One of the residents on my assignment is a sweet man but INCREDIBLY DIFFICULT to work with. He weighs 225 lbs, is 6'2, and has advanced Alzheimer's. He is extremely good with me, which means he's completely rigid and dead weight to move (instead of being combative as he is with most CNA's.) Officially, the policy at our LTC is that we're supposed to always have two people on any lift. Unofficially, we all do lifts solo all the time because we are understaffed. He was using a sit to stand lift and is very difficult to do alone that way, but at least possible.
Lo and behold I came back from the weekend to find out that the DON had written a note on his chart saying that all transfers were now supposed to be with a Hoyer lift. So not only do I supposedly have to get him on and off with the Hoyer, he also has to be turned from side to side now. I'm very strong, but... This is literally, physically NOT POSSIBLE for one person to do by themselves unless they're Mr. Universe. If I try, he will roll off of the bed and onto the floor. It is difficult for *two* people to do-- one can NOT!!! do it. The charge nurse told me privately that if I can't find someone else to help me, then I can use the sit to stand lift. The thing is that it won't be enough to just have someone to spot me, the way it is with other people who have the Hoyer lift used on them-- I'd have to have someone with me the entire time I'm turning him, getting him dressed, etc. This is IMPOSSIBLE at this understaffed facility. So the basic reality is that I will usually have to use the old lift.
I just feel really uncomfortable with this even though the charge nurse told me I could do it. The official statement from the DON is that I'm supposed to be using the Hoyer, but there is no possible way in this world unless they hire more people. I'll do it whenever I can, but most of the time, it will be totally impossible. The resident's condition hasn't changed, he's doing the same physically as he was before, and he doesn't like the Hoyer at all, so nobody seems to know why the order was changed in the first place. I know that the person who has him on the other rotation sure isn't using the Hoyer lift. But what if the DON somehow walked in (very unlikely)? It just seems really unfair that the CNA's should be put in this position. I don't know... what does everybody else think?