8.11: Skills Checklist- Transfer From Bed to Chair With Mechanical Lift
- Page ID
- 70398
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)1. Gather Supplies: Mechanical lift, lift sling, second person to assist, and a wheelchair. Review agency policy for mechanical lifts. NOTE: The driver of the lift must be at least 18 years old.
2. Routine Pre-Procedure Steps:
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- Knock on the client’s door.
- Perform hand hygiene.
- Introduce yourself and identify the resident.
- Maintain respectful, courteous, and professional communication at all times.
- Provide for privacy.
- Explain the procedure to the client.
3. Procedure Steps:
-
- Raise the bed to a working height.
- Instruct the resident to cross their arms over their chest to avoid rolling on top of their arm.
- Using the lift sheet, roll the resident to one side. Coordinate movement with the resident and the second assistant to avoid injury.
- Position the lift sling underneath the resident from the shoulders to the buttocks. Fan-fold the sling in the middle to allow the second assistant to pull it through on the other side. The handles should be facing away from the resident.
- Ensure the lift sling is on top of the lift sheet.
- Inform the resident they will be rolling over the gathered fabric of the sling.
- (Second assistant) Using the lift sheet, initiate rolling the resident towards the first assistant with the resident’s arms still crossed, coordinating movement with the resident and first assistant.
- (Second assistant) Pull the lift sling from underneath the resident, smoothing out any wrinkles.
- Using the lift sheet, gently roll the resident back to the supine position.
- Check that the resident is positioned in the center of the lift sling and their head and knees will be properly supported when lifted.
- Check the body alignment of the resident.
- Move the full-body mechanical lift into position over the resident, ensuring the lift does not come into contact with any part of the resident.
- Raise the head of the bed to avoid pulling on the sling when connecting it to the lift.
- Hook the top loops of the sling to the lift per manufacturer’s guidelines, ensuring the loops are the same lengths on each side.
- Hook the bottom loops of the sling to lift per manufacturer’s guidelines, ensuring the loops are the same lengths on each side.
- Position the wheelchair appropriately and lock the brakes. Provide ample room to rotate the lift from the bed to the wheelchair without hitting other objects.
- Recline the wheelchair slightly if able.
- Instruct the resident to cross their arms over their chest.
- Prepare to support the resident’s feet by having the second assistant move to the same side of the bed as the driver and the lift.
- Inform the resident you will be raising the lift and moving them to the wheelchair.
- Raise the lift until the resident is no longer in contact with the bed while the second assistant guides the resident’s feet.
- Position the resident over the wheelchair with the main support of the lift to one side, thus avoiding the resident’s feet coming into contact with the lift support.
- After the driver of the lift moves behind the wheelchair, have the resident grasp the handles on the lift sling.
- Instruct the resident you will be lowering the lift sling.
- (Second assistant) Lower the lift while the driver gently pulls up on the sling to get the resident’s back positioned upright and against the back of the wheelchair.
- (Second assistant) Guide the resident’s feet to keep their body aligned and avoid coming in contact with the left.
- Remove the sling from the lift after the resident is properly seated.
- Carefully move the lift away from the resident, avoiding the resident’s head and limbs from coming into contact with the lift.
- Tuck the lift sling into the wheelchair, keeping the fabric smooth to avoid skin issues and keeping loops away from any moving parts of the wheelchair.
4. Post-Procedure Steps:
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- Check on resident comfort and ask if anything else is needed.
- Ensure the bed is low and locked. Check the brakes.
- Place the call light or signaling device within reach of the resident.
- Open the door and privacy curtain.
- Perform hand hygiene.
- Document and report any skin issues, pain with movement, or any other changes noted with the resident.
View a YouTube video[1] of an instructor demonstration of transfer from bed to chair with a mechanical lift:
- Chippewa Valley Technical College. (2022, December 3). Transfer from Bed to Chair with a Mechanical Lift. [Video]. YouTube. Video licensed under CC BY 4.0. https://youtu.be/sqkE7MNndyE ↵