12.10.3: Procedure- Assisting with the Use of a Hydraulic Lift
At least two people should assist during patient transfer with a hydraulic lift . This provides for patient safety. One person can operate the mechanical lift while the other ensures the patient moves on the lift safely by guiding and protecting their body as the lift moves them.
- Explain the procedure to the patient.
- Wash your hands and apply gloves, as needed.
- Provide for patient privacy. Keep the patient covered with a blanket for warmth and privacy.
- Raise the height of the bed to a safe working height.
- Lock bed wheels. Lower the head of the bed so that the patient is lying flat. One staff person should be on either side of the bed. Lower bed rails.
- To position the sling under the patient : Have the patient turn on their side, facing away from you. Position the sling folded accordion style along the length of their body, pushing it under the patient. Repeat this process to position the other half of the sling under the patient by having them turn the opposite way. The staff person on the other side of the bed finishes unfolding the sling and smoothing any wrinkles. Reposition as necessary for proper fit.
- Position the patient into a Semi-Fowler’s position. Place wheelchair or chair to which you are transferring the patient next to the bed, about 12 inches away from the bed. Place a cushion or blanket to be used for patient comfort on the chair.
- Position the mechanical lift next to the bed, opening the base to its widest point and push the base under the bed. Position the frame of the hydraulic lift so that it is centered over the patient.
- Attach straps to the sling according to the manufacturer’s directions.
- Instruct the patient to cross their arms to prevent injury during the transfer.
- Raise the patient with the hydraulic lift, following the manufacturer’s instructions, about 2 inches above the bed.
- Roll the mechanical lift to position the patient over the chair or wheelchair. The patient’s back should be toward the chair. Your partner should support the patient’s head and guide the patient’s body.
- Slowly lower the patient to the chair, using the mechanical lift.
- Once the patient is in the chair, undo straps from the overhead bar to the sling. Leave the sling in place. This will allow for ease of transfer of the patient back to the bed later.
- Move the mechanical lift away from the patient.
- Position the patient comfortably. Ensure their body is properly aligned. Cover them with a blanket, per preference. Lock wheelchair or chair locks.
- Safely store the mechanical lift for later use.
- The sling can be left under the patient for ease of transfer back to the bed later.
- Remove gloves and wash hands.
- Document the procedure and any observations or changes in condition.