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Mobilization of the patient with the crane

The nursing assistant must know to place the harness and use the crane properly. It is a convenient way to move those patients who just do strength in their feet.
The nursing assistant must assess what patients should use that crane?
In the hospitals with the Warden. It is he who is responsible for the mobilization of the patient with the crane. The assistant will work with the guard at all times.




Fitting the Harness to the patient:

• Turn the patient on her side.

in patients with fracture HIP , place a pillow between your legs bent, to prevent coupled.

• put the harness and salvacamas if the patient had not halfway.

• then rotate it to the supine position and end opposite to stretch the harness and salvacamas.

• The salvacamas is placed to protect the harness from possible deletion from the patient (urine, feces).

Place the

• patient supine.
• bands then the legs, pass under both legs.

• tapes intersect.

• tape 1 number is set to hook 1 number of the crane.
• tape 2 number is set to No. 2 hook of the crane.
• tape 3 number is set at number 4 hook for having crossed the tape in the legs).
• tape number 4 the hook is set number 3 (for having crossed the tape in the legs).

Note: The right leg to hang on the left hook and left leg in the right hook.

Detail harness straps

After that we can raise and place the patient sitting in an armchair , wheelchair, etc.

To better understand the steps above I leave this video:

• Crane Patient with SCI or burned:

Such patients have a contraindication to its mobilization. For this there are special cranes which enable it to lift without having to change its position. The crane with a base consisting of bars and ribbons on which will be deposited the patient. It can lift the patient to later make a personal hygiene in the back of the patient or to change the bed clothes to be wet or simply require their return.




La Camilla equipped with tape is designed for lifting and horizontal movement at heights extremely demanding. Lift straps easily placed under the patient without having to rotate.
designs have three different widths: standard (70 cm), width (80 cm) and adjustable (60-90 cm).
The maximum load is between 200-250 kg by model. (The picture is of Liko IC Mod 600)

Elevation with ribbons

Place

conveyor underneath the body in the desired positions . The nursing staff responsible
determine the amount of tapes needed for each case (see alternatives below.)
For security reasons, the Liko Camilla Mod 600 IC is designed for lifting straps are secured automatically when the load was properly attached to the tapes. Therefore, place the patient in bed before the tapes can loosen or move.

• Begin by placing tape over the body positions the tapes subsequently rise.

• Place small pocket knife on the tape. Turn the ribbon to the pocket facing abajo.Es much easier to put the tapes if the surface / bed sheet is taut and smooth.

Place

• tapes under the patient using the spatula. Take the tape approximately 40 ° from the bed and gently push the knife diagonally downward and upward.

• Take the tape and slide side to have the same length on both sides. Each time you locate each tape, attach the ends of the tape above the patient

• Remove the side rails and place the tape over the closure of the tapes, as illustrated. NOTE! Always start by placing the tape from the end upside down. tape seals can slide from side to coincide with the position of the tape lift.

• Lower the stretcher to the bed just above the center of gravity of the patient, usually just below the navel.

• Slide the side rail toward you. Then, take a full turn (360 °) to side rail, as shown in the illustration. NOTE! The ends of the tape are then below of the tapes.

• Place the side rails on the elevated rail bed to be blocked. Make sure the tapes do not get stuck elevation between the lifting rail and side rail. If that happens, adjust the lifting rail knob on the underside or replace the lift strap.

• Double safety lock inward above the side rail. (Note that even a partial shift, ie less than 180 º, protect the side rail to disengage unintentionally).

• Adjust each lift strap sliding the end of the tape inside - slightly down toward the patient, as shown in the illustration.

• can start lifting. Check that the patient is suspended in the desired position, ie horizontally or head usually slightly higher. See Adjusting the center of gravity during a lift with tape / sheet elevation.

When you are done with raising

• Lower the patient to a solid base. Mismatch lifting straps lifting them up, as shown in the picture. When all the tapes out of adjustment in elevation, you can disengage and remove the side rail. Remember to return the security checkpoint that is at an angle of 90 ° to lift rail.

• Remove tape carefully engineered lifting under the patient with the spatula. For less friction, slide the ends of the tapes under the same tapes in elevation. Or, smoothly lifting straps located under the patient without a spatula.

CG Set

• If the patient is not balanced during the lift, adjust the patient down a solid foundation to take the weight of the tapes . In this position, the side rails can be moved by the elevated rail bed to achieve the right balance.

