Policy Manual sample

MDT Home Health Care Agency, Inc. GETTING PATIENT IN/OUT OF BED Purpose: Getting the patient out of bed is a means of changing position and providing exercise. Equipment: 1 . Arm chair 2. Pillow 3. Footstool 4. Sheet 5. Bathrobe 6. Slippers Procedure: 1 . Assemble equipment. 2. Explain procedure to patient; screen patient. 3. Move chair close to bed. Have head of chair at foot of bed. 4. Put a pillow on set of the chair (any pillow used on the seat of chair should have plastic cover). 5. Place a sheet across the seat of the chair with the edge several inches above the arms of the chair. 6. Assist patient to a sitting position, bring legs over the side of the bed. 7. Help the patient to put on robe and slippers. 8. Stand facing the patient. 9. Place hands under the patient's arm, thus supporting patient. 10. Help patient slide of edge of bed to standing position. 11. Stand with feet apart and while supporting patient, pivot around to face chair. If patient is heavy or helpless, get assistance. 12. Lower patient into chair. 13. Arrange pillows for patient's comfort. 14. Fold sides of sheet over patient. 15. Place patient's feet on footstool. 16. Provide patient with some means of call. Watch for signs of fatigue. 17. To return patient to bed, reverse steps of procedure and help patient into bed. Methods of reporting: 1. Time 2. Length of time in chair 3. Any ill effects Home Health Agency Nursing Care & Procedures K-50