Title Page

  • Staff Members Name as per Kronos

  • Staff Name (as per Kronos)

  • Staff members main campus

  • Ward or Department

  • Conducted on

  • Assessed by

  • Assessors Role

  • Assessors signature

Inserting Slide sheets (Dependent Patient) PUSH/PULL Method

  • Assessment Commenced

  • Minimum 2 x slide sheets collected

  • Bed at safe working height

  • Brakes applied to bed

  • Side rails lowered

  • Pillow moved to block patient view of floor

  • Patients arms crossed over chest

  • Patient knee bent using pressure point under knee whilst simultaneously applying pressure to ball of patients foot

  • Staff member on side with bent knee positions hands on patient hip and shoulder with fingers pointing up

  • Staff member on opposite side takes patient knee and elbow

  • On agreed cue, staff push pull patient onto side

  • Staff member at patients back inserts 2 x slide sheets long ways beneath patient. Staff member pushes sheets into the mattress and ensure half is pushed through to other side

  • Patient returned to back and opposite staff member pulls slide sheets through

  • Staff member demonstrates safe practice at time of assessment?

Inserting Slide Sheets (Dependent Patient) Concertina Method

  • Assessment Commenced?

  • Bed at safe working height

  • Bed brakes engaged

  • Side rails lowered

  • 2 x staff to undertake process

  • 2 x slide sheets collected

  • Staff fold slide sheets together in concertina fashion

  • Folded slide sheets placed beneath patients feet with folds facing patient and a tail facing away from patient on top layer<br><br>*Tail refers to the ends of the slide sheet which must be on top layer and facing away from the patient*

  • Staff adopt running stance with outside leg as front leg, outside hand anchoring slide sheet tail, inside arm gathers slide sheets from under pile with palm facing up

  • On agreed cue, both staff shift weight from front foot to back foot and pull/slide gathered sheets until arm is at right angle

  • Previous step repeated in stages until slide sheet is unraveled the length of the patient

  • Staff Member Demonstrates Safe Practice at time of assessment

  • If Staff Member is Unsafe - please detail plans to assist in ensuring staff and patient safety

Inserting Slide Sheet - patient able to assist

  • Assessment commenced

  • Bed brakes applied

  • Bed at safe working height

  • One side rail lowered

  • Patient encouraged to bend knees and reach across body to grasp opposite side rail

  • Patient encouraged to pull self over to side

  • Staff member places 2 x slide sheets long ways beneath patient - pushing them into the mattress

  • Patient asked to roll onto back. Side rail raised

  • Staff member walks to opposite side of bed and lowers side rail

  • Staff member pulls slide sheets through

  • Staff Member Demonstrates Safe Practice at time of Assessment?

  • If Staff Member is Unsafe - please detail plans to assist in ensuring staff and patient safety

Removing slide sheets (Dependent Patient) PUSH/PULL Method

  • Assessment Commenced?

  • Bed at safe working height

  • Bed brakes engaged

  • Side rails lowered

  • Slide sheets pushed beneath patient as much as possible on one side

  • Patient rolled away from slide sheets not pushed under patient using push/pull method as with inserting slide sheets push pull method

  • Top slide sheet placed over patient

  • Staff member at patients back pulls bottom slide sheet at an angle starting from feet and working towards head

  • Staff member at back of patient takes corner of slide sheet furthest from them at foot end and begins pulling slide sheet on itself at an angle until slide sheet removed

  • Patient returned to supine position

  • Staff member demonstrates safe practice at time of assessment

Removing Slide Sheets (Dependent Patient) Twist and Pull method

  • Assessment Commenced

  • Bed at safe working height

  • Bed brakes engaged

  • Side rails lowered

  • Patient skin not moist

  • Staff stand on opposite side of bed at foot end of bed and roll bottom slide sheet to small of patients back

  • Staff turn and face head of patient and roll bottom slide sheet from head to small of patients back

  • Staff member with most slide sheet OR the most room trusts and pulls gathered slide until removed from beneath patient

  • Staff stand on opposite side of bed at foot end of bed and roll remaining slide sheet to small of patients back

  • Staff turn and face head of back and roll remaining slide sheet from head to small of patients back

  • Staff member with most slide sheet OR the most room trusts and pulls gathered slide until removed from beneath patient

  • Safe Practice Demonstrated at time of assessment

Moving a Dependent Patient up/down bed/trolley/OR table with slide sheets (may also be assessed moving patient along ground) SIDE TRANSFER METHOD

  • Assessment Commenced?

