Pt.s in Bunkbeds

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charlie135

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So, I have recently come across a large number of ETOH college students who are in the upper bunk in dorm rooms. Usually I can get access to the foot and one side of the bed. I am trying to figure out the best way to get these kids out of the beds when they are unresponsive. I could scoop litter or use the sheets, but I dont want to drop the patient. Any recommendations on this? I would use a REEVES if I had one. Often times there is bodily excrement all over the bed, so I would like to minimize contact with the bed itself. Maybe this is not possible, but that is why I am asking. Many of these patients are 190+ lbs.
 
What materials do you have? How many on your crew? And how small are these rooms?
 
If the situation allows you could possibly slide a backboard under the PT and then pull them out lengthwise, but that really wouldn't differ a whole lot from a scoop stretcher. Other than that a draw-sheet transfer or a scoop are really your only other options. Just request backup if you or your partner don't feel comfortable with it.
 
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I work with campus ems, and for these patients we will also have the local 911 ambulance respond for transport per protocol. So, we will have 1-2 campus EMTs, 2 Ambulance crew and 1 or more security officer. Resources include: Long spine board, scoop litter, bed sheets.

At my home service, we dont usually encounter adults in bunk beds so I havent ever really done this.

Since these rooms are usually a mess I will talk about working space. Usually I have between 5-8 feet between the side of the bed and an obstacle and between 0-4 feet between the foot of the bed and an obstacle. Ceilings are 8-9 feet. I can always move things and get maybe 1 more foot of space.

My thoughts are scoop stretcher, turn stretcher and hold one end w. one end on the bed. then two people grab that end and all three people then lower the scoop. But there may be a better way.

The only thing I dont like is having a patient 6 feet above the ground and then lowering them from an elevated position perpendicular to the length of the bed.
 
The patient will always come down perpendicular to the bed. I cant slide them off of the end. If I lower one end of the board and make the move in two segments, the board will slip so it needs to come down in one smooth motion.
 
Just roll them off onto the floor. They unresponsive, they won't feel a thing!







Seriously, use a sheet. It is the safest way to move them.
 
I've encountered this before. With limited ceiling above the bed, we placed the patient on a LSB, secured them, and are able to lower the LSB essentially parallel to the bed, with 4 EMTs and a member of PD for support.
 
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