As a certified nursing assistant, you are very hands on with your client. You are responsible for the very basic needs of your client including his or her mobility. As the primary caregiver of the client, one of your duties is the safety of your clients when transferring them from bed to chair, bed to stretcher and vice versa. Strength is not only necessary, but also the proper and safe transfer techniques so you’ll not be physically strained. Proper transferring will not only benefit your client, but also yourself.
Before the transfer, here are the general considerations a CNA can follow:
- Plan the transfer well. Determine the sequence, space used, number of assistants necessary, the skill and strength of the CNA, and the assessment of the client’s capabilities and tolerance.
- Make sure your equipment is complete and ready and safe to use.
- Remove unnecessary obstacles from the area used for transfer.
- Explain the transfer to the client and assisting personnel, including specific directions of their participation.
- Always support and hold the client, rather than the equipment.
- During the transfer, explain to the client what he or she should do step by step.
For the equipments to be used, the CNA may keep this in mind:
- Walking belts for transfer provide the greatest safety since the CNA can grasp the belt to control the movement of the client during the transfer.
- Slings, lapboards, bath blankets, pillows and nonskid shoes may help in facilitating efficient and effective transfer.
- For bed to wheelchair transfer, position the chair parallel or on a 45 degree angle to the bed, depending the ability to walk of the client. Ensure that the wheelchair’s brakes are locked, the footplates are removed, and the bed brakes are also locked.
- For bed to stretcher transfer, position stretcher parallel to the bed, lock the stretcher and the bed brakes.
- For a mechanical or hydraulic lift, use a frame, canvas strips or chains, and a hammock or canvas strips.
- Assuming that the client is capable of sitting, place the bed in the lowest position with the client’s feet resting flat on the floor.
- Ask or assist the client to: move, sit at the edge of the bed, slightly lean forward from the hips, place the stronger foot beneath the edge of the bed, and the other foot forward. Place the client’s hand on the bed or on the CNA’s shoulder to push while standing.
- The can stands directly in front of the client, leans forward from the hips, knees and ankles, and assumes a broad stance, placing one foot forward and one foot back.
- Encircle client’s waist with arms and grasp the transfer belt at the back.
- Assist client to stand and move together toward the wheelchair.
- Assist the client to sit. Ensure that the client’s legs are placed against the chair.
- Secure client’s safety. The back of the client must rest well on the chair, feet are on lowered footplates and seat belt is applied as required.
- Lower the head of the bed until it is flat or until the client can tolerate.
- Raise the bed until it is slightly higher than the surface of the stretcher.
- Pull the drawsheet out from the both sides of the bed and roll it as close to the client as possible.
- Move the client to the edge of the bed and position it parallel to the bed.
- Transfer the client to the stretcher by asking the client to flex his neck and to place arms over his chest during the transfer. In unison, press the body against the stretcher, pull drawsheet against the client, flex hips, and pull client towards the CNA and the stretcher.
- Ensure client comfort and safety. Raise side rails and fasten safety straps.
We are prone to committing mistakes as human beings. As what they say, no one is perfect and no one will ever be. This is a fact we all have to accept and deal with. But when it comes to medical professions, making one simple mistake can be fatal. Dealing with the lives of clients make your role as a health care provider very important. As such, you need to exert more effort and caution when rendering care to your clients. All nursing assistants do not want to commit an error, but reports show that health care errors made by CNAs are still increasing. Several factors have been attributed to errors made in the health facilities. Thus, the government and relevant organizations have set up standards and policies to be followed in hope that errors will be lessened. But these governing bodies can only do that much. In the actual health facility, committing a mistake can mostly be judged on the one who made the error personally. It must be due to the fact that as a health provider who passed the certification, you are accountable for your actions, including your wrongdoings.
Being a certified nursing assistant makes you vulnerable in making a mistake. The key role here is knowing your responsibilities to your clients, co-workers and institution and practicing within the scope and limitations of your profession. If you are able to do this, then there’s no way you can endanger the lives of your clients. But having the necessary knowledge and skills are not enough. Human factors also influence your work habits that may pave way to not doing the right thing. So make sure to get enough rest, sleep and nutrition before working as to not comprise your client’s care. You should also learn to deal with stress positively, so that you can work at your best. Also, manage your time effectively and efficiently. As a CNA, you have physical and written workloads. Most of the time, you also need to listen to your clients’ concerns and find ways to comfort them. Eventually, all these demands can take a toll on your working habits. So make sure that you are prepared physically, emotionally and intellectually when reporting for duty.
Basic guidelines for preventing errors include:
- Be competent and stay competent. Update your knowledge and practice with your skills. If you are unsure of what you’re supposed to do, ask your supervisor or someone in position who knows the answer. The keywords here and certainty and valid confidence in what you do.
- Communicate constantly. Talk to your superiors when you have work-related concerns. Interact with your co-workers because you’re a a team and you might learn a thing or two when dealing with clients. Report changes with your client as soon as you observed them to proper personnel. Make time and listen to your client’s complaints and problems.
- Be attentive and alert. Identify your client accurately before performing any procedure on them. Pay attention always to what you are doing. Do not let your mind wander elsewhere when you are on duty. Remember that the client is your priority.
A certified nursing assistant or CNA are fast becoming in demand professions nowadays. With the inevitable retirement age approaching a large number of the population, the need to take care of both the well and the sick elderly also increases. Also, with the baby boomers expecting to hit the nursing homes and adult care centers soon, more and more qualified personnel are necessary to accommodate this growing need. Thus, CNA as a career path seems promising and holds a bright future. As a profession in the medical field, there’s always a steady supply, if not overflowing, of job opportunities waiting to be filled up. To filter those who have a desire to become a certified nursing assistant, you need to enroll yourself in a CNA training course and get the necessary knowledge, skills and credentials. After which, you need to pass the CNA state exam to get your certification and practice your profession. It may sound easy, but there are still a lot of things you need to know in order to be a good certified nursing assistant, as the short duration lectures and clinical experience may not suffice for you to fully get hold of your duties and responsibilities. With many CNA aspirants joining in the bandwagon, you may consider upgrading your knowledge and skills to compete with them fully armed. One of the things you need to learn is about the care you are expected to give your clients. So what is there to know about CNA – client-oriented care?
With the evolution of technology and needs of man, the client-oriented care system surfaced. It brings all services and care providers to the client. It is designed to focus on the needs of the client, rather than the needs of the members of the hospital staff. All client services are decentralized to the client’s area, including radiology and pharmacy services. Staffing is also based on the client’s needs. In the client-centered care, there is an effort for the right person to do the right thing. With this care, the client will perceive improved care and service and the institution will achieve cost savings.
As a member of the health care team, your priority is always the client. Hospitals and other health facilities would not exist if not for the clients who both want need medical services. Putting the client’s health and well-being first is the primary responsibility and duty of a nurse, nursing assistants included. As such, focusing on your client’s need will yield to satisfactory results to the client’s health as well as to the financial health of the agency. Thus, as the front line in rendering care to the clients, make sure to give them the best quality nursing care there is and keep your client’s satisfied with the services, and most likely, you’ll be able to keep your profession, along with the salary that comes with it.