  • Bed at safe working height

  • Bed brakes applied

  • Side rails lowered

  • Min 2 x slide sheets inserted beneath patient

  • Bed/trolley/OR table electronically tilted in direction patient being moved

  • Staff take position directly opposite each other in line with patients torso

  • Staff grasp top slide sheet as close to patient as possible.

  • Staff hands are shoulder width apart (and in line with patient hip and shoulder), palms down, knuckles up

  • Staff feet are shoulder width apart with knees slightly bent (body close to bed/trolley)

  • On agreed cue, staff transfer weight from front foot (foot end of bed) to back foot (head end of bed) and slide top slide sheet along bottom slide sheet in small increments until desired location reached.<br>No twisting of staff backs

  • Bed returned to neutral position

  • Slide sheets removed using appropriate safe technique

  • Side rails raised

  • Staff member demonstrates Safe Practice at time of Assessment

  • If Staff Member is Unsafe - please detail plans to assist in ensuring staff and patient safety

Moving a dependent patient up/down a bed/trolley (fish parcel technique)

  • Has Assessment Commenced?

  • Bed at safe working height

  • Bed brakes engaged

  • Side rails lowered

  • Min 2 x slide sheets inserted beneath patient using appropriate safe technique

  • Patient arms across their chest or tucked into their side

  • Patient bed tilted in direction of move

  • Staff positioned side by side at end of bed facing patients head/feet<br><br>(If patient on ground, side by side at end to slide patient)

  • Staff grasp top slide sheet as close to patient as possible (bed end removed if required)

  • Staff positioned with outside leg as front legs running stance - weight on front foot<br><br>(If patient on ground, staff should not be on slide sheet and should be on knees)

  • On agreed cue, staff move weight from front foot to back foot, sliding top slide sheet along bottom slide sheet

  • Bed returned to neutral position

  • Slide sheets removed using appropriate safe practice

  • Safe practice demonstrated at time of assessment

Moving a patient up the bed (patient able to assist)

  • Assessment Commenced

  • Bed at safe working height

  • Bed brakes engaged

  • Min 2 x slide sheets inserted beneath patient using appropriate safe technique

  • Side rails up

  • Bed electronically tilted to facilitate movement

  • Patient encourage to bend knees so feet flat on bed (feet not on slide sheet)

  • Patient encouraged to use monkey bar if appropriate or to cross arms across chest

  • Staff member stands at side of bed and grasps patient ankles

  • Patient encourage to push through heels to move self up bed

  • Bed returned to neutral position

  • Slide sheets removed using appropriate safe technique

  • Staff member demonstrates safe practice at time of assessment

Sitting a patient up in bed (patient unable to assist)

  • Has the assessment commenced

  • Bed at safe working height

  • Bed brakes engaged

  • Back rest raised as much as possible (electronically if enabled)

  • Staff positioned on either side of bed facing head of bed with outside leg as front leg

  • Both staff grasp BOTTOM bed sheet and bring in lie with patients shoulders

  • On agreed cue, staff move weight from front foot to back foot, using a rowing motion to move sheet forward

  • Staff maintain taking weight until patient ready to be returned to start position

  • On agreed cue, staff move weight from back foot to front foot and lower sheet to mattress

  • Safe practice demonstrated at time of assessment

Guiding patient from supine to edge of bed to chair

  • Has assessment commenced?

