Is pulling a 200 lb patient different than lifting them
- 0Sep 12, '12 by smartnurse1982I was asking my supervisor about this 200 lb client(quad). I told her I thought the max we are supposed to lift is 75lb. She said it really isn't lifting, its just pulling because what we do is take the cotton pads and slide her up in bed, rather than actual lifting. Is what she saying true? My back sure doesn't seem to know the difference. It hurts for sure. I'm in homecare and there isn't anyone else around to help pull her up in bed.Last edit by Joe V on Sep 12, '12
- 0Sep 12, '12 by Hygiene Queen, ADN, RN GuideCan you get one of those plastic slippery pull-sheets to help reduce friction?
It made sliding the pt up in bed so much much better!
I don't know what those are called, but I used them in my LTC rotation and I thought they were brilliant.
Also, if lowering the head of the bed lower than the foot is an option, that allows you to use gravity in your favor.
If the headboard is low enough, I can pull a patient up with the draw sheet easier from that direction.
But I won't do anything if I think I feel my back doing the work.
I try to use my weight and gravity to help.
Is your supervisor not willing to provide you with assistive devices?
I would not think much of anyplace that won't give you the tools to do your job safely.
- 2Sep 12, '12 by RNsRWeWhat Hygiene Queen is referring to is a Maxi-Glide, and no facility should ever be without this lovely device! Many a patient simply would not have moved with less than a tow truck if it had not been for that, believe me. Homecare may be tougher to get supplies, but this is an important one.
Dropping the head down and raising feet up can sometimes help for a VERY brief time to drag a patient up the bed, but they can sometimes have difficulty breathing like that.
Maxi-Glide. All the way
- 3Sep 12, '12 by nursel56 GuideThen insist on more help or a Maxi-Glide. I've discovered in my home health journey that when something sounds like it's a threat to somebody's bank account or their convenience, unsafe transfer situations gradually inch toward "not really that bad". We have to advocate for ourselves!
- 3Sep 12, '12 by ♪♫ in my ♥As stated, pulling is much more risky than is lifting. This is due to simple body mechanics. Proper lifting, with the hips tucked under the shoulders, shoulders back, knees bent, and core rigid transmits the loads longitudinally onto large muscles, ligaments, and tendons, and compresses the spine. Pulling requires a degree of twisting and bending which puts muscles into shear and imparts asymmetric loads on the disks which can lead to herniation and rupture.
If it can't be done safely, don't do it at all.
- 1Sep 12, '12 by Alibabahttp://www.arjohuntleigh.com/admin/f...0723162630.pdf
probably still need two people to safely move a 200# quad patient
- 2Sep 12, '12 by Kooky KorkyQuote from smartnurse1982I was asking my supervisor about this 200 lb client(quad).I told her I thought the max we are supposed to lift is 75lb.She said it really isn't lifting,its just pulling because what we do is take the cotton pads and slide her up in bed,rather than actual lifting.Is what she saying true?My back sure doesn't seem to know the difference. It hurts for sure.I'm in homecare and there isn't anyone else around to help pull her up in bed
Who takes care of this quad when you're not there?
If this is a quadriplegic patient, is there a Hoyer lift to get him in and out of bed for showers, maybe for meals, therapy, doctor's appointments, etc.?
Maybe I misunderstood. I though at first that you were making home visits. Now I am wondering if maybe you are there for a full shift, which would require you to move him at times.
Whichever is the case, do not think you need to hurt yourself in order to make a living. It's likely that the patient's insurance will pay all or most of the cost of equipment that is necessary to take proper care of him.
- 4Sep 12, '12 by woohBack before I was in nursing, I was in a manufacturing plant. I used to load a machine. I'd pick it up off the floor, put it on the machine, lather rinse repeat about 1000 times per day.
I hurt my back.
So their solution?
I was put at the other end of the machine, to take off the machine and put it down on the floor. About 1000 times per day.
Which anybody that had worked both ends of that machine would tell you, unloading was worse. Strangely, my back didn't get better.
Bosses seem to have interesting ideas about back safety.
Pulling is worse than lifting.