Optimizing Patient Care with the Sara Combilizer - Practical Tips and Real-World Clinical Applications
Where edge of bed sitting is likely to be difficult to achieve, but early weight bearing and upright positioning are desirable, the Sara Combilizer a multiposition aid can be utilized to help achieve out of bed rehabilitation goals early in the care pathway.
Where edge of bed sitting is likely to be difficult to achieve, but early weight bearing and upright positioning are desirable, the Sara® Combilizer a multiposition aid can be utilized to help achieve out of bed rehabilitation goals early in the care pathway. This blog outlines effective techniques for utilizing the Sara Combilizer, particularly when transitioning patients from a supine position to a seated or standing position.
“The Sara Combilizer allowed safe mobilisation of patients at a more acute phase of their illness.1“
-McWilliams
Practical Tips & Real-World Clinical Applications
1. Prepare for Lateral Transfer
Positioning the Sara Combilizer- Start by adjusting the Sara Combilizer into a supine position using the Fowler recline button. Ensure the armrests are flush with the seating cushion to facilitate a smooth lateral transfer. Aligning for Transfer- Align the Combilizer so the patient’s hips are directly above the fold of the chair. Make sure the bed height is slightly higher than the Combilizer for an easier transfer. Lock the brakes to ensure stability during the procedure.
Aligning for Transfer- Align the Combilizer so the patient’s hips are directly above the fold of the chair. Make sure the bed height is slightly higher than the Combilizer for an easier transfer. Lock the brakes to ensure stability during the procedure.
2. Utilizing Transfer Aid
Friction Reduction Techniques with Arjo Maxi Slide Sheet- Using devices like the Arjo Maxi Slide Sheet can significantly ease lateral transfers. Techniques like the roll and tuck method allow for safe positioning without lifting the patient excessively, reducing the risk of strain for caregivers.
Airpal® for Comfort- For patients requiring additional comfort, connect the safety belts of the Airpal. Inflate it for support during the transfer, ensuring your partner holds the patient securely.
3. Advanced Lifting Techniques
Employing the Maxi Move®- Fold the seated sling correctly and position it under the patient, allowing for easy lifting. Make sure the clips are securely attached, and adjust the spreader bar to maintain control during the lift.
Maxi Sky ceiling lift- When using the Maxi Sky ceiling lift, adjust the loops for optimal support, ensuring that the patient is raised smoothly. This method reduces physical strain on caregivers and enhances the safety of patients.
4. Securing the Patient
Attaching Support Straps- Once the patient is seated, securely attach the shoulder, waist, and knee straps. It is important that the chest strap goes over the shoulder straps, and the waist strap is beneath. Proper adjustment is crucial for comfort and safety, allowing the patient to feel secure during mobility activities.
Engaging Different Positions- Adjust the Combilizer to facilitate various exercises. Raising the patient slightly can promote cardiovascular and pulmonary function while preparing them for out-of-bed activities.
5. Transitioning to Standing
Preparing for Standing- Recline the patient to a neutral position before transitioning to standing mode. Ensure all straps are snug for security during the process.
Monitoring During Ascent- As you lift the patient, monitor their position closely. Adjust the incline as needed and be prepared to lower them back down if any alarms indicate discomfort or distress.
6. Emergency Protocols
Quick Return to Supine- In emergencies, utilize the emergency lower function of the Sara Combilizer. This feature allows for a quick return to a supine position, ensuring patient safety at all times.
7. Promoting Ambulation
Final Steps for Mobility- Once the patient is standing, ensure they feel stable before beginning ambulation. Use the Sara® Plus for support as they take steps, allowing for gradual increases in mobility and independence.
Conclusion-
Mobilizing patients in the ICU can often be challenging. The Sara Combilizer not only facilitates safer patient transfers but also plays a crucial role in enhancing patient outcomes through early mobility. By mastering these techniques, healthcare professionals can provide effective care while promoting independence and improving the overall patient experience. Emphasizing safety, comfort, and effective communication during the transfer process will lead to better clinical results and more empowered patients.
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References:
- McWilliams, D., Atkins, G., Hodson, J., Snelson, C. The Sara Combilizer as an early mobilisation aid for critically ill patients: A prospective before and after study. Australian Critical Care. 2017; 30(4): 189-195.