The nursing team is planning to move a restless, older adult client from the bed to a geriatric chair using a full-body mechanical lift. The client has a history of dementia and frequently grabs at equipment. Which of the following interventions should the practical nurse (PN) implement to ensure a safe transfer? Select all that apply.
- Verify that the client's documented weight is within the safe operating capacity of the mechanical lift.Answer
- Open the base legs of the mechanical lift to the widest position before elevating the client from the mattress.Answer
- CApply soft wrist restraints to prevent the client from pulling on the lift straps during the transfer.
- DAssure the client by stating, 'Do not worry about falling; this machine is perfectly safe and cannot tip over.'
- Enlist the assistance of at least one other staff member to help guide the client and operate the device.Answer
- FAssign an unlicensed assistive personnel (UAP) to assess the client's skin for breakdown while rolling them onto the sling.
Answer
The correct interventions are verifying the lift's weight capacity, opening the base legs to the widest position, and enlisting the assistance of at least one other staff member.
Safe use of a full-body mechanical lift requires adherence to strict equipment protocols. The nurse must verify that the client does not exceed the weight limit to prevent equipment failure. Widening the base of the lift lowers its center of gravity, providing maximum stability to prevent it from tipping over. Finally, because the equipment is complex and the client is restless, at least two healthcare personnel must be present to operate the controls and safely guide the client's body.
Step-by-Step Solution
Key Concept
Ergonomics and proper operation of mechanical patient-handling equipment.