使用机械/站立升降机转移怎么做
A full-body (Hoyer) mechanical lift moves a resident who cannot bear their own weight from bed to chair. The single idea that makes it click: it is a two-person skill, and the machine — never your back — does the lifting, so almost every scored point is about setting up safely before you ever raise the resident off the bed.
分步操作
- 1
Knock, wash your hands, introduce yourself, identify the resident by name, explain the transfer, and provide for privacy.
- 2
Confirm a second staff member is present before you start — a full-body lift is always a two-person skill.关键
- 3
Verify the lift's rated capacity supports the resident's weight (most are rated about 400 lb; use a bariatric lift if heavier) and choose the correctly sized sling.关键
- 4
Raise the bed to a safe working height and lower the near side rail.
- 5
Ask the resident to fold their arms; roll them to one side and position the sling from the shoulders to the buttocks, then roll back and smooth out all wrinkles.关键
- 6
Roll the lift boom over the resident and widen the lift's legs into a broad base of support before raising.关键
- 7
Attach the sling per the manufacturer's guidelines, hooking the color-coded loops so each side is the same length.关键
- 8
Position the wheelchair and lock the wheelchair's brakes; recline it slightly if possible.关键
- 9
Tell the resident you are about to lift, then raise slowly while the lift stays free to roll (do not lock the lift's own casters while the resident is suspended).关键
- 10
Raise until the resident clears the bed while the second staff member guides and steadies the feet and legs.关键
- 11
Move the lift and suspended resident over the wheelchair seat, keeping the base wide, then lower slowly and guide the hips back so they land upright.
- 12
Unhook the sling, move the lift clear of the head and limbs, and leave the resident comfortable and aligned.
- 13
Lower the bed, place the call light within reach, wash your hands, and report any skin issues, pain, or changes.
关键步骤(千万别漏)
- Two staff are required — attempting a full-body lift alone is an automatic fail and a real injury risk.
- Lock the wheelchair brakes; keep the lift's own casters free to roll while the resident is suspended so the lift can be guided and will not tip.
- Check the resident's weight against the lift's capacity and use a correctly sized sling positioned shoulders-to-buttocks before raising.
- Keep the lift legs open in a wide base of support throughout the lift for stability.
常见错误
- Trying to operate the lift with only one person.
- Hooking the sling loops at uneven lengths so the resident tilts or slides.
- Forgetting to lock the wheelchair brakes before lowering the resident into it.
- Raising with a narrow base or skipping the weight-limit/sling-size check.
为什么这样做
A resident on a mechanical lift is briefly suspended and helpless, so stability and control are everything: a wide base keeps the machine from tipping, matched color-coded loops keep the body level, locked wheelchair brakes stop the seat from rolling out from under them, and a second person steadying the feet keeps limbs from swinging or being dragged. Confirming the weight capacity and sling size up front is what prevents a sling failure mid-air.