  • Side rails lowered

  • Bed at lowest height

  • Bed in neutral position

  • Bed brakes engaged

  • Patient encouraged to move towards edge of bed (approx 1 hand width from edge of bed)

  • Head of bed electronically raised to suitable height unless contraindicated (ie some hip and neuro patients)

  • Patient encouraged to bend both knees so feet flat on bed and to roll towards side of bed they intend to exit

  • Patient encouraged to place upper arm across body so hand is in flat contact with mattress

  • Patient encouraged to position legs so lower part of legs is in line with edge of mattress (patient will look like they are sitting on a chair)

  • Patient encouraged to simultaneously dig elbow into mattress, push up with upper arm, drop legs over side of bed

  • Patient encouraged to wiggle forward to edge of bed so feet flat on floor

  • Patient sitting on edge of bed with hands on mattress on either side of body, feet flat on floor

  • Bed electronically raised to move patient to standing position

  • Patient encouraged to mobilise to chair (with appropriate mobility aid as required ie walking frame)

  • Safe practice demonstrated at time of assessment

Lateral Side turn with slide sheets - patient unable to assist (THEATRE ONLY)

  • Assessment commenced

  • OR table/trolley at safe working height

  • Min 2 x slide sheets inserted using appropriate safe technique

  • Patient knee bent using applying pressure beneath knee and to ball of foot on side patient to face away from

  • Patient arms across their chest

  • Staff have feet shoulder width apart

  • Staff member on side patient to face takes bent knee and upper elbow of patient

  • Staff member on side patient to face away from grips top slide sheet

  • 3rd staff member positioned at feet of patient

  • On agreed cue, staff member holding slide sheet pulls directly up - staff member holding elbow and knee pulls down

  • Slide sheets removed using appropriate safe technique

  • Safe practice demonstrated at time of assessment

Lifting Patient with hoist (ceiling or mobile)

  • Assessment commenced

  • Bed at safe working height

  • Bed brakes engaged

  • Appropriate sling type and size selected for task and hoist

  • Sling inserted using appropriate safe technique

  • Brakes applied to hoist prior to attaching sling

  • Head of sling attached to hoist prior to attaching leg straps

  • Brakes disengaged prior to lifting patient

  • Hoist moved using straight lines (no twisting of staff body)

  • Patient lowered to receiving surface - if being placed in a chair, gentle pressure applied to top of knees to encourage patient into optimal seated position - no pulling on sling to achieve this)

  • Brakes applied to hoist prior to detaching sling

  • Sling detached from hoist and left insitu

  • Safe practice demonstrated at time of assessment

Transfer of patient with Arjo Sara Stedy

  • Has assessment commenced

  • Patient clinically and physically appropriate for Sara Stedy transfer<br><br>*patients equal to or greater than 100kg are not to use the Sara Stedy*

  • Patient encouraged to move to edge of bed or chair

  • Stedy moved to in front of patient and patient encouraged to place feet on foot plate with knees inline with knee pad

  • Brakes engaged on Stedy

  • Patient instructed to place hands on cross bar and to stand tall <br><br>*staff not to provide physical assistance to stand

  • Seat flaps lowered and patient instructed to sit

  • Brakes disengaged and patient instructed to remain holding cross bar at all times

  • Staff member moves Stedy in straight lines

  • Stedy placed in front of receiving surface as close as possible and brakes engaged

  • Patient instructed to stand (staff do not assist)

  • Seat flaps raised and patient instructed to sit on receiving surface

  • Brakes disengaged and Stedy removed

  • Safe practice demonstrated at time of assessment

Lateral transfer of patient - slide sheets and Pat Slide

  • Assessment commenced

  • Correct number of staff engaged?<br><br>*min 4 staff required excluding a staff member maintaining airway if required

  • Min 2 x slide sheets collected + Pat Slide

  • Bed/trolley/table brakes engaged

  • Bed/table/trolley at safe working height

  • Patient rolled away from direction to be transferred using appropriate safe technique

  • Pat slide placed beneath patient with 2 slide sheets long ways on top of pat slide

  • Patient returned to supine position

  • Receiving surface aligned with existing surface but at a slightly lower or equal height

  • Verbal check that brakes on all surfaces engaged

  • Staff positioned with two on sending side and two on receiving side. One staff member maintaining air way if rwquired

  • On agreed cue, staff push patient legs whilst receiving staff pull on top slide sheet. Legs are followed by head/upper body.

  • Patient is placed in optimal position on receiving surface using slide sheets

  • Slide sheets are removed using appropriate safe technique

  • Side rails raised on bed

  • Safe practice demonstrated at time of assessment

Lateral Transfer of patient with Hovermatt and Pat Slide

  • Assessment Commenced?

