RNSG 1144 NURSING SKILLS CHP 2, 4, 9, 11, 12 &
14. EXAM LATEST UPDATE
What does SPHM stand for? - ANSWER safe patient handling and mobility
What is the main purpose for implementing SPHM? - ANSWER To reduce risk factors in
injuries in healthcare workers from moving patients.
What does SPHM involve? - ANSWER involves the use of assertive devices to ensure
patient and HC worker safety.
What is the #1 principle in SPHM? - ANSWER Knowing if the patient is weight beating,
also knowing oneselves limits on being able to help the patient or needing a colleagues
help.
What kind of patients are most at risk from improper positioning and injury during
transfer? - ANSWER Those with:
poor nutrition
poor circulation
loss of sensation
alterations in bone formation
impaired muscle development
comprehensive SPHM program Includes: - ANSWER use of safe pt handling and
mobilization equipment.
use of pt risk assessment.
accurate pt hand off procedures
practices to improve pt mobility
staff training and education on equipment.
,What is a good SPHM program effective for? - ANSWER is effective at reducing patient
handling injuries among nurses.
What are good strategies to provide good SPHM? - ANSWER using lifting/transfer
equipment
no lift policies
up to date training and education
Pt centered care in SPHM? - ANSWER - if pt alert/oriented its his/her choice to increase
mobility
- use simple language when providing info about complications of immobility and risks.
- consider the circumstances surrounding pt's loss of independent activity & mobility to
ensure plan that is realistic and attainable.
- understand to what extent pt chooses family/caregiver to learn transfer/positioning
techniques.
Evidence based practice in SPHM. - ANSWER - SPHM programs helped improve safe pt
handling/mobilizing practices.
- staff had more + attitudes toward increased use of pt handling equipment.
What does a comprehensive SPHM program include? - ANSWER - proper equipment.
- pt mobility practices.
- pt assessments
- hospital infrastructure
- pt hand off procedures
- staff training
TRUE OR FALSE:
, a multicomponent SPHM program has been found to be effective in reducing pt handling
injuries among nurses? - ANSWER True
What are the main safety guidelines? - ANSWER - promote independence in pt when
possible
- communicate clearly with HC team
- clear enviro. of clutter/obstacles
- monitor pt tolerance
- mentally review steps of transfer before u begin.
- stand on pt weak side
- When transferring/re-positioning, position bed to comfortable/safe height.
- determine amount and type of assistance required for transfer.
What are more safety guidlines? - ANSWER - raise side rail of side opposite of where you
are standing
- ensure personnel has traing on FDR'S before using
- educate pt and fam. about how equip works.
- arrange equip so it wont interfere w transfer
- make sure pt is in correct body alignment
What are FDR'S? And what are they good for? - ANSWER -Friction reducing devices
-help reduce the risk of injury during positioning.
What are some types of FDR'S? - ANSWER -air assisted transfer devices
-friction reducing slide sheets/tubes.
-transfer/ roller boards
What are two important things to remember when using FDR'S? - ANSWER -anticipate
problems when preparing to transf. pt
14. EXAM LATEST UPDATE
What does SPHM stand for? - ANSWER safe patient handling and mobility
What is the main purpose for implementing SPHM? - ANSWER To reduce risk factors in
injuries in healthcare workers from moving patients.
What does SPHM involve? - ANSWER involves the use of assertive devices to ensure
patient and HC worker safety.
What is the #1 principle in SPHM? - ANSWER Knowing if the patient is weight beating,
also knowing oneselves limits on being able to help the patient or needing a colleagues
help.
What kind of patients are most at risk from improper positioning and injury during
transfer? - ANSWER Those with:
poor nutrition
poor circulation
loss of sensation
alterations in bone formation
impaired muscle development
comprehensive SPHM program Includes: - ANSWER use of safe pt handling and
mobilization equipment.
use of pt risk assessment.
accurate pt hand off procedures
practices to improve pt mobility
staff training and education on equipment.
,What is a good SPHM program effective for? - ANSWER is effective at reducing patient
handling injuries among nurses.
What are good strategies to provide good SPHM? - ANSWER using lifting/transfer
equipment
no lift policies
up to date training and education
Pt centered care in SPHM? - ANSWER - if pt alert/oriented its his/her choice to increase
mobility
- use simple language when providing info about complications of immobility and risks.
- consider the circumstances surrounding pt's loss of independent activity & mobility to
ensure plan that is realistic and attainable.
- understand to what extent pt chooses family/caregiver to learn transfer/positioning
techniques.
Evidence based practice in SPHM. - ANSWER - SPHM programs helped improve safe pt
handling/mobilizing practices.
- staff had more + attitudes toward increased use of pt handling equipment.
What does a comprehensive SPHM program include? - ANSWER - proper equipment.
- pt mobility practices.
- pt assessments
- hospital infrastructure
- pt hand off procedures
- staff training
TRUE OR FALSE:
, a multicomponent SPHM program has been found to be effective in reducing pt handling
injuries among nurses? - ANSWER True
What are the main safety guidelines? - ANSWER - promote independence in pt when
possible
- communicate clearly with HC team
- clear enviro. of clutter/obstacles
- monitor pt tolerance
- mentally review steps of transfer before u begin.
- stand on pt weak side
- When transferring/re-positioning, position bed to comfortable/safe height.
- determine amount and type of assistance required for transfer.
What are more safety guidlines? - ANSWER - raise side rail of side opposite of where you
are standing
- ensure personnel has traing on FDR'S before using
- educate pt and fam. about how equip works.
- arrange equip so it wont interfere w transfer
- make sure pt is in correct body alignment
What are FDR'S? And what are they good for? - ANSWER -Friction reducing devices
-help reduce the risk of injury during positioning.
What are some types of FDR'S? - ANSWER -air assisted transfer devices
-friction reducing slide sheets/tubes.
-transfer/ roller boards
What are two important things to remember when using FDR'S? - ANSWER -anticipate
problems when preparing to transf. pt
