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Guidelines in Developing a Safe Patient Handling Lift Document

Tool

Speaker:

Robert Guest MSPT, Cert. MDT

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Types of Transfers

• Lateral transfers

• Bed

• Chair

• Commode/toilet

• Car

• Floor

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Repositioning Tasks

• Bed

• Chair

• Gurney

• Diagnostic tables

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Components for safe transfers & repositioning tasks

• Medical, mental & functional status of the patient

• Environment

• Staff

• Equipment

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Patient

• Medical status – history received from the patient, family & other facilities

• Mental status – cooperative, follow directions

• Functional status- strength, balance, coordination & stamina

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Environment

• Room design

• Medical equipment

• Furniture

• Illumination

• Climate/temperature

• Traffic/activity

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Imaging Department

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Staff

• Medical education

• Competency

• Compliancy

• Teamwork

• Communication

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Equipment

• Bed

• Ceiling lift

• Total mechanical lift

• Sit to stand lift

• Transfer belt

• Non-Friction device/Air assistive device

• Assistive devices (cane etc.)

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SPH equipment reduces over exertion for the healthcare staff

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Criteria for each piece of safe patient handling equipment

Contraindications vs. Indications

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Who is responsible for determining the lift type/equipment utilized for safe patient handling and movement

(SPHM) ?

(Three W)

Who When Where

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Licensed Professional

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Decision Tree

• Ceiling lift/Total mechanical lift

• Sit to stand lift

• Transfer/gait belt

• Non-Friction device/Air assistive device

• Independent

** going up the tree the patient requires more assistance**

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Case Study 1

A male 50 years old involved in MVA enters the emergency

department to R/O a right leg fracture. Determine the SPHM for

this individual using the lift document tool.

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Case Study 2

A 30 year old male S/P right TKR day two has an order to get OOB.

Determine the SPHM for the patient.

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Case Study 3

A 70 year old female has fallen in the hallway while existing her husband’s hospital room. Determine the SPHM

for this individual.

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Questions

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Thank you

rguest@kaleidahealth.org