Cope health scholar Practical exam with answers
ambulating a patient:
supplies - CORRECT ANSWERS ✔✔non-skid shoes or socks
gait belt (site- specific)
assistive devices i.e canes, walkers
ambulating a patient requirements - CORRECT ANSWERS ✔✔-RN/PT approval and
direction
-appropriate rail adjustment
ambulate - CORRECT ANSWERS ✔✔to walk from place to place
fall risk - CORRECT ANSWERS ✔✔a designation assigned to a patient whose
stability is of concern in order to prevent falls from occurring
process to ambulate a patient - CORRECT ANSWERS ✔✔-ask nurse if the patient is
a fall risk patient and if he/she has been walked in the past 12 hours or on the unit in
general
-gather necessary supplies
-introduce yourself to the patient and confirm that you are comfortable to assist with
proceeding with ambulating (AIDET/KIAHI)
-perform hand hygiene and apply gloves to assist patient out of bed
-assess
,a. check brakes, check if any signs such as fall risk patient (a star), ensure patient is
wearing non skid shoes or socks, identify catheters or monitor leads connected to the
patient ( If they have an IV they can walk but do not touch buttons, unplug IV from
wall, wrap chord around and walk with it)
-adjust the bed
* catheter patients cannot walk*
helping a patient out of bed - CORRECT ANSWERS ✔✔-raise the head of the bed so
the patient is in high fowler's position (90 degree angle)
-use swivel technique to guide the patient so they are sitting on the side of the bed
-while supporting the patient, and ask the patient to move to the edge of the bed until
his/her feet are firmly planted on the ground
swivel technique - CORRECT ANSWERS ✔✔1. adjust the bed
2. raise the head of the bed so the patient is in fowler's position
3. ask the patient to bend their knees
4. place one hand on the patient's shoulder blade, and right arm " over and under "
the patient's knees
5. ask them to scoot forward so their feet are touching the ground
helping a patient stand up - CORRECT ANSWERS ✔✔ask them to stand should with
apart
-ask if it is okay if you can place your right leg between the patient's feet
-ask the patient if it is okay if you can place your hands on their hips to help raise
them up
-count to 3 and slowly stand up with them
, ambulation - CORRECT ANSWERS ✔✔have two hands on the patient at all
times
-once you stand them up have them grab onto your left arm while your right is
holding onto their shoulder blade or back
-remove gloves while patient is still holding onto you, gel out
-when returning gel back in while gloving in while the patient is still holding on to
you
**** cannot ambulate patient to restroom without a staff member
providing an assisted fall - CORRECT ANSWERS ✔✔-if the patient indicated that he
or she is becoming faint/ dizzy ,call out for assistance and guide the patient to the
nearest sitting location (chair, bed, wheelchair, etc)
-if the patient indicates that she or he is going to fall, call out for assistance and guide
the patient down to the floor:
a. keep a tight core and neutral spine
b. call out for help as you guide the patient to the floor (the knee not facing the back
of the patient, the other one is being used to guide them down), holding on to his/her
core to direct their fall
-protect the patient's head and neck******, do not move the patient once they have
fallen, and do not move yourself either
-do not leave the patient unattended, do not attempt to bring the patient back up or
reposition them. stay with the patient until assistance comes.
-patient falls are incidents, if this occurs please follow protocol
positioning a patient supplies - CORRECT ANSWERS ✔✔2-3 pillows
-foam cushion
-friction reducing device
ambulating a patient:
supplies - CORRECT ANSWERS ✔✔non-skid shoes or socks
gait belt (site- specific)
assistive devices i.e canes, walkers
ambulating a patient requirements - CORRECT ANSWERS ✔✔-RN/PT approval and
direction
-appropriate rail adjustment
ambulate - CORRECT ANSWERS ✔✔to walk from place to place
fall risk - CORRECT ANSWERS ✔✔a designation assigned to a patient whose
stability is of concern in order to prevent falls from occurring
process to ambulate a patient - CORRECT ANSWERS ✔✔-ask nurse if the patient is
a fall risk patient and if he/she has been walked in the past 12 hours or on the unit in
general
-gather necessary supplies
-introduce yourself to the patient and confirm that you are comfortable to assist with
proceeding with ambulating (AIDET/KIAHI)
-perform hand hygiene and apply gloves to assist patient out of bed
-assess
,a. check brakes, check if any signs such as fall risk patient (a star), ensure patient is
wearing non skid shoes or socks, identify catheters or monitor leads connected to the
patient ( If they have an IV they can walk but do not touch buttons, unplug IV from
wall, wrap chord around and walk with it)
-adjust the bed
* catheter patients cannot walk*
helping a patient out of bed - CORRECT ANSWERS ✔✔-raise the head of the bed so
the patient is in high fowler's position (90 degree angle)
-use swivel technique to guide the patient so they are sitting on the side of the bed
-while supporting the patient, and ask the patient to move to the edge of the bed until
his/her feet are firmly planted on the ground
swivel technique - CORRECT ANSWERS ✔✔1. adjust the bed
2. raise the head of the bed so the patient is in fowler's position
3. ask the patient to bend their knees
4. place one hand on the patient's shoulder blade, and right arm " over and under "
the patient's knees
5. ask them to scoot forward so their feet are touching the ground
helping a patient stand up - CORRECT ANSWERS ✔✔ask them to stand should with
apart
-ask if it is okay if you can place your right leg between the patient's feet
-ask the patient if it is okay if you can place your hands on their hips to help raise
them up
-count to 3 and slowly stand up with them
, ambulation - CORRECT ANSWERS ✔✔have two hands on the patient at all
times
-once you stand them up have them grab onto your left arm while your right is
holding onto their shoulder blade or back
-remove gloves while patient is still holding onto you, gel out
-when returning gel back in while gloving in while the patient is still holding on to
you
**** cannot ambulate patient to restroom without a staff member
providing an assisted fall - CORRECT ANSWERS ✔✔-if the patient indicated that he
or she is becoming faint/ dizzy ,call out for assistance and guide the patient to the
nearest sitting location (chair, bed, wheelchair, etc)
-if the patient indicates that she or he is going to fall, call out for assistance and guide
the patient down to the floor:
a. keep a tight core and neutral spine
b. call out for help as you guide the patient to the floor (the knee not facing the back
of the patient, the other one is being used to guide them down), holding on to his/her
core to direct their fall
-protect the patient's head and neck******, do not move the patient once they have
fallen, and do not move yourself either
-do not leave the patient unattended, do not attempt to bring the patient back up or
reposition them. stay with the patient until assistance comes.
-patient falls are incidents, if this occurs please follow protocol
positioning a patient supplies - CORRECT ANSWERS ✔✔2-3 pillows
-foam cushion
-friction reducing device
