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Thread: Safety belt or harness for exam room chairs?

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    Safety belt or harness for exam room chairs?

    Anyone know if these things exist? I've searched the internet and can find nothing. We have a few patients who are handicapped and have difficulting staying positioned during exam, as they tend to slide. One caregiver suggested a seat belt. Any suggestions would be appreciated!

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    Master OptiBoarder optical24/7's Avatar
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    A saddle?

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    Quote Originally Posted by Michelle15931 View Post
    Anyone know if these things exist? I've searched the internet and can find nothing. We have a few patients who are handicapped and have difficulting staying positioned during exam, as they tend to slide. One caregiver suggested a seat belt. Any suggestions would be appreciated!
    If someone that is that handicapped, I can't imagine why they wouldn't remain in their wheelchair. Is you're office (including the lane) handicap accessible?
    Ophthalmic Optician, Society to Advance Opticianry

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    This should work.:D


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    Master OptiBoarder OptiBoard Gold Supporter DragonLensmanWV's Avatar
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    Quote Originally Posted by obxeyeguy View Post
    This should work.:D


    <resists urge to show a picture of an Iron Maiden>
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    Quote Originally Posted by DragonLensmanWV View Post
    <resists urge to show a picture of an Iron Maiden>
    Run for the hills!!!!

    Eddie rules!

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    Master OptiBoarder rbaker's Avatar
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    Quote Originally Posted by obxeyeguy View Post
    This should work.:D

    I have always wondered why they use a chair. Why not a chaise lounge or a settee or a divan?Sort of makes you wonder!

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    OptiWizard OptiJim's Avatar
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    Quote Originally Posted by rbaker View Post
    I have always wondered why they use a chair. Why not a chaise lounge or a settee or a divan?Sort of makes you wonder!
    I think the term "electric lounge" was already taken.......:shiner:
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    Master OptiBoarder rbaker's Avatar
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    Quote Originally Posted by MarySue View Post

    In the US you must be very careful when using any form of restraints on elderly or handicapped adults. Check out your state laws in this regard. We found that the only really effective clinical solution was to have a lane set up to accommodate a wheelchair and for the patients caretaker to manage any necessary restraints.

    God help you if a frail or elderly patient falls or injures themselves while in your custody. It really should't be this way bit it is.

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    I'd keep them in their own wheelchair and slide the exam chair out of the way, as others suggested.

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    Anyone bad enough to need straps is in a wheelchair, so ....

    I have the chair-glide to slide my exam chair back so I can back a wheelchair in.

    Very favorable tax credit with ADA.

    Also very nice not to have to lift a person off a wheelchair onto the exam chair.

    Never did think about the strap thing until this post.

    Harry

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    Underemployed Genius Jacqui's Avatar
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    Ask your favourite nurse about a gait (gate?) belt. We use them in nurseing to help lift, position, anchor, etc. It's a wide, 2 inches+, web belt with quick release buckle.

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    Master OptiBoarder rbaker's Avatar
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    Quote Originally Posted by Jacqui View Post
    Ask your favourite nurse about a gait (gate?) belt. We use them in nurseing to help lift, position, anchor, etc. It's a wide, 2 inches+, web belt with quick release buckle.
    Even better, ask someone who works in a nursing home. Cripes, I just asked my bride, a retired RN who spent her last three years supervising a nursing home and who now has a bad back from schlepping patients around for 45 years. Her advice, don't ever move a patient from her wheel chair to an exam chair. Your first responsibility is to patient safety and if you do not know what you are doing your can very easily find yourself in deep dodo. In fact if the patient is not ambulatory make a visit to the nursing home or whatever. You do have a trial frame and a few lenses, maybe even a Schiots tonometer, ophthalmascope, retinascope and one of those neat little doctor bags. Hey, you can even bill for a hospital visit.

    Don't drop granny and bust her hip.

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    ?

    This thread seems weird. I was once asked to transfer(dead lift) a paraplegic out of his chair into the exam chair. I won't do that again. On the return lift his wife bumped the joystick control on the electric chair and knocked us both to the ground in a heap. :( Much easier to make sure your lane is wheelchair accessible.
    Chris Beard
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    Ophthalmic Optician
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    I've got a used Burton slide unit for sale if anyone needs one.

    (I't not too late to get your tax credit for it either!)
    Ophthalmic Optician, Society to Advance Opticianry

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    I would never transfer a patient from their own wheelchair, unless they can do it on their own power without so much more than a helping/stabilizing arm. Doing so is just too great a liability for the patient and for yourself. If your not wheelchair acessible, either refer to a clinic that is, or do a trial frame refraction (and adjust the Rx for vergence if necessary) while use the BIO for posterior segment eval.

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