  • Brakes on sending surface engaged

  • Correct number of staff obtained (min 4 + 1 for airway if required)

  • Patient clinically appropriate for hover equipment

  • If patient not already on hovermatt, patient rolled using push/pull method to insert hovermatt

  • Hovermatt correctly placed - correct way up and feet at correct end

  • Safety straps connected

  • Hovermatt inflated and then pat slide inserted (wiggled) beneath Hovermatt acting as a bridge

  • Receiving surface brought next to sending surface and positioned at same or slightly lower height

  • Verbal and physical check that brakes are engaged on all surfaces

  • On agreed cue and only when Hovermatt is fully inflated, staff on sending side push foot end of Hovermatt whilst receiving side waits for it. Process repeated for head end.

  • When patient in correct position, Hovermatt deflated and hose removed

  • If Hovermatt to be removed, done so in appropriate safe technique.

  • If transferred to a bed or trolley - side rails raised

  • Safe practice demonstrated at time of assessment

Hoverjack

  • Assessment commenced?

  • Patient clinically suitable to use hover equipment

  • Patient rolled using push pull method to insert Hovermatt correct way down and feet at correct end. If unable to roll, patient placed on slide sheets and moved in appropriate safe manner onto hovermatt

  • Hovermatt safety straps secured

  • Hover jack placed inline with Hovermatt (either laterally or long wise) with valves at foot end and heavy canvas face down

  • Hovermatt inflated and patient push/pulled onto hoverjack with a min 4 staff

  • Hovermatt deflated

  • Hover jack safety straps secured

  • Hoverjack inflated one chamber at a time starting with Chamber 1 (bottom chamber). Each chamber completely filled prior to advancing to next chamber

  • When fully inflated, Hovermatt inflated and pat slide inserted beneath Hovermatt to,act as bridge

  • Receiving surface brought along side hoverjack (if no room, hoverjack taken to receiving surface)

  • Verbal and physical check brakes are engaged on receiving surface

  • Hovermatt fully inflated and lateral transfer in two stages (feet first, head second) using a min of 4 staff

  • When patient in correct position on receiving surface, Hovermatt deflated and removed using appropriate safe technoqie

  • Side rails of receiving surface raised

  • Safe practice demonstrated at time of assessment

Supine to Prove Transfer with Hovermatt (THEATRE ONLY)

  • Assessment commenced

  • Patient clinically suitable for Hover equipment

  • Patient placed on Hovermatt prior to being anaesthetised. Hovermatt correct way up and feet end in correct position

  • Patient positioned on the edge of the Hovermatt closest to the side they will be rolled

  • Once patient anaesthetised and clinically stable, sending surface brought next to receiving surface and at appropriate height to allow for s,path tramsfer

  • Correct number of staff in position (1 at head, 2 on receiving side, 2 on sending side, 1 at feet)

  • Verbal and physical check that brakes on both sending amd receiving surfaces are engaged

  • On agreed cue, Hovermatt inflation commenced

  • As Hovermatt inflates, staff on sending side Hovermatt up and over to start patient rolling onto receiving surface. Staff on receiving side take patients upper hip and shoulder and guide to prone position

  • Hovermatt deflated and removed. Sending surface removed

  • Safe practice demonstrated at time of assessment

Recovering a collapsed patient from a chair

  • Assessment commenced

  • If patient clinically stable - sling inserted beneath patient and transferred with hoist

  • Patient clinically unstable - medical emergency. 1 staff member kneels in front of patient with one foot flat on floor positioned between patients feet and holding beneath patients knees

  • If additional staff present - 1 staff member supporting patients head from side of chair.

  • Staff member at front of patient places own weight on front leg maintaining straight back

  • Staff. Member at front of patient transfers weight from front leg to back leg, pulling on patients legs. If required, staff member shuffles back and repeats process until patient in on the floor

  • Once patient stable for transfer from floor, hoverjack and Hovermatt used to lift patient if clinically suitable

  • Staff member demonstrates safe practice at time of assessment?

