Safe Patient Handling Equipment

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					Safe Patient Handling
  Patient Handling Equipment & Aids

Perceived by staff nurses as the #1
 most effective solution for decreasing
• risk of injury
• musculoskeletal discomfort

Bariatric Equipment

   Bed Improvements to Facilitate
    Transfers and Repositioning
• Shearless pivot reduces need to constantly
  reposition in bed by minimizing slippage
  towards the foot of the bed.
• Rotating air mattress rotates the patient as
  needed through use of air bladder in the
  mattress surface.
Specialized Beds

         Specialized Beds

Transfer conveyor system integrated
 into bed frame
Moves patient from bed into
 wheelchair and back

        Specialized Beds

Retractable Footboard reduces sliding
  down in bed                           7

   Retractable Footboard
   Percussion/Vibration
   Raised Knee Platform
   Capillary perfusion enhancement
   Built-in Scale
   Height adjustable
   CPR function
   Bariatric
Patient Transport Devices

Air Assisted Lateral Sliding Aids
• Flexible mattress placed under patient.
• Portable air supply inflates the mattress.
• Air flows through perforations in the mattress
  allowing the patient to be moved on a film of
  air, decreasing nurse exertion.
• Good for patients with special medical
  conditions, such as pressure sores.
• Can be used in MRI, CT etc.
Lateral Transfer Devices

    Air Assisted Lateral
    Transfer Device
             Friction Reducing
            Lateral Sliding Aids
• Bed to Stretcher transfers
• Made of smooth, parachute-like material.
• Positioned beneath the patient to provide a
  reduced friction surface to slide the patient
• Small, foldable, easy to store.
• Properly designed handles can reduce
  horizontal reach of nurse.
Lateral Transfer Devices

Friction Reducing Device (FRD)

            Transfer Chairs
• Some wheelchairs and dependency chairs can
  convert into stretchers.
• Back folds down and legs come up.
• Allow lateral transfer of patient.
• Eliminate need to transfer patient to and from
             Transfer Chairs

• Convert from chair to
  wheelchair to stretcher
• Facilitates lateral transfer
  from bed to chair
• Bariatric models available

Car Extraction Sling Lift

Ergonomic Shower Chair

            Stand Assist Lift
• Easy to maneuver in restricted areas, such as
• Assists patient with standing from seated
• Appropriate for partially dependent patients
  with some weight bearing ability.
• Available with ability for patient to ambulate.
Sit to Stand Lifts

   With ambulation
   Powered full body sling lift
• Mounted on portable base or ceiling tracks.
• Ceiling lifts can go over floors and around
  furniture however, transfers are limited to areas
  where track is installed.
• Easy to install sling beneath patient.
• Used for highly dependent patients.
• Available with many features such as scales
  and can be used for any transfer.
• Wide variety of slings available to meet needs
  of all patients and diagnoses. Such as
  ambulation slings.
Full Body Sling Lifts

Full Body Sling Lifts
  Ceiling Mounted

               Full Body Sling Lifts

There are differences in use of portable floor lifts as
  opposed to ceiling lifts
• Biomechanical stress on caregiver is greater when
  pushing/pulling portable lift & patient.
  (Nelson, et al, 2003; Santaguida et al, 2005; Marras, 2007)

• Other Risks of Injury are greater.
  • Considerable arm strength & back torsion are required,
    especially when wheels are not working well.
  • Workers can trip over lifts or run into them.
  • Lifts on wheels are not always stable.
  (Garg, 1991; Garg, 1991; Daynard, 2001)

                 Full Body Sling Lifts

There are differences in use of portable floor lifts as
  opposed to ceiling lifts
• Ceiling lift accessibility results in greater use
   (OHSAH, 2006; Garg, 1991; Garg, 1991; Daynard, 2001; Nelson et al, 2006)
• Staff prefer ceiling lifts.
   (Nelson, et al, 2003; Santaguida et al, 2005; OHSAH, 2006; Garg, 1991; Garg,
   1991; Daynard, 2001; Nelson et al; 2006)

           Full Body Sling Lifts

Ceiling Lift Recommendations
   – Include scales when buying lifts
   – Install ceiling lift H-track (traverse) rather than
     straight track

Ceiling Lift Track

                  Lift Slings

Lifts are not ‘presently’ the answer to ALL risks
  from patient handling…

• But... they may be soon for most…
• New advances in sling design enable lifts to be
  more versatile

 Now you know what’s available,
 how do you choose what to buy?
• Identify what products can be used to perform
  the desired application in the most reasonable
  and safe manner using the following criteria:
    Lifting device criteria
• Appropriate for transfer.
• Safe and comfortable.
• Understandable and easy to use.
• Efficient in use of time and easy to
• Reasonable storage needs.
• Must have enough devices to be accessible.
• Must be of reasonable cost.
        Choosing Equipment
• Review literature. Manufacturer, outside
  research facility, peer review, newspaper,
  industry magazine. FDA and National
  Reporting Office have information regarding
  equipment-related incidents and recalls.
    Choosing Equipment

• Approach manufacturers and local vendors.
• Involve contracting staff.
• Consider performance measures such as:
  – Special features of particular brand
  – Compare probable life of the product
  – Warranty considerations
  – Maintenance requirements and availability
  LTC Myrna Callison
  Ms. Kelsey McCoskey