Is anyone else annoyed by the expectations of male nurses in transferring patients?

Nurses Men

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At my new job on a med-surg floor, we have only two pieces of lifting equipment: a sit-to-stand machine and a hoyer lift. When you want to use them, they never seem to be around. They are shared with other floors and are underused because the experienced nurses see it as a big to-do to scour the floor for them and get the patient into the harness. For that reason, most of the experienced nurses never want to bother using them. They see it as more convenient and efficient to just recruit a bunch of personnel from the hall, including as many male nurses as are around, and utilize these 4 to 6 people to, in my opinion, unsafely transfer patients who are as heavy as 250 lbs, have dementia, and hit people.

Just the other day, my preceptor asked me to "get in front of this guy" who was 71 years old, 300 lbs, demented, and combative. He also had sprained something in his leg from falling a while back and was unwilling to stand. So 4 other people and me had to reach under his arms and bear all his weight onto our backs to try and shuffle him from the bed to the wheelchair so that he could be discharged. We did get him into the wheelchair but he was about to fall forward at one point and so my preceptor had to charge forward into his gut and ram him with her head in order to stop his fall forward and send him backwards into the wheelchair instead. It was one of the most absurd things I have ever taken part in.

I made a point to say it would be a better idea to take time to use the lifting equipment on a patient like that next time and she agreed, but I believe that when transferring heavy patients, many nurses feel that it is quicker to just get a whole lot of people and get it done without the use of equipment, regardless of how much it hurts our backs.

What I resent is that the next time this happens, and I refuse to transfer a heavy patient that should really be transferred via equipment, that I will be seen as unskilled, lazy, or a weakling for not wanting to have a work related injury during my first year out of nursing school. I especially despise comments from nurses who say "it is nice to sometimes have a male nurse help move the patients" as if being a man and having more upper body strength does jack for saving your back when you got some huge person falling down onto you!

What does everyone else make of this?

Specializes in Psychiatry, corrections, long-term care..

Don't hospitals have care plans posted just like LTCs do? If my nurse and I ever got caught transferring a patient contrary to care plan, we'd be in it up to our eyeballs. Think of the lawsuit potential if that 300 lb. dementia patient had fallen during that improper transfer.

Makes my back hurt just thinking about it. :uhoh3:

i wish i knew about all this equipment that should be there. i've been on orientation and with a preceptor and, although in the hospital, we've had one patient for about 6 weeks. we always get her in our assignment. So, there was always at least two of us to move her but that was never enough. we needed at least three and sometimes four. It IS aggravating (esp since I had this patient everyday for 6 weeks!) and I can imagine my asking other nurses for help transferring/cleaning/etc all the time was quite aggravating. Since I'll be off preceptorship soon, I've wondered what I'll do to move her and other patients like her on my own. :confused:

WillRegNurse, I'm with you. It doesn't matter if you're male, female, or from Saturn, you shouldn't do things that you know jeopardize your health...

Well, that would pretty much include, uh, NURSING! :devil: You know, what with deadly viruses, mental patients, ER events, and so on. Just sayin'.

I know where you are coming, WRN, and also where OP is coming from.

OP, be nice but just say no, fake a little back soreness "from last time" if you feel you have to explain. No one will cry for you if you're injured on duty, especially if you're on probation and they decide to fire you for not following policy, which likely calls for using equipment supplied by the facility to lift patients. Yes, it is ridiculous to not have quick access to said equipment, but better things take longer than you should break policy, get hurt, get fired, ruin your health, etc.

If your coworkers don't understand, even if you explain, well, the sun will still come up tomorrow.

The answer to this dilemma is the same as the answer to many others ... safe staffing levels.

Even if there is equipment available, utilizing it safely with 400 lb+ patients takes considerable time from multiple staff. It is not a magic fix-all.

I can understand your frustration at feeling targeted as the designated heavy lifter.

I think hospitals should staff multiple "lift teams" - trained, wearing back supports, and physically capable, and available 24/7 -- that would be a better option than most of the extremely cumbersome equipment I have observed.

JMO.

Great idea and this is how it used to be at the better facilities. I doubt we'll be going back to it, though. You know, the new economy and all.

Yeah, I'm not that big of a guy either. I am 6 feet tall and weigh 155 lbs. That is pretty skinny, and half of the female nurses I work with surely weigh more than me, from the looks of some of them. Maybe they ought to recruit themselves to lift these huge people!

They probably have less muscle than you. Doesn't mean it's right to nab you all the time, though, for the heavy work.

This is crazy. We have socialised health care and all the lifting equipment you can shake a stick at. Hoists, sliding sheets, turntables. A specialist back care team and a couple of people who will come to the ward to help you if you are stuck- they can order in equipment and help you figure out the best way to move a patient.

I guess I am just dumbstruck that there are hospitals in the US that don't have equipment to move patients safely. After all, you are risking the patient AND the staff when you do unsafe lifting.

