8.9 Transferring a Client Using a Mechanical Lift

Tracy M. Christianson, RN, MN, DHEd, CCNE; Kimberley Morris, RN, BN, MN

8.9 Transferring a Client Using a Mechanical Lift

Transfers Using Mechanical Aids: Overview

**Figure 8.9.1** (Source: Kiwipoint FDA, n.d.)

Many times you will be caring for clients that cannot assist you transferring them because they cannot bear weight. Mechanical lifts are safe solutions used to move a client from one position or place to another. Most often when working for an agency, they will likely have a no-lifting policy in place. A no-lifting policy means healthcare providers are not to manually try to lift a client, as this may cause serious injury to the client and/or care provider. Wherever you are employed, be sure you know the policy related to lifting clients!

Mechanical lifting equipment may vary from agency to agency, but the principle in their use is very similar. However, knowing how to use one does not mean you will know how to use other types. You should follow the agency procedures and know the instructions of the equipment manufacturer.

Before using any mechanical lift equipment, be sure:

You are trained in its use.
The lift is in good working order.
The client’s weight does not exceed the lift capacity.
You have reviewed the client’s transfer plan (care plan).
You have two people to carry out the lift.

**Figure 8.9.2** (Source: Kiwipoint FDA, n.d.)

Transfers Using Mechanical Aids

Depending on the risk assessment, the healthcare worker may choose to use a mechanical aid to assist with transferring a client. The following videos provide some general direction to do this. It is the HCA’s responsibility to be oriented to the equipment they are working with and always use it in a safe manner.

Watch the following videos on Transfers Using a Mechanical Lift developed by Thompson Rivers University – School of Nursing

**Table 8.9.1 Choosing a Sling to Be Used with the Ceiling Lift**
Type of Sling	Indications for Use
Universal slings	Can be applied while the client is sitting in a wheelchair Some universal slings are large enough to provide neck support Different loops allow the user to adjust the client’s position (i.e., head up, flat, etc.) Follow the manufacturer’s guidelines for use
Hammock slings	Provide more support than a universal sling Fit from just above the knees to the back of the head, thus giving some neck support Cannot be taken off while the client is in a wheelchair Different loops allow for adjustments to the angle that the user will sit during the transfer
Hygiene slings	Intended to be used for transfers associated with toileting and cleaning Provide relatively little support, as they have less material than a universal or hammock sling Intended to provide client support for a short time only
(Data source: Stewart, 2018)

Special Considerations

All mechanical aids have weight restrictions. Check your agency equipment and guidelines.
All equipment has specific manufacturer’s guidelines for use.
It is the agency’s responsibility to provide resources for orientation to use all equipment.
It is the healthcare worker’s responsibility to be oriented to the use of all equipment being used.

Critical Thinking Exercises

When using a ceiling lift, provide the rationale for your choice of the type of sling you should use when: (a) transferring a client to a shower chair; (b) transferring a client to a wheelchair.

License

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Personal Care Skills for Health Care Assistants Copyright © 2023 by Tracy Christianson and Kimberly Morris, Thompson Rivers University. is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.