That's nuts! And this is something I can actually say, "trust me, I know" about. Shame on your charge nurse!
I worked at a facility that required its employees to use a Hoyer lift (we had Arjos - same thing) for any patient that weighed over 60 pounds. And CNAs gotten in serious trouble all the time for taking short cuts & not using them. There were signs up & down the hallways, reminding us to take a few minutes to save our backs.
fftopic: - the unit I worked on provided a type of "respite care" for parents of disabled children & adults twice a year & whenever my little favorites would come back weighing in at 58-59 pounds, I used to hold them whenever I had time because I knew it would be the last time I would be able to
It felt a little silly sometimes hauling the big lift in to transfer a 60 pound year old little kid, but we all did it because we knew if we got caught lifting, we'd get written up.
However, when our census was low, we'd get floated to other units & I remember always groaning when I got floated to Building 5, because I would always get what I called "Building 5 Back" by the end of the night. The aides that normally worked in this building would tell anyone that floated over there that certain pts that were obviously >60 lbs were up-with-assist...I'd go to get somebody out of their w/c & have them just fall limp in my arms - almost taking me down with them. And the only reason these aides were reporting that these patients could transfer with assistance is because if it was noted in their charts that they couldn't, all these CNAs would be required to use the Hoyer lift from then on.
The unit I worked on was also sort of an "E.R." for sick pts from other buildings that lived at the center - we had low pt/CNA-RN ratios, so we were able to provide better care for residents that had pneumo, dehydration, etc. We took care of a patient once that came from the buildings with a broken leg & it was discovered once the cast was removed that she had a stage 4 pressure ulcer on her foot. How did her leg get broken? A CNA tried to use a little short cut & transfer her to her w/c instead of getting the lift & the pt broke her ankle...while the pt was recovering from her broken ankle, another CNA did the same thing
& this time it broke the pt's leg! This pt was non-verbal & rarely showed any facial expressions, but I remember how she use to cry cry cry whenever her foot had to be soaked in betadine solution, as per our pressure ulcer tx protocol. And this all could have been avoided if these CNAs had taken the little extra time to get a lift.
Did your charge nurse think of the consequences of these aides calling in sick the next day had they thrown their backs out? There's no reason for this - it's always safer for the pt & safer for the staff to use a lift - the only exception I can think of is pts we had that seizured a lot or were very very very
spastic. And even then the staff would modify their slings so we could still use the lift.
So Angie, are you getting a lot of flack about how you should do your job & let the aides do theirs?
I'm a huge supporter of CNAs & I remember resenting RNs telling me how to do my job sometimes, but absolutely not in this case
. If this continues to be a problem, I would search the internet for resources advocating for the use of lifts in healthcare settings - I'll bet you a million bucks you could find a ton of research backing up the their use & the long & short term effects of lifting pts. And I like Tweety's advice, too. As long as you document that you advised using the lift & health care staff refused, you're covered.