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Manual Handling

[Music]

moving a load such as a piece of medical

equipment is often performed in the

hospital setting when performed

incorrectly this may lead to injury of

the shoulder spine and hip in this video

we will use a box as an example to

demonstrate the correct maneuvers for

moving any heavy loads start by

inspecting the surroundings of the box

for any obstacles stand with two feet

close to the box and shoulder width

lower the body by bending both knees

keeping the upper body straight do not

bend your back hold the box in opposite

corners

and assess the weight of the load

straighten both legs to stand up firmly

hold the box with both hands keep your

chin up

looking forward maintaining a straight

back keep the center of gravity close to

the body by bringing the load close to

the waist again keep your chin up

looking forward

so to summarize when moving a heavy load

assess the surrounding of the load stand

close to the load lowering the body by

bending both knees assess the weight of

the load using both hands stand up with

the load keeping a straight back and

your chin up hold the box close to you

and lower by bending at the knees and

remember to keep a straight back at all

times

many patients with reduced mobility such

as those recovering from an operation

have difficulties moving themselves up

the bed in this video we will teach the

correct maneuvers to move a patient up

the bed for this maneuver you will need

two carers and the sliding sheet

start by washing your hands

introduce yourself

to the patients that you would like to

help them move up the bed after gaining

consent move the bed away from the wall

and remove the headboard and side rails

put the brake on

and raise the bed to waist height

stand on either side of the bed with the

sliding sheet ready ask the patient to

bend their right knee and put their

right hand on their left shoulder help

the patient to roll onto their left side

explain what you are doing and reassure

them you must be standing next to the

bed with no gap to prevent the patient

from falling the other carer folds the

sliding sheets lengthways and places it

underneath the patient's back roll the

patient onto the opposite side

pull the sliding sheet so it is flat on

the bed

why the patient flat and check that they

are lying in the center of the sliding

sheet if not it will need to be

repositioned choose handles that hold

most of the patient's weight at the

level of the shoulders and hips stand

with your leading foot pointing towards

the direction of travel get a good grip

on the selected handles when sliding the

patient your knuckles should be on the

bed not lifting upwards rehearse the

manoeuvre with your colleague

now you are ready slide the patient up

the bed using a coordinated movement

check that they are far

up the bed if not repeat the maneuver to

remove the sliding sheet take one corner

from under the patient's legs and pull

it so it slides against itself to come

out from under the patient

replace the headboard and side rails

lower the bed and move it back into

position

to summarize to move a patient up Abed

wash hands and gain consent reposition

the bed remove the headboard and side

rails roll the patient to one side

placing the sliding sheets underneath

the patient roll the patient to the

other side and pull the sliding sheet

through ensure the patient is lying

centrally on the sliding sheet place the

hands and feet at the right positions

and rehearse the sliding maneuver slide

the patient up the bed ensure the

patient is comfortable remove the

sliding sheet by pulling on one corner

replace the headboard and side rails and

reposition the bed

hoisting her patient some patients may

be so mobile that they have difficulties

moving at all such patients require the

assistance of a hoist to mobilize in

this video we will teach you how to use

a hoist to move a patient from lying in

a bed to sitting in a chair for this

maneuver you will require

to carers

a hoist and the sling

start by

the service power and working condition

of the hoist

check the path to the destination is

free of any obstacles

wash your hands introduce yourself to

the patient and explain that you would

like to help the patient to sit in a

chair using a hoist

you

after gaining consent put the bed brakes

on and raise the bed to waist height

select a sling of appropriate size for

the patient check for damage and overall

condition

stand on either side of the bed with

this limb ready

help the patient to roll onto their left

side explain what you are doing and

reassure them

you must be standing next to the bed

with no gap to prevent the patient from

falling the handles of the sling must

face outwards so the patient should lie

on the smooth side of the sling roll the

sling lengthways from one side

and push the rolled edge firmly under

the patient roll the patient to the

opposite side and position the sling

flat on the bed the leg bands should be

positioned underneath the patient's

thighs

if the sling is of the correct size the

top end of the sling should be at the

top of the patients head check the

patient's position on the sling move the

hoist to the bed with the hanger

directly above the patient's waist the

hanger should be positioned across the

patient remember not to put the brakes

on the hoist when the patient is hanging

from the hoist it is more likely to tip

over if they are on lower the hanger so

that it is just above the patient hook

the leg straps on the lower hooks of the

hanger choose loops that leave no slack

and use the same loops for each side so

that they are the same length

hook the body straps on the

the hooks of the hanger in a similar

fashion

now slowly raise the hanger of the hoist

until the patient's weight is completely

off the bed remember to reassure the

patient throughout the process the

patient is now hanging from the hoist

remember to reassure the patient and to

maintain good communication between the

two carers one Kara is in charge of

moving the hoist while the other carer

looks after the patient keeping them

steady in the sling move the hoist in

front of the chair and open the legs of

the hoist using the handle position the

patient directly over the chair lower

the patient into the chair taking care

that they are positioned correctly

once the patient is comfortably

positioned in the chair unhook the sling

from the hanger take care as the hanger

is hazardous in this position remove the

hoist from the area check that the

patient is comfortable

so to summarize to hoist a patient into

a chair

wash your hands introduce yourself and

gain consent check the condition of the

hoist and sling making sure it is the

right size place the sling in the

correct position underneath the patient

hook the sling on to the hoist lift the

patient off the bed move the patient

over the chair lower the patient into

the chair and unhook from the hoist

you