Welcome to Jefferson Regional Medical Center

EVACUATION TRANSPORT/CARRY INSTRUCTIONS

PATIENT TRANSPORT SYSTEMS:

BEDS

WHEELCHAIRS

WALKERS/CANES

STAFF

BLANKETS

SEMI AND AMBULATORY PATIENTS:

ท EXTREMITY CARRY   If the  nurses approach from the patient's left, the first nurse, standing with her feet together, slips her right arm under the patient's upper left arm.  She  brings the patient to a sitting position by taking one step with the left foot  towards the foot of the bed.  This move employs the swing of her whole body.  She gains additional leverage if she pushes her right shoulder against the patient's  left shoulder once the patient is in motion.  When the patient is sitting, the second nurse grasps the ankles and swings the feet off the bed.  (If the nurses approach from the right, all the mechanics are reversed).



When the patient is sitting, she places her arms through the armpits and      grips her own wrists above the patient's chest.  The second nurse approaches from the same side and halts at the patient's feet.  With her left hand under the patient's right heel, she pulls the right ankle clear of the bed as she slides between the patient's legs as far as the patient's right knee.

As the second nurse makes a half turn left, she grasps the patient's right knee under her right arm.  Completing the turn, she transfers her left hand to the patient's left  knee which she then encircles with her left arm.  She now has a leg under each arm.

Both nurses then take one step away from the bed and carry the patient from the room.  Like so many other carries; this involves a “hugging” action, with the patient's back carried tight against the first nurse's chest, the patient's shoulder as close to the level of hers as possible.

To unload the patient in the corridor, the second nurse stoops with her right foot slightly behind and about six inches from her left and lowers the patient's legs to the floor.  The first nurse lets the patient slide down her body until the buttocks reach the floor,  Then, she lowers the patient to his back.  This is very useful when the path of exit is narrow because of furniture or fire.

ท PACK STRAP patient behind and facing you, his arms over your shoulders, crossed in front of you.  Grasp each of his wrists with your opposite hand.  Lean forward to carry.

ท HIP CARRY sit on bed as patient faces you lying on his side.  Reach behind his back to grasp his armpit while other arm reaches around to grasp his knees.  Lean forward to carry across your hips.

ท 2 CARRIER SWING METHOD one carrier on each side of patient, grasping each others wrists under his knees and each others shoulder behind patient back (under his arms).  Especially for seated patients.

ท 3 CARRIER SWING METHOD all on one side of patient, lift and roll patient to face their chest.  Carry feet first.  Can be aided by fourth lifting from other side till weight is up and balanced.

ท 6 CARRIER SWING METHOD 3 on each side of patient can provide full spine support by alternating arms underneath.

ท AMBULATORY PATIENTS leave in single or double line, hands clasped, led.  Mother may carry babies.

NON-AMBULATORY PATIENTS:

ท CRADLE DROP (patient same size or smaller than rescuer)

       Lock the wheels on the bed.  The nurse first doubles a blanket
       lengthwise and places it on the floor parallel to the bed.  If she
       approaches from the patient's right side, she slips her left arm under
       the patient's neck, grasps the left shoulder in her left hand and slips
       her right arm under the knees and grasps them with her right hand.
       Her right knee or thigh, depending upon the height of the bed, is
       placed against the bed and opposite the patient's thigh.  Both her
       feet are flat on the floor about six inches apart, her left foot about six
       inches
       from the bed.  (If the patient is approached from the left side, the
       procedure is reversed).

      The patient is pulled from the bed.  No lifting is necessary.  The nurse
      pulls with both hands, and pushes with her right knee or thigh.  The
      moment that the patient starts to leave the bed, the nurse must drop
      on her left knee.  When the patient is clear of the bed, the employee's
      extended right knee supports the knees and her left arm supports the
      head and the shoulders.  The cradle formed by her knee and arm
      protect the back.  She lets the patient slide gently to the blanket and
      pull the blanket form the room.  The relative position of the patient's
      body is important.  A nurse cannot maintain the balance necessary if
      she pulls the patient's buttocks, instead of the knees of thigh, out on
      her knee.  This removal is for patients too heavy for one nurse to carry,
      for low beds and for bed and oxygen tent fires.

ท BEDS MAY BE WHEELED  from a hazardous room or location though this is slow.  Use gurneys/wheelchairs

ท LITTER CARRYING  2 or 4 persons, should be out of step, or in step with opposite feet

ท BLANKET CARRY  patient behind and facing you, blanket under is arms and over your shoulder, knot held in front of you.  Blanket should be folded diagonally.  Lean forward to carry.

ท BLANKET DRAG  patient diagonal, lift at head and pull head first, even down stairs.  To move patient from bed to floor or blanket.

ท KNEEL DROP (patient larger than rescuer)

     Lock the wheels on the bed.  The kneel drop is a variation of the basic
     cradle drop.  The blanket is doubled lengthwise and placed on the
     floor parallel to the  bed.  The nurse, approaching from the patient's
    left, slips her right arm under the patient's neck and grasps the right
    shoulder in her right hand.  She places her left knee or thigh,
    depending on the height of the bed, against the bed and opposite the
    patient's thigh.  Both of her feet are flat on the floor about six  inches
    apart, her right foot about six inches form the bed.  No lifting is
    necessary, the nurse pulls with both her hands and pushes with her left
    knee or thigh.  The very moment that the patient starts to leave the bed,
    the nurse must drop on her right knee.

    When the patient is clear of the bed, the nurse drops her left knee
    beside her right, leans forward with her back straight and lets the
    patient slide down her body to her knees.  In other words, she pulls the
    patient out on her chest and not out on the knees.

    The nurse draws her knees from under patient's body and pulls the
    patient from the room.  This removal is particularly useful for handling
    excessive weight, fracture, post operative and pregnancy cases when
    only one nurse is immediately available.

US Patent Numbers 7,720,998 B2, 7,836,207