NCM

103
Skills
Laboratory

NCM 103:
Skills Laboratory
Lifting
 Dear Lord and Father of all, thank you for today. Thank
you for ways in which you provide for us all. For your
protection and love, we thank you. Help us to focus our
hearts and minds now on what we are about to learn.
Inspire us by your Holy Spirit as we listen and write. Guide
us by your eternal light as we discover more about the
world around us. We ask all this in the name of Jesus,
Amen.

OPENING
PRAYER
 Different Types and Techniques of
Lifting

Aids and Devices used in lifting

clients in different cases

Principles in Lifting

INTRODUCTION
Nursing Responsibilities
 Explain the
significance
of the
techniques and
principles.
Present the Promote proper

OBJECTIVES
proper use posture and
of aids and muscle tuning
devices. for emergency
lifts.
Inform the
audience on the
nursing
responsibilities.
NCM
103
Skills
Laboratory

NCM 103:
Skills Laboratory
Lifting
Techniques
of Lifting
Technique #1

● Close and Tight - Remain

as close to the person or the
object, such as a large box,
when you are about to lift it
and while you are lifting.
Technique #2

● Front and Face -

Face the person or
object that you are
about to lift.
Technique #3

● Vertebrae Healthy
- Keep your spine, neck,
and back straight and
aligned throughout the
lift or transfer. Do not
twist. Do not carry with
your back muscles.
Technique #4

● Move with the

Flow - Pivot on your
feet in the direction of
the move and not
against it.
Technique #5

● Get a Good Grip -

Get a secure and good
grip on the object or
person that you are
about to lift.
Technique #6

● Leg Day - Use

the long and strong
muscles of your
arms and legs to
lift.
Technique #7

● Slow and
Steady - Use
slow, smooth, and
non-jerky
movements.
Types
of Lifting
1. Manual Lift
- utilizes a lifting mechanism operated
manually.
- This is usually done outside of the hospital in
any case of emergencies or in the low-end
hospitals.
these are: blanket drag lift
wheelchair lift
sit-to-stand lift
transfer board lift
stretcher lift
One Man Lift
- Ankle Pull
- Shoulder Pull
- Blanket Pull
- One Person Lift
- Firefighter Carry
- Pack-strap Carry
Two Man Lift
- Human Crutch/Two Person Drag
- Four Handed Seat
- Two Handed Seat
- Chair Carry
- Improvised Carry
- Blanket Stretcher
Three Man Lift
- Hammock Carry
- Three Person Carry
2. Automated/Powered Lift
- a type of lifting that utilizes a power source
contrary to the manual lift.
- used to assist the healthcare providers in
lifting their patients without much manpower.
- usually has a capacity between 400-650 lbs.
Examples of Powered Lift:

● E-Z Lift - a lift that does

not require the placement
of the sling under the client
but directly on the back of
the client. - has an average
capacity of 600 pounds.
● Supine Lift
- a lift that is done with
the assistance of the
assigned healthcare
provider.
- the client is laid flat in
a supine position and
transferred to a
stretcher.
Ceiling Lift
- a lift that is built
inside the room for
easier transfer to
bed, bath, toilet,
and wheelchair.
3. Heavy Duty Lifts
- This lift is done in
cases that the patient is
heavier than 650 lbs.
- This lift is a variant of
the automated lifts for it
is done with the help of
multiple people.
4. Specialized Lifts
- this type of lift is designed to help the
patients, for self-care, and the healthcare
provider for assistance.
- often used in bedbaths (tepid sponge
bath), pool lifts, and stairlifts.
Aids
& Devices
A. Manual Devices
1. Hoyer lifts
a. U Type Sling
b. Full Body Sling
2. Transfer board/Sliding Board
3. Canes
4. Stretcher
5. Blanket
6. Polyester Mesh
B. Powered Devices
1. Wheel Chair
2. Hydraulic Lift
1. Hoyer Lift

- For patients with

moderate trunk support
when less support is
needed.
a. U-slings

- slightly easier to be
fitted to the patient
when in a sitting
position.
B. Full Body Slings
- For maximum support,
allowing the transfer of
the patient in a
semi-reclined seating
position.
● Bathing & Toileting Slings
- For bathing and toileting, these slings come with
a hole toileting and the fabric usually meshes which
allows for easy cleaning and quick drying.

