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Safe Patient Handling

Using a Hydraulic Lift

Procedure Guidelines
1. Assess the patient to identify factors that could influence transfer, such as IV tubing or

surgical drains.

2. Perform hand hygiene.

3. Move the lift to the bedside. Place the wheelchair nearby, but with enough space to

maneuver the lift.

4. Lock the wheels on the bed.

5. With the mattress flat, raise the bed to the highest position and lower the side rail nearest

you. Have an assistant lower the opposite rail (if there is no assistant, leave the opposite

rail up).

6. If patient is wearing glasses, remove them.

7. Fold top covers to the bottom of the bed.

8. Roll the patient away from you and place the hammock or sling underneath. If using

canvas strips, place the wide, lower strip under the knees and the narrow, upper strip

under the shoulders.

9. Roll the patient onto the other side, and pull the hammock or canvas strips through.

10. Roll the patient supine onto the hammock seat.

11. Place the lifts horseshoe bar under the bed on the side near the wheelchair, with the legs

open. Lock the bar if required for this lift. Next, release the hydraulic valve to lower the

horizontal bar. Stop the bar at the level of the sling, and lock the valve.

Mosby items and derived items 2009 by Mosby, Inc., an affiliate of Elsevier Inc.
Procedure Guidelines 2

12. Hook the short chains or straps to the top holes of the sling, and hook the long chains or

straps to the bottom holes.

13. Elevate the head of the bed and have the patient fold arms over chest. Reassure the patient

that he or she will not fall.

14. Using long, slow, even strokes, pump the hydraulic handle until the patient is raised off

the bed.

15. Use the steering handle to pull the lift from the bed and maneuver it to the wheelchair.

16. Roll the base around the chair. When the lift is properly positioned and the patient is

centered over the chair, lock the wheelchair wheels, and then slowly release the check

valve on the lift by turning it to the left.

17. Tell the patient that he or she will be lowered into the wheelchair, and then lower the

patient gently.

18. As soon as the patient is fully seated, release the chains or straps and close the check

valve. Remove the chains or straps and the lift.

19. Observe the patients sitting alignment and correct it, if needed.

20. As part of your follow-up care, evaluate the patients response to the lift transfer,

particularly noting any vital sign changes, dizziness, fatigue, or pain.

Mosby items and derived items 2009 by Mosby, Inc., an affiliate of Elsevier Inc.