A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?
A.
Move the client using a slider board.
B.
Use an air-assisted transfer device to move the client.
C.
Raise the bed to 5 cm (2 in) above the level of the stretcher.
D.
Position the head of the bed at 25° prior to the transfer.
The correct answer and Explanation is :
The most appropriate action for transferring a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP) is:
B. Use an air-assisted transfer device to move the client.
Explanation:
Transferring a client of this size requires careful consideration to ensure both the safety of the client and the personnel involved. Here’s why option B is the best choice:
1. Safety and Comfort: An air-assisted transfer device (also known as a hover mat or air cushion) is designed to facilitate smooth, safe, and comfortable transfers for patients with significant weight. These devices create a cushion of air between the client and the surface, reducing friction and making it easier to move the client with less physical effort. This is particularly important for larger clients who may be difficult to reposition manually without causing discomfort or risk of injury.
2. Reduction of Physical Strain: For healthcare personnel, especially when transferring a heavier client, the risk of musculoskeletal injuries is high. Air-assisted devices help mitigate this risk by allowing the client to be moved with minimal physical exertion. This helps in protecting both the client and the healthcare team.
3. Precision in Placement: Air-assisted devices allow for precise placement of the client onto the stretcher. This precision is crucial to ensure that the client is positioned correctly and safely on the stretcher, which can help prevent additional complications such as falls or pressure injuries.
4. Considerations for Other Options:
- A. Slider Board: While a slider board can be useful for certain transfers, it might not be the best choice for transferring a heavier client due to the increased friction and the need for significant physical effort.
- C. Bed Positioning: Raising the bed 5 cm (2 in) above the stretcher can help reduce the vertical distance during the transfer, but it does not address the horizontal movement or the reduction of friction, which are critical in this scenario.
- D. Head of the Bed Positioning: Adjusting the head of the bed to 25° prior to the transfer might be helpful for certain types of transfers or client conditions, but it does not directly facilitate the transfer process for larger clients and does not address the primary challenge of moving a heavier individual safely.
Overall, using an air-assisted transfer device provides the safest and most effective method for handling the transfer of a client of this size, aligning with best practices for patient safety and healthcare worker ergonomics.