Unsafe client handling is the number one cause of injury in healthcare. The 3 main risk factors when handling and caring for clients are: high force, repetition, and awkward/static postures.
Tips on Safe Client Handling
Lifting
- Never attempt to use a mechanical lift on a client unless you had been taught or assigned by your Client Services Supervisor (RN/RPN) to safely complete the delegated task. The use of appropriate lift equipment must be identified on the care plan.
Transferring
- Before transfer, always remove anything that can get caught or cause a trip hazard such as a rug
- Ensure wheelchair or commode is close by and the wheels are locked
- Ask for the client to help bear weight through both arms and/or at least one leg. Please note, we DO NOT transfer non-weight bearing clients.
- Communicate with the client explaining what you will be doing
- Get close to the client, keep your feet at least shoulder length apart and bend your knees
- Tighten your stomach muscles as you help the client stand
- Pivot your feet. Never twist at the waist while you help the client turn to sit in the chair, toilet or bed.
Repositioning
- Maintain good posture
- Ensure bed height is at hip level
- Push rather than a pulling motion
- Keep your arms close to your own body with elbows bent
- Use own body weight to push not just arms strength with arms outstretched
- Request as much assistance from the client as possible.
