Another Five Star Management Decision!

Nurses General Nursing

Published

my manager is out on medical leave, and i got drafted to attend a management meeting for her. what an eye opener! there were a number of five-star management decisions made and communicated, but the one i'm referring to is the new lift policy. nursing staff must assess each patient for fall risk, and those with moderate or high risk for falls must be put on the fall protocol. that means that any patient at risk for falls who is not independent requires nursing help every time they are out of bed. if the patient weighs more than 25 pounds, nursing staff is not to attempt to lift them; we're to use a lift device. attempting to lift a patient who weights more than 25 pounds without a lift device is subject to disciplinary action up to and including losing your job. and here's the kicker -- there are only 5 antiquated lift devices in our 500 bed hospital . . . . and no money in the budget to acquire more.

so you're subject to disciplinary action if you attempt to get a patient weighing more than 25 pounds out of bed without a lift device. but there are no lift devices available nor are there plans to acquire them.

the scary thing is that management professed not to see the issue with that until it was vociferously pointed out to them during the meeting.

policy still goes into effect april 4. how stupid is that?!

I think you should ask the management team to volunteer to demonstrate the proper use of the lift equiptment on each other for the staff to see. Put them in the old lifts and see how they like it.

Jahra, oh, the mental images that conjures up!! Coupla folks I'd love to see dangling from a rickety old lift going Please don't drop me!! HaHa! Now who's in control?

That is pretty darn stupid. Nuff said!

Specializes in L&D; GI; Fam Med; Home H; Case mgmt.
policy still goes into effect april 4. how stupid is that?! [/size]

pretty dang stupid.

i predict there will be very few "moderate or high falls risk" patients... not that nurses want to do a shoddy job of assessing but management really seems intent on making our jobs as difficult as humanly possible. how do they get where they are? seriously? :confused:

Specializes in ER.

So does this mean you would have to use a lift for a two year old toddler with a broken leg???

:D

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Yeh Ruby it's all about the budget.

We aren't allowed to lift ANY patients in Australia. If a patient looks as if they are going to fall, we don't stop them - they fall. Too many nurses were getting hurt, and claiming workers compensation so the new rules were brought in, so the govt here is trying to save money with the no lift policy. I have always refused to lift people and I tell my other ENs/NAs not to, no matter what. Nobody will care once you hurt your back, you lose your job and are forgotten about, plus you must spend all your money on rehab. It doesn't matter if you're a staff member or not - getting a disability pension in Aust now is very hard. I like my back and don't get any back pain, as I've looked after it - no-one else is going to look after it after all.

We do have lifting machines but some of the public hospital rooms are too small to use it - DUUUH! Maybe that is another brilliant management decision?

Maybe just refuse to lift anyone and they will have to spend more money on machines?

Good luck with winning that one.

ADD: Just wait till the relatives bombard management with complaints cos their relative was not lifted for their shower or to have a dirty bum changed!

Specializes in OB.

What they've done here is to set themselves up to be able to deny all workman's comp claims for any kind of back injury - since they have a policy against lifting, if you lift or stop a pt. from falling - too bad.

This makes no sense.

Did you mean any patient who would require 25# or more of their weight be lifted would require a lift device?

Too often I have seen people move total or near total lifts up manually and they shouldn't. But this sounds weird. So my total knee patient who is a fall risk due to narcs would have to be hoyered to the commode because it might take assistance to get up?

Specializes in LTC.

What happens when you get that first 500lb+ pt who won't fit into any of the 5 mechanical lifts the hospital supplies?

that's asinine. seriously. they should be ashamed of themselves.

Specializes in Med-Surg/DOU/Ortho/Onc/Rehab/ER/.

25lbs really? Are you sure they are talking about patients?

Specializes in Med/surg, Quality & Risk.

Sounds like a good way to discourage patients from getting out of bed, = more pressure ulcers. Good idea management!

+ Add a Comment