● Stand up Slings
- used with the sit-to-stand patient lifts.
Padded slings
- Good for patients who have
sensitive skin, these slings add
an additional comfort element
during the lifting procedure.
However, look elsewhere if you
know there will be a high chance
of the patient coming into
contact with water or other
elements. Padded slings are not
ideal for getting wet.
Padded polyester
- A go-to for most
institutional settings, these
slings help resist infection
and reduce
cross-contamination with
their easy-to-clean design.
2. Transfer board
- an assistive device designed
to help individuals move
more safely and easily from a
wheelchair to a bed, car,
toilet, stairlift, or other
location.
-A transfer board can also be
used for those with limited
mobility even if they are not
in a wheelchair.
 3. Canes
- generally ideal for
problems that occur on one
side of the body (if you
experience sciatica in one
leg, for example), walkers
are better suited for pain
that occurs on both sides (if
you have weakness in both
your legs, for instance).
4. Stretcher
- simple litter designed to
carry the sick, and injured.
A frame on which a canvas
is stretched for painting. A
device to stretch shoe
5. Blanket
- piece of soft cloth large enough
either to cover or to enfold a
great portion of the user's body.
It is usually used when a person
goes to sleep or is otherwise at
rest. It traps radiant bodily heat
that otherwise would be lost
through convection, helping to
keep the user warm. Many
children and adults utilize a
blanket as a comfort object.
B. POWERED DEVICES

6. Wheelchair - is a chair
with wheels, used when
walking is difficult or
impossible due to illness,
injury, old age-related
problems, or disability.
7. Hydraulic patient lift - to
transfer a patient who can't bear
weight or help herself during
transfer or who's too heavy to
lift safely. With a hydraulic lift,
you can safely move her from
bed to stretcher, a bed to chair
or wheelchair, and bed to
bathtub or commode—and then
back to bed.
8. Polyester mesh
- Suitable for patients
who either get wet a lot or
have the potential to get
wet, this fabric breathes
and dries easily when
exposed to moisture.
9. U-sling or Hoyer Lift -
Patient lifting devices are
special tools that help transfer
patients from
surface-to-surface. Hoyer lifts,
in particular, are top-brand lifts
that offer a sturdy and safe
patient transfer experience.
These lifts use a sling that
wraps around and supports the
patient who needs transferring.
SELECT PATIENT’S SLING SIZE

1.Assess patient’s size, weight, and hip measurement.

2 Choose the size of sling based on manufacturer recommendation for
patient’s measurements. Choosing the correct sling size is critical for
safe patient transfer.

SLING TOO LARGE: The patient may slip out.

SLING TOO SMALL: The patient may fall out. The sling may worsen
a patient's condition.
IF BETWEEN SIZES: Smaller size may keep patients more secure.

NOTE: Using the wrong sling or attaching the sling incorrectly may
cause an accident that can result in serious injury or death!!
Lifting
Principles
 WAIT
W - Warmup
A - Area
I - Inform
T - Think and Plan
● Warmup - Take the time
to do a little bit of muscular
warmup and stretching
before you attempt to lift or
transfer a person or object.
● Area - Clear the
pathway of point A to
point B. Do not lift in a
confined/entrapped
space.
● Inform - Explain
what you will be doing
and how you will
perform the lift o to the
client. Instruct the
patient about what you
and they will be doing
to assist if able.
● Think and Plan - Think
about and plan your
approach before you
attempt to do it.
Nursing
Responsibilities
Check: The Patient’s physical capabilities.

● Assess Check Patient Condition before using a

patient lift.
● Check to see if the patient can assist with the
transfer.
● Check the patient's weight and physical
condition; use manufacturer's guidelines to make
sure lift is appropriate.
● Determine how many caregivers are required to
safely lift the patient.
Patient’s medical condition

● Make sure you have the correct lift and sling for
the patient's condition.
● Ensure the lift will not make the patient’s
condition worse.
Patient’s mental status

● If alert, ensure the patient is able to understand

and follow instructions.
● Make sure the patient is ready to be placed in a lift.

