R trHi everyone,
This site is awesome- so glad i found it. I might not be posting this in the correct section, but the Home Health Specialty seemed more for nurses. I'm a new CHHA, waiting to retake my CNA state test (ugh, failed the 1st skills part but that's another subject altogether!). I have PCA experience but not real major handson like washing patients, toileting and transfers.
I just started a new private case- i was referred by a friend who is a self trained PCA. She trained me, but herttransfers are nothing like i was taught. The client has is very tall, nearly 6' and not obese but large frame, between 200-225 lbs at my best guess. She cannot move her right leg or arm. The right hand is contracted but can grip if placed on a bar- right lower leg/foor in a brace. Client is in power wheelchair, needs to be transferred to/from bed and toilet. My PCA trained me, but her transfers are nothing like I was taught. She stands behind client, client grabs bar and PCA supports client around back to stand and under buttocks once standing-no gait belt. The PCA and myself are around 5'2" tall and 150 lbs. There is another who is more the client's size- i havent seen her transfer but was told she does not use a gait belt but sometimes uses a slide board.
Sorry for the loooong post- anyway, yesterday was my first day alone. I did the tranfers as shown by the PCA and felt ok with that until it was time for WC to bed transfer. Client was not strong enough to stand (i was told this happens sometimes at night) . The slide board didnt feel safe to me with no gait belt, so i finally just used a very clumsy version of the squat & pivot manauver. I got her to bed safely but that did not feel right. Client has fallen with both the PCA and the HHA, and i do not want to let tha jappen with me. Obviously i will bring and use my gait belt next time, but does anyone have any advice for me? I feel that in. Facility, the client woukd be a two person transfer or use a lift, but that's not an option. Is this not a safe match due to our size difference? Client and family are lovely ppl amd i want to do my best to keep her safe. Thanks for any advice and sorry again for the endless post!!