transfer techniques

Nurses General Nursing

Published

Hi everyone:

I have a question about transfer techniques. I'm doing a geriatric rotation (only 2 weeks to go... can't wait) and I've noticed that all the CGAs on the floor transfer differently than we were taught. Specifically, we were taught not to lift from under the resident's arms because of the risk of brachial plexus injuries.... however, that is how ALL the personnel lift in this facility.

We were taught a two person maximal assist where, while facing the patient, you would lift from under the thigh (right hand under the thigh from the inside and left hand on gait belt for stability), then both people would straighten up, rotate, and place the resident on the wheelchair, gerichair, whatever. Is this very different from actual transfer techniques used in facilities? I know very little about this, but I don't want to assist a CGA in an unsafe transfer that could lead to nerve injuries.

Just an aside: this facility also has no gait belts. Brought it up to the charge nurse... she suggested that if we'd like to use one, to purchase one at the medical supply store and wear it around our own waists and use it for each resident as we need it. Umm, what? Infection control, anyone? Why don't we just take the same towels or bedsheets and pass them from resident to resident. So maybe its just the facility?

Anyway, any insight about transfer techniques in the real world would be greatly appreciated.

Take care all.

God bless America :p

Wow. Maybe the administrators at the hospital where I work (450 beds, tertiary teaching facility) are more forward thinking than I gave them credit for. We (floor staff)have been told that if we so much as attempt to lift a pt without hoists etc, we are on our own as far as workers comp. goes. Then again, they could just be applying the CYA principle (cover your a$$ !) and attempting to save themselves money in workers comp payments - oops, sorry, slipping into cynical mode again.

I have worked at allot of LTC facilities from the midwest to the east coast and found that finding someone to help you lift, pivot, or move a resident is a commodity. My solution was to NOT LIFT, NOT MOVE, nor PIVOT. I would simply explain to the resident that I cannot find help to accomplish this and put them on a bedpan. At that point I DOCUMENT the FACT that I could not find any help and the resident had to be put on a bedpan. Usually, after a very short period, help was much easier to find!!! Families have a way of making things happen when a family member is put on a bedpan because of lack of help/risk of injury!

Just make sure that you document what you did and WHY you did it.....in other words cover your own a$$!!!!!!

good idea essarge. since i work rehab bedpans are not really supposed to be used since we are trying to ready the pt. to go home. maybe if i used your strategy we could get our staffing levels back up. they have cut our staff several times in the eleven yrs. i have been there. and yes, the families would complain. that seems to be the only thing administration listens to--pt/family complaints. i hate bedpans worse than doing the transfer though. lol. i may start doing it anyway though. i don't particularly want to be disabled by the time i'm 40. thanks for the suggestion.

Our hospital just recently got a power lift and it is wonderful. What I don't understand though is why some of the CNA's refuse to use it. They say it is quicker to just move the patient but at what cost to the patient and the staff? The main thing is to hold your ground with your facility. Give them the proof that your current practices are unacceptable. If you guys band together, they will eventually have to listen to you. Don't risk your back just because your facility is too tight to get you the proper equipment. Then, when you do get the equipment USE IT!!

we have a hoyer lift at work also but it does take alot of time to use it. i know it is worth it to save your back but it throws you even further behind in your workload. all our pts. get dressed so if you have one that needs the hoyer lift for transfer and that pt has to potty you end up putting hoyer on-transfer to bed-take shorts down-reapply hoyer-transfer to toilet- then after- transfer to bed-pull shorts up-transfer back to chair. time consuming. sometimes you can deal with getting the shorts down inthe chair but sometimes not.

MsPurp,

NooOOOOoooo! Never wear a gait belt yourself! It is an invitation to a falling patient to grab for it, and cause you a spinal injury!

As to using a hoist slowing you down, how much slower will you be with a damaged back? If management have provided safety eouipment and it takes longer, so what? You point out the obvious need for enough staff to manage the workload! That sounds too simplistic, but imagine a situation where you are injured, manually lifting a patient, with or without help, and there is a shiny new (unused) hoist available. Your employer has discharged any duty af care toward you by providing it, and you have placed yourself at risk by not using it, so forget any compensation or benefits. As someone said, CYA.... your management has!

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