Lifts And Transfers Flashcards
Assistance level
Contact guard
•Gait belt required
•Hands on the gait belt
•Used when consumer requires physical and/or directional guidance and verbal cueing
Stand-By Guard
•Gait belt frequently required
•Within an arms reach of the consumer, prepared to assist if needed
•Used when consumer only needs occasional balance assistance or guidance
Range of Scanning
•Visual supervision
Supportive equipment
Mechanical Lifts
•Use for maximally dependent patients and those who are unable to follow instructions , or are unpredictable.
•Decrease the risk of injury by eliminating/reducing forceful movements, awkward postures and repetitive motions associated with manual lifting.
Transfer/Sliding Boards
•Vary in material, size, weight and design.
•They are used primarily for patients unable to weight-bear, due to neurological and orthopaedic conditions
•Use requires the patient to have good upper extremity strength.
•The amount of assistance required varies from patient to patient and is usually to help with control of the patient’s trunk while he/she pushes his/her body along the board.
Transfer/Gait Belts
•Wide cloth belts that can be adjusted by either buckles or velcro
•Helpful for patients that need assistance and a more secure handhold is required
•Should be snug at the patient’s waist
•Provider grasps the belt at the back with both hands, prior to proceeding with the planned transfer
Mechanical lift
Ceiling truck lift = Includes ceiling mount, wall-to-wall mount, free standing frame, tension-mount
Mobile Base Floor Lift
•Rolls on floor
Lifting Sling Sizing
Sizing
Height
•Mid-head to mid-buttock for full coverage
Width
•2-3 finger-width of material on either side of body
Weight
•Slings will have weight as well as sizing restrictions
Color Coded (most)
•Small= red,
•Medium= yellow,
•Large= green,
•XLarge= blue
Lifting Sling Materials
Materials
Canvas/Quilted
•Dry transfers only (not for bathing)
•Don’t left under consumer
Mesh
•ANY transfer, including bathing
•Typically, best if requires sling to stay under consumer
•Dries fastest
When to not use sling
Frayed material on loops (even if it’s not the loop you will be using)
•Holes in any portion of sling
•Cut-off loops
•Evidence of previous repair (sewn)
•Evidence of being shrunk in washer
•Dusty residue from previous bleaching
•Report to supervisor if you take sling out of use, clearly label concern on sling
Lifting Sling Types
Full Body Sling
•Must stay under consumer
•Ideally, it should be mesh
•Head control
•No separate pieces for legs
Split Leg Sling
•Has full trunk and separate leg extensions to support each leg
•Available with or without head support
•Can be placed & removed with consumer in chair
Split Leg Hammock Sling
•Head control
•Leg straps to support each leg
•Cross-through method for majority of people
•Cradle method for amputees or full leg coverage
Hygiene/Toileting Sling
•Has wide support belt around trunk and/or waist with leg supports
•Allows access for hygiene care and toileting
•Can also be used for other seated transfers
•Consumer must have adequate head and neck control
Limb Strap
•Secures limbs for positioning, wound care, hygiene care, dressing, bathing
•Can also be used for ROM and exercising
•Can be used in combination with other slings for optimal positioning
Stand Assist Harness
•Trunk/waist support belt
•Used with sit-stand mechanical lifts
Walking Harness Sling
•Has body support with pelvic/leg straps
•Used with mobile base floor lifts or ceiling track lifts for assisted walking
Sit-Stand Lift
•Rolls on floor
•Used for transfers from seated position to seated position (toileting, bathing…)
•Potential use in therapy
•Removable footplates for ambulation
What consumer requirements
•Independent sitting (on edge of bed OR supported sitting in chair)
•Bears some weight through one or both legs
•Holds on with at least one hand
•Is an active participant in the lifting, familiar with the process
•May require training for consumer comfort and cooperation
Lifting procedure
Always uses two staff for transfers
•Assess environment
•Clear path to transferring area
•Minimal space between transfer surfaces
•Prepare equipment
•Ensure sling is in the proper position under consumer
•Determine and attach appropriate sling loops
•Mobile base floor lift brakes OFF
•Allows consumer’s weight to center itself within lift supports
•Raise the consumer using the remote
•Maintain contact guard while lifting and moving
•Protect the head and legs
•Transfer consumer to desired location
•Move the lift, do not push the consumer in sling
•Lower the consumer onto destination support surface
•Buckle pelvic belt if present
•Remove sling unless otherwise indicated in IPOP
•Reposition as necessary
Common techniques
Stand pivot transfer
Squat pivot transfer
Sliding board transfer
Getting up from the floor
•Only attempt to help the person if you feel that both of you are able to safely work together
•If patient is not hurt and is able to move, you may assist with getting up from the floor
•Forward method using knees
•Backward method using arms
Bed to stretcher using roller board
•Must be wiped down between patients.
•Not to be used with patients over 400 lbs
•Used for horizontal transfers only
•Technique:
oRoll the patient towards you
oUse the bedsheet to assist
oPartner pushes roller board next to patient’s back
oRoll patient onto back
oGrab edge of sheet in grip with palms up
oPull patient towards you and slide board out the other side
Supine to sitting one person
PT Position
•Stand facing the patient.
•Once the patient is on his/her side, reach across the patient’s top leg and grasp the
bottom leg.
•Place the other arm under the patient’s shoulders; be mindful to support his/her head and shoulders.
Patient Position
•Have the patient roll onto his/her side if able. Provide assistance as needed to facilitate.
•Ask the patient to flex his/her hips and knees. If he/she is able, ask to place heels over the edge of the bed.
•Instruct the patient to push up on his/her bottom elbow, pushing up with the other hand
Action
•lowering the patient’s legs over the edge of the bed and at the same time bring his/her head
and shoulders to an upright position.
Slide bored transfer bed wheelchair
Technique:
oPatient sitting at edge of bed and angled towards chair.
oArmrest of wheelchair is removed.
oHave patient lean to the side and slide one end of board under the their hips/buttocks and the other end half-way covering the transfer surface (chair/bed).
oEncourage the patient to use their arms to scoot along the board.
oPT can assist at the hips/buttocks as needed to complete transfer.
oOnce the patient is settled in the chair, have them lean to the side again to remove the board.
