Patient Lift - The Role of Safe Patient Handling Programs

The Role of Safe Patient Handling Programs

There has been considerable effort put forth by nursing advocacy groups (see the American Nursing Association's "Handle With Care" program at http://www.Nursingworld.org and http://www.anasafepatienthandling.org ) to encourage hospitals and nursing homes to adopt "zero-lift" or "no-lift" programs in order to prevent orthopedic injuries in healthcare workers. However such Safe Patient Handling and Movement (SPH&M) programs, which require the use of mechanical lifting aids, are sometimes difficult to implement. This is in part due to the time and effort required to safely use lift equipment. Transferring a patient with a lift takes between three and six minutes which is considerably longer than moving a patient manually. Lift manufacturers emphasize that the added time it takes to use lifts is worthwhile since mechanical lifting aids improve caregiver and patient safety and while also preventing patient falls.

One approach that has been used successfully is to create a facility "lift team" that is on call (usually 12 hours a day), and specializes in moving patients. This eliminates a number of issues mentioned above since the lift team brings the lift with them to the patient's room, maintains it in proper working order, is knowledgeable in the use of the lift, has special expertise in sling selection, and can move patients quickly and safely. The downside of the lift team is that the team(s) may be busy when needed, and patients who need to be mobilized quickly to meet schedules must wait for a team to become available. Most lift teams seek to guarantee that they will arrive in the patient's room and begin transfer in less than 20 minutes after the nurse makes a request for service.

Normally, much consideration is given to the patient’s comfort and wellbeing during the transfer process. For some patients, the use of a patient lift is more dignified than transferring a patient manually while some consider being hoisted in a sling less dignified. Lifts can enable families or caregivers to mobilize patients in the home setting rather than forcing patients to be relocated to an institutional setting. The inability to mobilize patients at home is one of the primary reasons that patients find it necessary to leave the home environment and enter a nursing home when they become temporarily or permanently disabled.

Safe patient handling is especially important in the area of bariatric care. Bariatric patients who are classified as patient who weigh more than 300 pounds require additional staff training and specialized equipment for transfer, showering, toileting, etc.