transfer techniques - page 2
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... Read More
Sep 29, '01I 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$$!!!!!!
Sep 29, '01good 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.
Sep 29, '01Our 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!!
Sep 29, '01we 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.
Sep 29, '01MsPurp,
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!