An LPN receives orders to mobilize an immobile bariatric client to a specialized cardiac chair for the first time post-admission. The facility protocol mandates the use of a ceiling-mounted mechanical lift with a full-body sling. Place the following steps in the correct chronological order to ensure both nurse ergonomics and client safety during this procedure. All steps must be used.
- 1Inspect the full-body sling for fabric integrity and confirm the ceiling lift's maximum weight capacity exceeds the client's documented weight.
- 2Engage the bed's locking mechanism and elevate the mattress to an appropriate ergonomic working level for the nurse.
- 3Roll the client gently to one side to tuck the sling underneath, smoothing out any creases in the material.
- 4Lower the overhead spreader bar and attach the sling's loops, ensuring proper alignment of the lower extremity supports.
- 5Hoist the client just high enough to clear the mattress surface and conduct a visual inspection of all attachment points.
- 6Guide the suspended lift assembly along the ceiling track toward the locked chair and gradually lower the client into a seated position.
Answer
The correct sequence prioritizes pre-procedure equipment safety verification, ergonomic environmental preparation, proper sling placement, secure attachment, an initial safety suspension check, and finally the transfer execution.
The correct chronological sequence ensures both patient safety and nurse ergonomics. Verifying equipment safety parameters must always precede patient contact. Next, the environment is secured and optimized ergonomically by adjusting the bed height. Patient positioning comes third, ensuring skin integrity. Fourth, the equipment is attached. Fifth, a critical test lift is performed slightly above the bed to confirm structural integrity before the final step of executing the full transfer to the chair.
Step-by-Step Solution
Key Concept
Ergonomics and Safe Use of Equipment