed and help
you there so I've got the head of bed up and now
I'm going to assist to roll to my side towards Dean
and Dean's going to be the one that's going to help
dangle me today so now I'm rolling on my side and
some patients may need assistance but a lot of the
times when you're dangling a patient the patient
can help you. So now I'm going to go to my side and
now when he's ready D. an's going to put his arm or
his hand underneath my shoulder, he's going to put
another hand underneath my knees and see how he's
in a squat position and with when one movement
he's going to instruct me when he's ready for me,
he's going to use that momentum to set me up and I'm
also going to use my hand and push off the bed.
Are you ready? I'm going to push you up on a
count of three. Okay, here we go, one, two, three.
All right, thank you Dean. Okay, so now
that I'm setting up I can dangle my legs.
Now if need be if I need to go
towards the edge of the bed,
Dean can assist me to or I can scoot to
the edge of the bed for ready for transfer.