00:04
Now let's talk about pulling a client up in
bed. This is really useful to help make sure
a patient's comfortable or maybe their head to
bed is at the highest part of the bed so they can
breathe more comfortably so before you get started
make sure you get help here you do not want to
pull a client up in bed obviously by yourself
so make sure you request assistance. Now this
is important because we want to position the bed
at the proper working height now remember you're
going to have a partner here so it's maybe if it's
someone shorter like me and someone much taller,
we have to have an agreeable height in a safe
working height that both of us can work from
so make sure you look at that. Now with able
you want to put a slide sheet or a draw sheet
underneath a patient, this is going to be much
more helpful to move the patient up in bed,
it's also going to limit friction
which can really tear down their skin.
00:57
Now if able use the bed itself to help you move
up the client so if you think about if you maybe
if this is the head of the bed and you tilt the
patient down a little bit this will definitely
help move the patient up so don't be afraid to use
your bed settings to help you out a little bit.
Now at this point, grasp the side of the sheet
or the draw sheet at the client's upper back and
hips so we grasp the sheet make sure you're not
at the edge of the sheet make sure you grasp it
really close to the patient's body, this is going to
be much easier to help move the patient up in bed.
Now this is really important anytime we move
a patient make sure you put one foot towards
the area that you're going to go such as one
foot pointing towards the head of the bed
because we're going to be going this way so that's
really important that way you stay safe and you're
using more of your legs and you're not going to be
tipping over this way. Now on the count of three,
shift your weight to the front leg which is where
we're going to be going and pull the sheet towards
the head of the bed, okay so before we move
this point counting to three this whole count
thinks really important because what if your
partner doesn't know if we're moving on three,
is it after three so make sure
you communicate here to make sure
you guys are on the same page before you move the
patient. So now that the patient's comfortable we
can reposition the bed to the lowest position for
safety, don't forget since we're leaving the bed
remember to put those side rails up, now we can
perform hand hygiene and document the procedure.
02:42
Hi, welcome to pulling a patient up in bed so this
is going to be particularly helpful when maybe your
patient's been weak or they've just had surgery
or they're not able to do so for themselves so
sometimes your patients can use their legs help
push them up higher up in the bed but if they're
not able to do so we as staff can assist so we're
going to show you how to pull a client up in bed.
So before we start, you definitely are going to have
to have more than one person right? because you
need one on one side and a person on the other
side so make sure you get help, now before we
get too far you want to make sure the bed is up
in a great working height for both you and your
partner, now here's the tricky part as you can see
me and Dean are definitely different in heights
right? so make sure it's going to be something
comfortable for me as a shorter staff member and
also Dean. So unfortunately my taller partner here
will probably have to squat a little bit more when
he moves and we'll talk about that as well so get
on an agreeable comfortable working height then
because me and Dean are both on each side of the
bed we can put the side rail down and don't forget
that anytime you put down a side rail someone
should be on the other side of that side rail
so just make sure no side rail means staff should
be there, okay so now we're going to put these down.
04:04
Okay, thank you Dean, so now when we pull a
patient up in bed, one thing I want you to keep
in mind is body mechanics so I'm going to face dean
we're also going to have to make sure we communicate
about when we want to move the patient up
in bed so we've got to decide this before
we decide when we're going to move the patient.
Okay, so Dean how about we count on one, two and
on three we move the patient does that sound good
sounds great? Okay perfect! so we've made a plan
before we move the patient so now one thing I
want you to notice is our body mechanics, we're
in the trunk of the patient which is the heaviest
part, the other thing is we're facing each other
one thing to note is I'm facing this way but my
right leg in the direction we're going is going to.
be pointed this way so what I mean by that is I'm
here, my legs pointed towards the top of the bed
and we're going to be moving together like this so
that's really important that's why communication
is key before you put move a patient up in the bed
also if we're not careful and we don't communicate
we can sometimes shear the patient's skin if you
don't communicate so make sure you make a plan
before you do so. Okay, so now that we're ready
me and dean has made a plan we're going to position
our body and it's always recommended that if the
patient's a little bit heavier or any time you're
going to move make sure you are not straight
up and use a little bit of bend in your knees
and then move together and use your legs, so
our patient has a draw sheet underneath there,
I'm going to fold this back so you can see this a
little bit. This is really helpful, it's a white
sheet underneath the patient now typically when
we make a bed we place that here for this specific
reason or to move the patient so when we use
the draw sheet on a patient and when you move
a patient up in bed you really don't want to grab
the outer portion of portion of the draw sheet now
the reason why if you watch, it's much more effort
to pull from here than is to choke up on the draw
sheet and get it really close to the trunk of
the patient where the heaviest part is and move
that way. Now we've made a plan but we're going to
reconfirm that plan before we move the patient.
Okay, so dean when you're ready on three we'll say
one two and then on three we'll move the patients
that sound good, sounds great okay great, so now
we're going to take our draw sheet and as you notice,
you can either tuck in whatever works well for
you but get a hold of that draw sheet closest
to the trunk of the patient so now I've got
that and notice me and Dean's body mechanics,
we're facing each other but it's really important
that you take your foot the way that the lead
foot and go to point it towards the top of the
bed because that's where we're going so when
I'm here I'm going to have my foot pointing this
way and we're going this way with the patient,
that way it gives me the maximum stability.
Okay, so now I'm going to grab my draw sheet
and on three me and Dean are going to
move the patient ready? One, two, three.
07:11
Thank you and then we're going to make sure the
patient's linens are where they need to be,
the patient's in a comfortable position then we're
going to make sure the bed is in the lowest height,
the side rails are back up and perform
our hand hygiene before we leave the room.