HOSA Physical Therapy Gait Belt – Flashcards
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Obtain instructions from therapist
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Assemble equipment
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Knocked on door or requested permission to enter from behind the curtain, and paused before entering
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Closed the door or screened the unit to provide privacy
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Greeted patient and introduced self
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Identified patient
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Explained skill and obtained consent from patient
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Used alcohol-based handrub for hand hygiene
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Locked the bed to prevent movement and lowered the near siderail
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Assisted patient into a sitting position and put a robe on the patient
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Checked to be sure the transfer belt is the correct size, then positioned the belt around the patient's waist and on top of the clothing
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Positioned the buckle or clasp so that it is slightly off center in the front, smooth and free of wrinkles
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Tightened the belt so that it fits snugly, secured the clasp or buckle, and placed fingers under the belt to make sure it is not too tight
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Put shoes or slippers with non-skid soles on the patient
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Faced the patient with a broad base of support and grasped the loops on the side of the belt or placed hands under the sides of the belt
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Asked the patient to assist to stand by pushing against the bed or chair with his/her hands at a given signal.
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Bent knees, gave the signal to stand and kept back straight and straightened knees as the patient stood
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Support the patient in a standing position. Keep one hand on one side of the belt while moving the other hand to the loops or the back of the belt.
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Move the second hand from the side to the loops or the back of the belt while moving behind the patient.
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Ambulated patient - encouraged patient to walk slowly and use handrails if available
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Walked slightly behind the patient at all times and kept a firm, underhand grip on the belt or kept hands firmly in the loops
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If the patient started to fall: a. Kept a firm grip on the belt. b. Used body to brace the patient, kept back straight, and gently c. Stayed with the patient and called for help. d. Did not attempt to stand the patient up until help arrived, reassured the patient
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Assisted the patient back to the bed (chair) after ambulating for the distance/time directed by the therapist
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Removed gait belt
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Elevated siderail (If indicated) and observed all checkpoints before leaving the patient
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Used alcohol-based handrub for hand hygiene
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Reported skill and observations to the therapist
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