Transferring total assist clients, how to?

[Poi Dog]

I had a home client this morning who is a total assist. I am to get her out of bed and sit her on the commode, take her off of commode, lay her back in bed and do ROM, then take her back out of bed and sit her on the wheelchair. Before I leave I am to wheel her outside and place her into a car. I am expected to do this by my lonesome.

How do you home health workers do transfers by yourself for total assist clients?

I miss having coworkers.

I am concerned about my back :crying2:

[jnette, ASN, EMT-I]

I had a home client this morning who is a total assist. I am to get her out of bed and sit her on the commode, take her off of commode, lay her back in bed and do ROM, then take her back out of bed and sit her on the wheelchair. Before I leave I am to wheel her outside and place her into a car. I am expected to do this by my lonesome.

How do you home health workers do transfers by yourself for total assist clients?

I miss having coworkers.

I am concerned about my back :crying2:

Wow...... I've never heard of THIS before... Really. No PCGs to help? What about the ROM... should she not be getting PT?

I do find this odd. Never heard of a nursing visit like this...

[caliotter3]

No hoyer lift, no transfer, depending upon the weight. The mom and I used to transfer a 14 yo girl who was approaching 100 lbs. There was a hoyer lift, but it was too difficult to use over the carpet and we just found it easier to do a planned, fast transfer on our own. I got reprimanded when the supervisor found out I was doing this. Technically, I knew she was correct and I had told the mom that I was reaching my limit. About another 10 or 15 pounds and I would have stopped doing the transfer by myself. No one can make you do an unsafe transfer. You are well aware that if you injure yourself that will be it for you when it comes time for the workers comp claim. When you know you should not do it, do not do it. If the agency pulls your chain, refuse to go back to the case. It is your back and your health.

[Kim, HHRN]

No hoyer lift, no transfer, depending upon the weight. The mom and I used to transfer a 14 yo girl who was approaching 100 lbs. There was a hoyer lift, but it was too difficult to use over the carpet and we just found it easier to do a planned, fast transfer on our own. I got reprimanded when the supervisor found out I was doing this. Technically, I knew she was correct and I had told the mom that I was reaching my limit. About another 10 or 15 pounds and I would have stopped doing the transfer by myself. No one can make you do an unsafe transfer. You are well aware that if you injure yourself that will be it for you when it comes time for the workers comp claim. When you know you should not do it, do not do it. If the agency pulls your chain, refuse to go back to the case. It is your back and your health.

We need more training in transfers.