Safe Patient Handling & Mobility UPDATED ACTUAL Exam
Questions and CORRECT Answers
Does SPHM increase or decrease options for skilled therapeutic intervention? - increase
Does SPHM increase or decrease pt safety? - increase
Does SPHM increase or decrease pt falls? - decrease
Does SPHM increase or decrease patient outcomes? - increases - improves
Does SPHM increase or decrease pt length of stay? - decrease
Does SPHM increase or decrease employee retention? - increase
Does SPHM increase or decrease employee/patient satisfaction? - increase
Weight Bearing Status - order from MD to designate how much body weight patrimony can put
through affected limb
Weight Bearing Restriction - order from MD to limit or restrict amount of body weight that the
affected limb is able to support
What risks should you identify that contribute to safety? (2) - 1. patient risk factors
2. therapist risk factors
Who is responsible for performing mobility assessments? - PT/OT or RN
, Neutral Posture - Reting position of each joint
Power Zone - Area where teh arms and back can lift the msot with the least amoutn of effort and
therfore the least amount of risk MSK
What type of BOS should you have when lifting? - Wide
What movement should you have at your hips and knees? - Flexion
What type of position should your spine be in when lifting? - Neutral - lumabr lordosis
FIVE Ls of Lifting - 1. Legs
2. Lungs
3. Lordosis
4. Lever
5. Load
What is better on the spine - pushing or pulling? - Pushing
What does pushing do that pulling doesn't? - Maintains spine in neutral
Uses large muscles in the legs instads of smaller muscles in the lower back
What does the trendelenburg control on the bed do? - Reduces spinal compression forces and
peak hand forces
Contraindications for Trendelenburg (5) - 1. ICP (> 20)
Questions and CORRECT Answers
Does SPHM increase or decrease options for skilled therapeutic intervention? - increase
Does SPHM increase or decrease pt safety? - increase
Does SPHM increase or decrease pt falls? - decrease
Does SPHM increase or decrease patient outcomes? - increases - improves
Does SPHM increase or decrease pt length of stay? - decrease
Does SPHM increase or decrease employee retention? - increase
Does SPHM increase or decrease employee/patient satisfaction? - increase
Weight Bearing Status - order from MD to designate how much body weight patrimony can put
through affected limb
Weight Bearing Restriction - order from MD to limit or restrict amount of body weight that the
affected limb is able to support
What risks should you identify that contribute to safety? (2) - 1. patient risk factors
2. therapist risk factors
Who is responsible for performing mobility assessments? - PT/OT or RN
, Neutral Posture - Reting position of each joint
Power Zone - Area where teh arms and back can lift the msot with the least amoutn of effort and
therfore the least amount of risk MSK
What type of BOS should you have when lifting? - Wide
What movement should you have at your hips and knees? - Flexion
What type of position should your spine be in when lifting? - Neutral - lumabr lordosis
FIVE Ls of Lifting - 1. Legs
2. Lungs
3. Lordosis
4. Lever
5. Load
What is better on the spine - pushing or pulling? - Pushing
What does pushing do that pulling doesn't? - Maintains spine in neutral
Uses large muscles in the legs instads of smaller muscles in the lower back
What does the trendelenburg control on the bed do? - Reduces spinal compression forces and
peak hand forces
Contraindications for Trendelenburg (5) - 1. ICP (> 20)
