One of the nurses in my ICU got a very obese pt on an insulin drip the last night I worked. Fortunately for her, he could roll pretty well by himself. The beds we have are very large. It can literally be difficult to get to a small patient if they roll all the way to the other side of the bed. However, this guy didn't have room to roll all the way over. I don't know how much he actually weighed, but I'd say it was likely over the 500 pound mark. I could have curled up in the fetal position and it would have taken two of me to match the size of his midsection.
The problem is that we have no hoyer lifts and only three rooms in our whole ICU have lifts in the ceiling. He wasn't in one of those rooms because they were all full. This is a BRAND NEW building. We literally just moved in this unit two months ago. I am still amazed that they didn't put a lift in every room. And even the rooms with lifts can only tolerate patients up to 550lbs. If we get a patient bigger than that, we have to call maintenance to get an extension or whatever for the lift - and there are only two of those available! I really hate the hospital I work for. They don't care about their nursing staff at all. There are a lot of reasons why I say that, but this whole only three rooms with lifts per floor and the lifts only being able to tolerate so much weight thing is a big one. There should be lifts in every room, period. There is no excuse if the facility is brand new.