Nursing homes rely on mobile mechanical hydraulic lifts, commonly known as Hoyer lifts, to facilitate the safe transfer of disabled residents. These lifts are crucial for moving residents between their beds and wheelchairs, repositioning them, and aiding in tasks like toileting and bathing. However, improper use or negligence when using Hoyer lifts can lead to life-threatening injuries for elderly or vulnerable adults. Such injuries include fractures of the skull, pelvis, legs, shoulders, arms, hips, and even brain injuries.
Hoyer lifts, named after the manufacturer Hoyer, have become a staple in nursing homes and hospitals to minimize staff injuries and related workers’ compensation costs. When correctly operated by trained personnel, these lifts provide essential benefits to both caregivers and residents. The lifts can handle a maximum weight of 400 to 700 pounds and are equipped with four wheels to aid in seamless mobility.
To ensure the safety of residents and caregivers during Hoyer lift operations, a systematic protocol must be followed. Physicians usually prescribe two-person assists when using Hoyer lifts to ensure proper handling and minimize the risk of accidents. One caregiver operates the lift, while the other assists the resident and prevents any potential harm.
Key steps in the proper use of Hoyer lifts include:
- Checking the resident’s condition.
- Ensuring the sling matches the resident’s measurements and needs.
- Preparing the operating area and ensuring a clear path.
- Inspecting the sling for any damage or wear.
- Placing the resident in the sling and verifying its proper fit.
- Ensuring the straps are secure and not twisted.
- Gradually lifting the resident, ensuring proper engagement of the hooks.
- Confirming the resident’s stability and preventing any sliding or tipping.
- Safely transporting and lowering the resident to the intended surface.
Failure to adhere to these steps can lead to serious injuries, often stemming from a detached sling strap or negligent operation. Nursing home staff should never move agitated or uncooperative patients without sufficient assistance. Clearing the surrounding area of obstructions is essential to prevent accidents, and proper spread positioning of the lift’s base legs helps maintain stability.
Understaffing can contribute to negligence when using Hoyer lifts. Orders for a two-person assist should be diligently followed, and any violation could indicate understaffing issues. Neglecting to use a Hoyer lift when ordered also often results from overworked staff or a lack of functional equipment.
Hoyer lifts also play a vital role in preventing pressure ulcers by regularly repositioning residents. However, this duty can be compromised by inadequate staffing for safe lift operations. Additionally, the maintenance of Hoyer lifts is essential to prevent accidents. Nursing homes failing to maintain their lifts or using them beyond their useful life may be putting residents at risk.
Injuries from falls from Hoyer lifts can be severe, especially among elderly individuals, who are more susceptible to brain injuries due to aging. Broken bones, such as hip, pelvis, arm, and leg fractures, are common consequences of these accidents. When handling such cases, it is crucial to challenge defenses and thoroughly investigate the causes of the injuries, seeking proper medical evaluations and evidence to support claims.
In conclusion, Hoyer lifts are invaluable tools in nursing homes, aiding in safe patient transfers and preventing pressure ulcers. Proper usage protocols and diligent maintenance are essential to ensure resident safety and minimize the risk of severe injuries.