(I am not criticising US hospitals- just a little shocked that they still expect staff to physically lift people!)

I'm finding more and more that the America that I do call home and do dearly love is less than perfect.

Specializes in CTICU.
At my new job on a med-surg floor, we have only two pieces of lifting equipment: a sit-to-stand machine and a hoyer lift. When you want to use them, they never seem to be around. They are shared with other floors and are underused because the experienced nurses see it as a big to-do to scour the floor for them and get the patient into the harness. For that reason, most of the experienced nurses never want to bother using them. They see it as more convenient and efficient to just recruit a bunch of personnel from the hall, including as many male nurses as are around, and utilize these 4 to 6 people to, in my opinion, unsafely transfer patients who are as heavy as 250 lbs, have dementia, and hit people.

Just the other day, my preceptor asked me to "get in front of this guy" who was 71 years old, 300 lbs, demented, and combative. He also had sprained something in his leg from falling a while back and was unwilling to stand. So 4 other people and me had to reach under his arms and bear all his weight onto our backs to try and shuffle him from the bed to the wheelchair so that he could be discharged. We did get him into the wheelchair but he was about to fall forward at one point and so my preceptor had to charge forward into his gut and ram him with her head in order to stop his fall forward and send him backwards into the wheelchair instead. It was one of the most absurd things I have ever taken part in.

I made a point to say it would be a better idea to take time to use the lifting equipment on a patient like that next time and she agreed, but I believe that when transferring heavy patients, many nurses feel that it is quicker to just get a whole lot of people and get it done without the use of equipment, regardless of how much it hurts our backs.

What I resent is that the next time this happens, and I refuse to transfer a heavy patient that should really be transferred via equipment, that I will be seen as unskilled, lazy, or a weakling for not wanting to have a work related injury during my first year out of nursing school. I especially despise comments from nurses who say "it is nice to sometimes have a male nurse help move the patients" as if being a man and having more upper body strength does jack for saving your back when you got some huge person falling down onto you!

What does everyone else make of this?

I have a question for you. What makes you think that a 71 years old, 300 lbs, demented, and combative patient will be better off hanging in the air on hoyer lift? In this case I think that an ambulance with qualify personnel and needless to say a stretcher was needed.

Uncooperative patients are supposed to transferred using a lift. They should not be handled directly if it can be avoided, and they shouldn't be forcefully ushered into standing, sitting, or walking.

SOURCE: Perry and Potter. "Use mechanical lift and full body sling to transfer uncooperative client who can bear partial weight or client who cannot bear weigh and is either uncooperative or does not have upper body strength into chair."

The chances of nurses being injured is reduced almost to nothing if he is hanging in the air on the lift rather than standing up and unsteadily teetering backwards and forwards, while we surround him and try to bear his weight upon our own bodies. If you use your head to imagine that, then you will realize that that is just an unsafe situation for everybody involved. Using the lift, his chance of injury may not be lessened, but ours is.

I can't picture someone falling out of a lift sling unless it was applied wrong.

Specializes in Emergency/Cath Lab.

This is why my hospital is wasting millions of $$ to install lifts in every room.

Specializes in Critical Care.

I wish our hospital had such lift equipment as a sit to stand. I would gladly use it rather than injure my back. I've been injured twice where I was out of work for several weeks on top of the everyday aches & pains that go away after awhile. I refuse to get patients out of bed if they are obese and I don't know if they can bear their own weight. When a patient fell I actually hid in a bathroom to keep from being sucked into lifting him back up right after I had my first serious back injury. Your reluctance and fear to get your back injured is normal and smart! Why take chances, if you are injured you could end up in chronic pain or become disabled and unable to work. It disgusts me that the govt has not stepped in to mandate safe no-lift environments in the hospital system. Never mind the mandatory overtime (which I despise), but what's worse that or permanent injury or disability!

I totally agree with you if there is equipment available use it. It seems almost comical and crazy for her to head but him in the stomach. Isn't that patient abuse, not to mention she could have seriously injured her neck!

Next time offer to find the lift equipment! Then while you are off on the hunt, if they grow inpatient and take it upon themselves to lift without you and the equipment; you are safe and off the hook (from the risk of getting seriously injured)!

I used to hate that....grr...two person assist means two person assist, regardless of gender.

I've been given (as a CNA in both LTC and Acute care) most, if not ALL, of the heavier, or harder to transfer patients. The look of shock when I asked for help was almost priceless. It did, overtime however, seem to make the assignments split more fairly ;)

Specializes in Emergency.

Hmm, I've never seen/heard about the head butting technique of your preceptor. though it may have worked for your preceptor, I wouldn't copy it.

perhaps you can make a suggestion to your supervisor to acquire more safe/lifting equipment - it would save them from L&I claims and paying for travelers to cover a staff's injury

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