Differnt Types Of Boobs

Articulated electric bed hospital beds

are metallic-colored, easily cleanable. Most have wheels and braking systems. The beds have a mattress articulated and divided into 3 segments.
are electric and have a battery that stores energy in order to change position (up, down, fowler, trendelemburg, antitrendelemburg, etc) without having to connect the power cord.
has a control that allows you to position it in different positions,


Parts of electric bed:

• Command: has a series of buttons that allow the bed into different positions necessary for the proper management and patient status. There are two types of controls:

1. The movable : It is the most used. By a moving cable allows both sides of the bed.

Picture Mobile Command

functions of the buttons on the remote mobile bed supply:

1. Raises bed in its horizontal plane.
2. Baja bed in its horizontal plane.
3. Raises the headboard of the bed.
4. Lower headboard.
5. Raises the patient's feet.
6. Baja the patient's feet.
7. has the position of chair bed. (Raises head and folding down part of the patient's feet).
8. has horizontal bed.
9. has the bed in Trendelenburg position. (Head lower than feet) Click here to view this position.
10. bed available in anti-Trendelenburg position. (The head higher than feet) Click here to view this position

1. Fixed: can be on the side of the bed or on the footboard of the same. It is less used, but very useful when having to move the bed in case of cardiorespiratory stop. Since in these cases both sides of the bed is occupied by the actions of nurses, anesthesiologists, truck stops, ECG, etc. Thus resulting in more comfortable and functional from the footboard.

Fixed Image Command

functions of control buttons fixed bed supply:
Raises

1. headboard.
2. Lower the headboard of the bed.
3. Raises the patient's feet. Low
4. the patient's feet. Eleva
5. bed in its horizontal plane. Low
6. bed in its horizontal plane.
7. bed has anti-Trendelenburg position.
8. Removes the previous position and the bed has trendelemburg position. There
9. bed trendelemburg position. There
10. bed flat.

• Wheels: move the bed. Whether the daily work with the patient or refer it to another hospital unit.
• lock brake lever or : It has 3 positions.

1. lever down : Stops the patient's bedside.
2. lever up: locks the front wheels of the bed (both the header) in the position they are at that time. Note: For trips of the patient is very useful to have the wheels facing forward and operate the lever in the up position. Position yourself from the footboard and from there will manage to bed without difficulty.
3. lever in intermediate position: Moves the bed either side. (Front-back, right-left).

• Headboard: The headboard should be able to act better off if they suffer a cardiac arrest. The nursing assistant must know how to remove the headboard. Normally removed by grasping with both hands and pulling up. But also know that not all beds are the same devices. When working on a different drive or new. Always look to avoid those little details interfere as little as possible.

• Mattress tend to be single or multi (segments). And is covered by a semi permeable founded to protect the patient from deletions.

Other types of mattresses:

• Colchón de Agua: Son de material plástico. Se llenan con agua a 37 gradros centígrados para evitar la sensación de frío. Gracias a la circulación del agua evita los puntos de presión. Pudiendo así evitar las úlceras por decúbito.

• Colchón de aire ( alternating o anti úlceras ): Es un colchón que se conecta a un compresor que infla y desinfla alternativamente cada 2 o 4 minutos, según el modelo. Además have a wheel in which you can adjust the intensity of inflation.
  

Precautions air mattresses and air:

1. Avoid contact with sharp objects and cigarettes .
2. Check correct operation .
3. must be installed above the spring mattress.
4. should not be cleaned with alcohol solutions. You have to send them to sterilize between patients.

• foam mattress: It consists of 3 modules of foam cut into 48 blocks each. Reduces frustration and friction on the skin of the patient.
  

• Mattress scars anti : The combination of three viscoelastic material densities Alove tailored to each body part. Allows a smooth and undisturbed dive for the patient. Brand: Dual Alove Membrane.
  

• Pillows: foam are usually soft. Besides using them to below the neck, are also used to perform postural changes . Be of great help in preventing pressure ulcers.

A variety of models and materials on the market. Must choose the best in each case.

• Support Serum or Medication: is placed on the headboard of the bed. There is the possibility of placing it on the right or left of the bed. Depending on which arm has the way to the medication. It is also used to attach to it both pumps food like medication.

• Trapeze Bedding: also known as arc of bed, parrot or enhancer bed. Used to force the patient can do to help mobilize .

• safety handrails: are placed on either side of the bed. Its purpose is to prevent patient falls. Have a minimum height of 45 centimeters. To lower or raise the rail by pressing a button.

• Arco Bedding: are used to prevent the weight of clothing on the patient's feet. For vascular diseases, burns, etc ...

• bed Centinela : To protect the Balderas.

• Traction Bar : Through a posting on the patient's leg and a counterweight that is placed on the pulley of the drawbar. Skin traction in fractures of the head or proximal femur can be used as definitive treatment or as a temporary measure.

Image Detail Traction weight

• Splint Braun: Drive applied directly to the skeleton using Steinmann pins or Kirschner wires.