The use of a patient lift should be avoided if the

patient is agitated, resistant, or combative.
Prepare Points to Consider:

○ Slings should be smooth and not wrinkled when

placing it on the client due to skin breakdown and
other important issues when a sling is under a
patient.
○ The slings, equipment, and personnel should
be/have sanitized to prevent nosocomial infection.
Privacy
○ Provide privacy to respect the client’s rights.

Inform
○ Brief and explain the process of the procedure to
the client.
○ If the client is able, he/she may be able to assist
you with your lifting task.
Materials/Equipment
○ Work on your path
- Adjust the bed to a comfortable height according
to your preferences with the permission of the client.
- Attach the IV to the lifting device used.
- If the client is disabled, there may be a catheter,
it is recommended to clamp the catheter to prevent
urinal backflow during the procedure.
○ Sanitize, prepare the needed equipment for
the lifting procedure.
○ Remove the comfort devices used for the
client.
○ If you aren’t able to lift the client safely ask
for assistance.
● Procedure Key Points :
- Always support the area of injury and the core parts of
the client: Head, shoulder, chest, hips, thighs, and ankles.
- Observe Proper Body Mechanics
- Always have the strongest care provider support the
head/shoulders or hips if the client is female.
- Check the label of the lifting device where it tells you
the weight capacity of the sling if it is within the range of
the weight capacity of the client.
- Create a safety net.
● Bed to Wheelchair/Wheelchair to Bed
○ The wheelchair is locked and close to the client.
○ The client, if able, will be assisted by the nurse to be
seated on the right side of the bed. If disabled, the help of a
lifting device or fellow nurses may be needed.
○ The nurse should be in front of the client and the
wheelchair to prevent any risks.
● Bed to Wheelchair/Wheelchair to Bed
○ The nurse will now assist the patient to stand and the client will be
instructed to pivot his her body towards the wheelchair with the nurse or the
side rails as support. If the client is disabled, there may be a need to use a
transfer board and another nurse and the client will be seated in the
wheelchair.
● Bed to Wheelchair/Wheelchair to Bed
- The client’s body should be able to grasp the wheelchair
with the assistance of the nurse and thus be seated.
- The process would be reversed, if it is a wheelchair to
bed, now the nurse will start to lower the side rail of the
bed, prepare the transfer board if the patient is disabled,
if not the patient will be assisted by the nurse to move
his/her body to touch the edge of the bed.
Bed to Stretcher
/Stretcher to Bed

○ The stretcher is locked

and close to the client.
○ The client will now be
turned towards the nurse,
usually with the help of two
other nurses, and with the
help of a lifting device.
 ○ The assisting nurses should be positioned at the
side of the stretcher lateral to the patient in order to
pull and the nurse will be positioned at the client’s
side to push the client towards the stretcher.
○ Once the client is on the stretcher, his/her arms
will be placed above the chest and will be covered by
a blanket from the foot up to the chest in order to
promote privacy.
 ○ The process would be reversed, if it is stretcher to bed, now
the nurse will start to lower the side rail of the bed, prepare the
transfer board for the patient, the nurses will be in the same
position, this time the assistant nurses will now be the ones
pushing and the nurse will guide the body towards the bed.
● After Care Points to Consider:

The client is supposed to be in:

- Correct body alignment
- Comforted
- Safe
○ Documentation/Charting

■ Pulse & BP if taken

■ Observations
■ Assistance/instruction needed
○ Observations

■ Assess the client if there is any pain or

discomfort during and after the procedure.
■ Check B.P. or Pulse if ordered.
■ The nurse should inform the next nurse in a
shift of the findings.
NCM
103
Skills
Laboratory

NCM 103:
Skills Laboratory
Lifting
 Lord, thank you for giving us the
opportunity to learn and the capacity
to understand. Let our knowledge be
of service not for only the attainment
of our goals but also for the benefit of
others, Amen.

CLOSING
PRAYER