So now let's talk about a skill with an ambulatory
client. When you hear that word ambulate or
ambulatory all that means is the patient can walk
themselves, sometimes though they need a little
support so a gait belt is a really great piece
equipment to make sure they stay safe. So first
off what do we need? Non-slip socks or shoes is
really important because if the patient's going to be
walking down the hall we don't want them having
anything slippery on their feet and next don't
forget your gait belt. This is a really great tool
for something to hold on to when you're ambulating
the client. Now before we get started don't
forget your perfor* to perform your hand hygiene,
provide your privacy and make sure you let
your patient know what's going to happen next.
Now this is important before we get started
to assist the client in a sitting position
on the chair or maybe at the side of the bed,
we sometimes call this the dangle position.
Now before they get going make
sure the clients on their non-slip
socks or shoes are on so make sure
those are on before you guys go.
Now we want to go ahead and before we get started
put that gait belt around the client's waist,
this can go over any of their
clothing that they have.
Now we want this snug but not too snug, we
should be able to slide an open hand between
the gait belt and the patient so this is to
make sure it's snug and it fits. Now before we
get going as the nurse if we're going to walk them
we want to position yourself facing the client,
we can grasp both sides of the gait belt and
assist the client to the standing position
now this is where we're going to use our legs here,
grab the gait belt, have them help us and move
upwards. Now if the client can help stand, make
sure they are balanced before we get going.
Now this is a good time to keep an underhand
grip on the gait belt in the center on the
patient's back like you see in the image here,
this is a really great position because if the
patient gets off balance you've got a place to
hold them or if they need lower to the floor
you can use this gait belt and slowly
lower them to the ground if needed.
Now before we set them back into the
bed, we want to stand facing the client
again with both hands on both sides of the gait
belt and assist them slowly back to a seated
position. Now make sure you hold on to them tight
as you assist them down and lower them into that
seated position. Now once they're seated now
we can take that gait belt off, we can assist
them back in that comfortable position if they're
in bed make sure we put those side rails back up,
perform hand hygiene and document our procedure.
Welcome to using a gait belt, so clearly today I'm
going to be your patient and we're going to show you the
use of a gait belt so we're going to use it today,
Dean's going to assist me and he's going to use
the gait belt to help me stand, show you how to
ambulate with it and also to put back in a sitting
position. gait belt is a great resource for you
as a nurse, this is a great resource to grab onto
instead of under the patient's arms for example
and that way we don't have to injure the patient.
Okay so now I'm going to show you the gait belt
itself, as you see it's snugly around my waist
now clearly we don't want it way too tight
so you want to be able to grab underneath the
gait belt and be able to make a fist and
so we want ample room to do that however,
the gait belt obviously isn't so loose that
it goes all the way up underneath my arms
when Dean is using it to help me sit or stand.
Okay so now that we've got our gait belt on a
good size and a good comfortability here,
Dean's going to use it to help me stand.
So notice he's got a good underhand grip also
notice when Dean is down he's using his legs to
help assist up, now at this point if your patient
can, instruct them to put their hands on the side
of the bed and assist up as well. Ready? Are you
ready? Yes, on the count of three. Okay!
On three, one, two, three. Great! So that would
be how we assist to stand so now this gives Dean a
really great place to grab onto instead of your
shoulders or pulling on the patient's arm for
example now once we're standing if Dean was going
to ambulate or walk down the hall with me, he's
got a great grip here so he uses an underhand grip
and he's going to hold on to this as we walk down
the hall for support. Now gait belts are really
great for this because let's say I go to fall,
he's got something to hold on to that will
hold on to my trunk to slowly lower me to
the floor or a chair or somewhere safe so that's
showing how we're going to use it for ambulation.
Now Dean's going to use the same gait belt
and help assist me to sit back on the bed.
Okay, so you see again,
he's got this snuggly on both sides
and then I'm just going to follow Dean's direction.
Okay, we're going to sit down on the count of three
okay! Ready one, two, three, great! Thank you.
So with Dean you notice he used his legs,
I as the client have them instruct them
to reach back to the bed too so they know
where they're at and they safely can set.