Moving & Handling

Principles of Safe Patient Handling

1. Risk Assessment:
   • Assess each patient’s individual needs and abilities.
   • Evaluate the environment to identify potential hazards.
   • Consider the weight, mobility, and medical condition of the patient.
2. Body Mechanics:
   • Maintain a stable base of support by standing with feet shoulder-width apart.
   • Bend at the knees and hips, not at the waist.
   • Keep the load close to the body to reduce strain on the back.
3. Communication:
   • Communicate clearly with the patient and any assisting staff.
   • Explain the procedure to the patient to reduce anxiety and ensure cooperation.
   • Coordinate actions with other staff members to ensure smooth execution.
4. Dignity and Comfort:
   • Ensure the patient’s dignity is maintained throughout the process.
   • Use appropriate clothing or covers to protect the patient’s privacy.
   • Ensure the patient is comfortable and in a stable position after handling.

Techniques for Moving and Handling Patients

1. Transferring Patients

• From Bed to Chair:
  1. Prepare the chair and ensure it is locked and close to the bed.
  2. Assist the patient to a sitting position on the edge of the bed.
  3. Place your arms around the patient’s back and under their knees.
  4. Pivot and support the patient to stand, then guide them to the chair.
  5. Ensure the patient is comfortably seated and adjust their position if necessary.
• Using a Hoist:
  1. Position the hoist near the patient and ensure it is properly assembled and operational.
  2. Place the sling under the patient, ensuring it is correctly positioned and secure.
  3. Operate the hoist to lift the patient smoothly and safely.
  4. Transfer the patient to the desired location and gently lower them into position.
  5. Remove the sling once the patient is comfortably settled.

2. Repositioning in Bed

• From Supine to Lateral:
  1. Explain the process to the patient and position them as close to the edge of the bed as possible.
  2. Use a drawsheet or slide sheet to gently move the patient.
  3. Support the patient’s head and shoulders with one hand and their hips and legs with the other.
  4. Carefully turn the patient onto their side, adjusting their position for comfort and support.
  5. Place pillows for additional support and alignment.
• Using a Slide Sheet:
  1. Place the slide sheet under the patient, ensuring it is evenly distributed.
  2. Using a two-person lift, gently slide the patient to the desired position.
  3. Remove the slide sheet carefully and ensure the patient is comfortable.

3. Lifting and Moving Patients

• Manual Lifting:
  1. Assess the situation and decide if lifting manually is appropriate.
  2. Position yourself close to the patient and ensure a firm grip.
  3. Use your legs to lift, keeping your back straight and the load close to your body.
  4. Move the patient smoothly to the new location and gently lower them.
• Using Mechanical Aids:
  1. Ensure that all equipment, such as patient lifters or slings, is in good working condition.
  2. Follow manufacturer instructions for safe operation.
  3. Use mechanical aids to lift and transfer patients, reducing manual effort and minimizing risk.

Risk Assessment and Safety

1. Assessment Tools:
   • Use risk assessment tools to evaluate the need for additional support or equipment.
   • Consider factors such as patient weight, mobility, and any specific medical conditions.
2. Preventing Injuries:
   • Avoid twisting your body while lifting or moving patients.
   • Use proper lifting techniques and seek assistance when needed.
   • Take regular breaks and avoid overexertion.
3. Equipment Maintenance:
   • Regularly inspect and maintain patient handling equipment.
   • Ensure that all staff are trained in the use of handling aids and equipment.
4. Reporting Incidents:
   • Report any accidents or near misses involving patient handling.
   • Document incidents and review procedures to prevent future occurrences.

Patient Dignity and Comfort

1. Privacy:
   • Use screens or curtains to ensure privacy during the handling process.
   • Communicate with the patient about what is happening and why.
2. Comfort:
   • Ensure that the patient is comfortable and properly supported after handling.
   • Adjust the patient’s position and bedding to enhance comfort.
3. Respect:
   • Treat the patient with respect and sensitivity throughout the handling process.
   • Address any concerns or anxieties the patient may have.