Transferring a patient from Prone to Supine from theatre table to bed/trolley (THEATRE ONLY)

  • Assessment commenced

  • Receiving surface aligned with sending surface but at a slightly lower height and with enough gap to allow for theatre table to be rotated without catching on receiving surface

  • Patient arms secured to avoid injury and avoid damaging any lines insitu. Blankets used to pad gap between surfaces to minimise risk of injury to patient

  • Min 2 x slide sheets on receiving surface longways

  • Min 6 x staff positioned with 1 at head maintaining airway, 2 on receiving side, 2 on sending side, 1 at feet

  • On agreed cue, theatre table rotated in direction on receiving surface

  • When theatre table at maximum rotation, staff on sending side gently push patient whilst staff on receiving side gently guide patient to receiving surface

  • Once patient is supine on receiving surface, staff use slide sheets to position patient in optimal position on receiving surface

  • Staff demonstrate safe practice at time of assessment

Rolling a patient with a Repositioning Sheet

  • Assessment commenced

  • Repositioning sheet must already be placed beneath patient (under bed sheet)

  • Loops on side patient to roll away from placed on hoist sling bar with even distribution of loops (ie 4 on either side of sling bar). Correct hoist must be used - can be either ceiling or floor hoist providing sling bar is compatible)

  • Hoist raised until patient rolled to desired positioning

  • Patient propped up and sling lowered

  • Safe practice demonstrated at time of assessment

Assisting Patient legs on bed (no hands mum technique)

  • Assessment commenced

  • Staff member clinically appropriate for this technique

  • Patient sat on edge of bed with bed at lowest height

  • 2 x staff with 1 positioned behind patient, 1 in front of patient. Slide sheet pushed beneath patients buttocks from behind patient

  • Patient encouraged to wiggle back in bed until back of knees in contact with edge of mattress. Staff member at front of patient anchors slide sheet to ensure it remains in optimal position

  • Bed raised to appropriate height

  • Leg lifter placed over patients feet and handle given to patient OR second slide sheet looped around arch of patients feet and tail given to patient to hold

  • Patient instructed to lean all the way back with straight arms and extend legs aiming to hit imaginary high target

  • Staff member behind patient providing light touch to reassure patient

  • Staff member at front walks into patients legs from head of bed to foot of bed until majority of patient legs are on the bed. Legs should be inline with staff members pelvis when walking into legs

  • Slide sheet removed from around patients feet and patient encouraged to reposition self on bed

  • All slide sheets removed and bed returned to safe height for patient

  • Safe practice demonstrated at time of assessment

Assisting Patient legs onto bed - alternate method

  • Assessment commenced

  • 2 x staff and 2 x slide sheets

  • Patient encouraged to sit as far back on bed as possible

  • Slide sheet folded and placed across foot end of bed

  • Slide sheet placed around patients legs being careful to capture as much body surface as possible

  • Staff member at rear of patient positioned at foot end of bed, staff member at front of patient positioned at foot of bed holding the slide sheet tail in hand closest to foot end of bed whilst other hand rests on patient feet

  • On agreed cue, patient instructed to lay on side with "ear to pillow" whilst staff member at front passes slide sheet tail to opposing staff member

  • Staff member at rear of patient pulls on slide sheet in a sliding motion whilst staff member at front of patient pushes the feet across the bed. Both staff refrain from bending or hunching

  • Slide sheets removed

  • Safe practice demonstrated at time of assessment

Sit to Stand Machine

  • Assessment commenced

  • Patient clinically suitable for device

  • Correct sling for device selected

  • Machine brought before seated patient and brakes applied

  • Sling placed on patient and attached to machine correctly

  • Patient encouraged to stand as machine raises

  • Machine mast raised lifting patient

  • Once patient in standing position, brakes disengaged

  • Staff member moves machine in straight lines whilst second staff member monitors patient

  • Patient positioned over receiving surface and brakes applied to machine

  • Patient lowered to receiving surface

  • Sling detached from machine and patient

  • Machine brakes disengaged and machine removed from area

  • Staff demonstrate safe practice at time of assessment

TED Applicator

  • Assessment commenced

  • Correct applicator size selected for the TED

  • Applicator placed on a slightly lower surface that is stable

  • Heel of TED facing back of device

  • TED fed over applicator until heel (identifiable by colour difference in stocking) is visible in applicator window

  • Staff member encourages patient to stand into applicator if clinically suitable. Once foot in TED, staff member pushes applicator as far as possible OR if patient unable to stand into stocking, staff member pushes applicator over heel of foot and up ,eg

  • Safe practice demonstrated at time of assessment

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