I had an admit last week a middle age 612lb pt in you guessed it---resp distress. Of course they were a full code. Thank God we did not have to go there, as honestly how does one do chest compressions on a person of that size? The question/problem i had is our beds state on the foot of the bed and on the instruction manual "up to 500lbs" Our toilets hold up to 400lbs--we have learned this from exp. We have some bsc that will hold up to 500lb that we will place over the actual wall toilet. It took a staff of 6 to move from ER cot with the use of the slidder thing...and another staff of 6 to attempt to move in bed. ---I work night shift. We do not have alot of extra avail staff during nights. The pt had to wait approx 15 min before we could round up the additional staff. No bed pan could work for them, ours our made of plastic. The beds are standard twin size so there really was no rolling over, just a minor shift from left to right.I saw my DON the next day and informed her that we REALLY need some bariatric equipment, she said due to cost that is not going to happen this year. My question is---what is going to cost more? A lawsuit because we didnt have the proper equipment to care or nursing haveing to take days off and attend PT d/t sore backs---my legs hurt for days after caring for this pt. How do you all manage the morbid obese? Do you have special beds/lifts/bed pans?