Der Einfluss der Größe des Tragewagens auf den Komfort und die Sicherheit des Patienten

Einführung

The size and design of Fahrtragen used to transport patients can have a significant impact on patient comfort, safety, and the ergonomics of healthcare workers. This blog post will examine how stretcher trolley size affects various patient populations and usage scenarios, discuss safety and economic considerations, and provide recommendations for optimal stretcher trolley sizing. Critical factors like patient weight capacity, height adjustments, and maneuverability will be explored in depth.

Key Factors in Stretcher Trolley Sizing

When determining appropriate stretcher trolley sizes, key factors include:

• Patient weight capacity: The stretcher must safely support patients of varying weights. Most accommodate at least 250 lbs or more.
• Adjustable height: The ideal height ensures safe patient transfers and proper ergonomics for staff. A range of 16-36 inches is typical.
• Maneuverability: Compact stretchers are easier to steer down halls and through doorways. Wheel size, swivel capacity, and push handle design impact this.

Common Stretcher Trolley Sizes and Attributes：

Impact on Patient Comfort

Patient comfort is largely influenced by the stretcher’s dimensions and capacity to handle their height, weight, and mobility restrictions:

1. Obese patients: Require a bariatric-sized stretcher with enhanced weight capacity, width, and frame strength. Too small leads to painful pressure points.
2. Tall/short patients: Outside the norm height are best served by an adjustable height stretcher. This allows safer transfers and movement.
3. Limited mobility: Compact narrow stretchers are uncomfortable and restrict positioning for those unable to shift on their own.

Ensuring the right stretcher size is like getting the right-sized wheelchair—it greatly impacts comfort during a stressful transport or procedure.

Effect on Safe Patient Handling

The size of the stretcher has a big effect on patient safety during transfers and transport:

• Heavy patients: Stretchers too small for a patient’s weight capacity risk collapse or tipping. Proper weight rating is key.
• Difficult transfers: Even minor height mismatches between stretchers and exam tables can strain healthcare worker backs and endanger patients.
• Tight spaces: Compact stretchers allow easier maneuverability down hallways and through doorways. Large or long stretchers become unwieldy in small settings.
• Portable equipment: Bulky stretchers block access to patients and prevent effective use/monitoring of portable electronics like pumps and monitors.

The stretcher model must suit the patient and use environment to minimize safety issues.

Economic Considerations

While stretcher trolley size has clinical impacts, it also influences costs:

• Staff injuries: Workplace musculoskeletal injuries from poor ergonomics and unsafe handling climb with ill-fitting stretchers.
• Specialty equipment: Outsize stretchers, like bariatric and adjustable height models, cost more than standard versions. But they enable safer handling.
• Utilization: If the stretcher size hinders maneuvering patients around the care setting, transport times and wait times increase. This reduces efficiency.

Choosing the correctly sized stretcher improves safety and productivity, saving money long-term through reduced injuries and efficient patient flow.

Recommendations for Optimal Stretcher Sizing

So what is the ideal stretcher size? Recommendations include:

• Inventory a range of sizes including at least one compact/narrow, one standard, one bariatric to meet varying patient needs.
• Select an adjustable height model (range of 16-36 inches) for safest patient handling at all stages.
• Only utilize extra compact stretchers where space constraints restrict larger models.
• Train staff on matching stretcher model and accessories (lift assist devices, etc.) to patient requirements.

Following these stretcher sizing guidelines provides the adaptability to safely serve any patient situation with proper ergonomics.

Fazit

In conclusion, stretcher trolley size has a profound impact on patient comfort and clinical safety during transport and transfers. Additionally, the correct sizing plays an economic role by enabling efficient patient flow and reducing workplace injuries. By understanding critical design factors like weight capacity, adjustability, maneuverability, and acquiring a range of stretcher sizes, healthcare organizations can achieve greater patient-centered handling for all populations.

FAQ

Here are answers to some frequently asked questions about stretcher trolley sizing:

Should obese patients be transported on stretchers even for short distances?

Yes, the excessive strain of walking even short distances can lead to falls and injury in obese patients. A bariatric stretcher is vital for safe handling.

Do we need adjustable height stretchers or can nursing staff adapt with boosts like step stools?

While staff make adaptations, the safest method is an adjustable height stretcher. This prevents ad hoc stool use that can topple. It also provides proper ergonomics tailored to each handler’s height.

We have high ceilings in our radiology suites – do taller stretchers provide an advantage?

Yes, a taller stretcher (up to 36 inches) allows safer transfers to/from high exam tables. It reduces risky bending and twisting motions during imaging procedures on immobile patients.