Question

Difficulty: MediumErgonomics and Safe Use of Equipment

A practical nurse (PN) is preparing to transfer a client with left-sided hemiplegia from a bed to a wheelchair using a portable mechanical sling lift. The client has a history of unpredictable agitation. Which of the following actions by the PN demonstrates safe equipment use and adherence to standards of care?

  1. Opening the base legs of the mechanical lift to their widest position prior to lifting the clientAnswer
  2. B
    Elevating the client in the sling to the maximum height setting to ensure clear passage over the bed
  3. C
    Applying bilateral soft wrist restraints to prevent the client from grabbing the lift chains, before attempting less restrictive measures
  4. D
    Accepting a delegation to independently complete the initial assessment to determine the appropriate sling type for the client

Answer

The correct action is to expand the base legs of the mechanical lift to their widest position before initiating the lift.
Expanding the base legs of a portable mechanical lift is a critical ergonomic and safety step. By widening the base, the nurse increases the equipment's base of support and stabilizes its center of gravity. This action significantly reduces the risk of the lift tipping over when the client's weight is suspended, ensuring a safe transfer.

Step-by-Step Solution

1
Analyze the equipment safety principles for a portable mechanical sling lift.
A wider base of support increases stability and lowers the center of gravity.
This prevents the heavy equipment from tipping over while bearing the client's weight.
2
Evaluate the distractors against PN scope of practice and safety protocols.
Lifting too high creates instability. Applying restraints without trying alternatives violates safety protocols. Initial assessments are outside the PN scope.
Identifying these violations confirms that adjusting the lift's base is the only safe and appropriate action.

Key Concept

Ergonomics and Safe Use of Equipment
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