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Download Mechanical lift - SAFE Work Manitoba
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Safe Work Procedure Name of Task: Mechanical Lifts – Floor Model Bed to Chair/Commode/Toilet (reverse the technique for the transfer into bed) Performed by Position/Job : RN, LPN, HCA, OT, PT Department/Unit: Nursing Units, areas providing patient/resident/client care Hazards: Risk of musculoskeletal injury (MSI) from awkward postures and overexertion. Follow procedure to reduce risks. Signs and symptoms of a MSI include pain, burning, numbness, tingling, swelling, loss of movement or strength in a body part. Equipment (type of lift available are dependent on each unit) Mediman III Lifting Capacity: Mediman IV Lifting Capacity: Liko Golvo Lifting Capacity: Liko Viking XL Lifting Capacity: 400 lbs or 180 kg 500 lbs or 227 kg 440 lbs or 200 kg 660 lbs or 330 kg Liko Viking XL Lift Only slings specifically manufactured for this lift can be used to transfer with this lift Few special features: o Maximum lifting capacity of 660 lbs (300 kgs) o Base width is adjustable by electric motor with the remote control o Unlike other floor models where the base spreads into a “V” shape to widen, this model opens and closes with angle of base remaining perpendicular to each other o The adjustable base width and leverage of the strap allows this lift to be used to transfer from various locations/surfaces (i.e. car transfers) o The Universal Twinbar supports a maximum load of 660 lbs (300 kgs). Equipped with four suspension hooks – 2 wider hooks are for the shoulder loops & 2 narrower hooks are for the leg support loops. Load must be applied to all four suspension hooks during lift. Liko Golvo Lift Only slings specifically manufactured for this lift can be used to transfer with this lift Few special features: o Maximum lifting capacity of 440 lbs (200 kgs) o Base width is adjustable by electric motor with the remote control Education and training prerequisites: e.g. instructions or other SWPs Safe Patient Handling and Movement Program Operational Procedures and related SWP’s Purpose: 1. To ensure safety of patients/residents during transfers with the sit-stand lift to and from a variety of surfaces including bed, wheelchair, toilet, commode, tub chair, tub stretcher, stretcher, etc. 2. To reduce the potential for injuries to both patients/residents and staff. Policy: 1. This type of lift is for use with patients/residents who are unable to weight bear reliably or consistently through upper and lower extremities or if able to bear weight may be uncooperative, agitated or confused. 2. A minimum two person team is required for any transfers with a mechanical lift. More than 2 staff may be required when the following indicators are present: a. Patient/resident is obese/rotund in the abdomen or overly tall b. Low/high muscle tone c. Behaviour that interferes with care d. Patient care equipment or devices e.g. casts on extremities, IV poles e. Recent hip or lower limb surgery to maintain alignment. Steps to be taken to complete task safely: (clear description in order of steps to follow to safely perform the task. If required add attach an additional form to list all steps) Include do’s and don’ts 1 2 3 4 Staff agree on the planned actions required by assessing the current position of the patient/resident and the desired end position of the patient/resident. Ensure the mechanical lift is in proper working order, the battery is sufficiently charged and all attachments are available. Ensure that there is adequate space to maneuver the patient/resident in the area, i.e. remove family members, check for cords on floor, move chairs/bed tables, etc. Communicate to the patient/resident and other staff the planned movements in a clear, nonrushed, respectful manner. 5 Choose the appropriate sling according to the logo. Inspect the sling for signs of wear and tear prior to use. 6 Place the sling under the patient/resident. Follow procedure to roll patient/resident as described in “slider placement” SWP. Ensure that the horseshoe shaped cut out is at the level of the coccyx and the spine is centred on the sling with the centre line on the outside of the sling. Bring the lift toward the patient/resident within a distance to hook the sling loops to the lift. Side approach: to and from the bed or to and from a tilt/recline chair, stretcher, etc. Front approach: Commode, wheelchair, shower/tub chair 7 8 Hook loops of the sling to the spreader bar ensuring that the loops of the sling are secured behind the safety clips. Loops should be the same colour for each side at each of the locations on the loop. Shoulders, hips and legs can be different colours but both sides have to be the same colour at each location. 9 Ensure that the brakes on the lift are not locked during the transfer. Widen the base. 10 Stand beside the patient/resident and use the remote control or buttons on the lift to raise the patient/resident in the sling just above the transfer surface. 11 Turn the patient/resident so the patient/resident faces the mast (center pole) of lift. This means the patient’s/resident’s lower legs may come in contact with the mast therefore the best position is for each leg to be on either side of the mast. If this is not possible, both legs can be on the same side close to the mast. The patient/resident should never be transported in the lift facing away from the mast or sideways, as this will increase the potential for tipping the lift. 12 Guide the lift from point A to B. To initiate movement or to go around corners, push lift from the side. Adjust the base as per manufacturers guidelines. Mechanical lifts should only be used to transfer patients/residents from one location to another over the shortest possible distance. 13 At destination, widen base and slowly lower the patient/resident onto the transfer surface. 14 To place the patient/resident in the best seated position, one staff may push on the knees from the front and the second staff may grasp the sling from behind or from the side to ensure the patient/resident is seated as far back as possible to achieve a correct position. 15 Ensure patient/resident is seated properly prior to unhooking the sling loops. Remove the hook attachments from the lift and remove the sling from under the patient/resident if indicated in patient/resident care plan. If removing sling follow procedure to roll client as described in “slider placement, tuck procedure” SWP 16 Ensure the patient/resident is in a safe, comfortable position before leaving the patient/resident unattended. Responsibilities, Completion and Review Performs all duties in accordance with established health and safety regulations/guidelines, policies and procedures (e.g. utilizing personal protective equipment and devices as per safe work procedures). Notifies their Manager or their designates (i.e. supervisors) of all occurrences, injuries illnesses or safety and health concerns which are likely to harm themselves, their co-workers, or any others who enter the premises. Completed / Approved By: S. Physiotherapist SWP Last Reviewed /Revised by and date: H. Educator, March 2009 Date Completed: December 2008 Note: This task will be monitored periodically to ensure compliance and effectiveness.