Placing the Adult Patient in the Supine Position (see figure 4-2). Collect equipment. [otw_is sidebar=otw-sidebar-1] Figure 4-2. Supine position. Wash your hands. Approach and identify the patient (by checking the identification band) and explain the procedure (using simple terms and pointing out the benefits). Provide privacy throughout the procedure. Position the bed.
Move the patient from a lateral (side) position to a supine position.
Align the patient’s body in good position.
Support the body parts in good alignment for comfort.
Provide for the patient’s comfort and safety.
Report significant nursing observations to the charge nurse. Placing the Adult Patient in the Fowler’s and Semi-Fowler’s Position (see figures 4-5 and 4-6). Collect equipment.
Wash your hands. Approach and identify the patient (checking the ID band) and explain the procedure (in simple terms and pointing out benefits). Provide for privacy throughout the procedure. Be sure the patient is in a supine position with his head near the top of the bed. Elevate the head of the bed.
Raise the knee gatch (knee rest) of the bed approximately 15 degrees unless contraindicated. Use a footboard to maintain the feet at right angles to the legs. Use pillows for support as needed.
Place the patient in good body alignment.
Provide for the patient’s comfort and safety.
Report significant nursing observations to the charge nurse. Prone Position (see figure 4-1). Collect the equipment.
Wash your hands. Approach and identify the patient and explain the procedure. Provide for privacy. Adjust the bed.
Position the patient in bed.
Turn the patient onto his side and then onto his stomach.
Align the patient in good position.
Lateral (see figure 4-7) and Sim’s (see figure 4-3) Positions. Collect equipment.
Wash hands. Approach and identify the patient by checking identification band. Explain the procedure and gain patient’s cooperation.
Provide for privacy.
Turn the patient onto the side.
Alternative method: turn the patient onto the side away from self.
Align the patient’s body in good position.
Support the body in good alignment for comfort.
Provide for the patient’s comfort and safety.
Report significant nursing observations to the charge nurse. Why is it important to position patients in bed properly?Positioning a patient in bed is important for maintaining alignment and for preventing bed sores (pressure ulcers), foot drop, and contractures (Perry et al., 2014).
Why should the Fowler's position only be used for a short period of time?There is plenty of research out there that talks about the increased risk of developing a pressure injury on the sacrum and coccyx in patients that are left in High/Full Fowler's Position for prolonged periods of time. This is equally true in a 90 degree seated posture!
What are the four basic positions for patients in bed?Patient Positions in Medical Bed. Supine position. In supine position, patient lies flat on back,legs may be extended or slightly bent with arms up or down. ... . Prone position. In prone position, patient lies on stomach with head turned to the side and the hips are not flexed. ... . Lateral position. ... . Sims position. ... . Fowler's position.. What are the main types of patient position in bed?In this guide for patient positioning, learn about the common bed positions such as Fowler's, dorsal recumbent, supine, prone, lateral, lithotomy, Sims', Trendelenburg's, and other surgical positions commonly used.
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