Some people seem a little negative with their comments. They may have missed that this was a "dependent" transfer. Also, your posture was perfect with a straight back.
This transfer is actually commonly used for people with spinal cord injuries. Those with spinal cord injuries typically cannot bare weight on their own. When this transfer is done correctly, the clinician blocks the knees from buckling, allowing the clients legs to bare most of the weight as the clinician uses momentum to swing the client from one seated position to another.
Yeah, this looks like a back injury waiting to happen. You might be able to pull this move off on a small 120lb person if you're a bigger, strong person yourself; but try doing this on anyone larger and you'll be thinking "this doesn't seem safe". Regardless, it's still not worth the risk to the caregiver's back or the patient should you lose your balance while swinging someone surface to surface who can't support themselves should you lose control. Use a hoyer lift or at least a slide board if legs have no strength, or a EZ stand if the patient can extend hips and knees a little. These types of transfers should not be done this day and age.
+kingv911 you're absolutely correct. unfortunately these transfers are daily routine in 90% of at least German hospitals. there are no lifts. the slide board seems to find use only rarely (my opinion @ board)
+Cedric White Just curious as to why German hospitals do not have mechanical lifts? Any idea? Where I work anyone who is a Max assist must be transferred by a lift unless with physical therapy (where I work). Saves CNA's backs and the company money from less worker's compensation claims.
This is most definitely NOT a stand pivot transfer but a squat pivot transfer. This would be much easier on the clinician if she had the patient scoot forward more in the chair prior to transferring and she was not close enough to the patient to maintain good body mechanics! yikes
It's difficult to find chair like that in india nd if the weight of care receiver is too high nd that of care giver is low then u cannot use this technique.. I m saying this because I take care of my mom.. My mother's weight is around 100 kgs nd I m below 60 kgs... I ll not b able to lift her like that
My patient is 160lbs and will fall over if l lean her forward. This video doesnt help if your patient is paralyzed and has no upper body strength. You really should show transferring of a normal 200 lb person not a lightweight
you have to put you your knee between the patients legs and use a pivot step. ive worked with patients who are paralyzed neck down and there are so many videos on the best way, but for me, the best and only way I can do it is by pulling htem forward which is important..while my knee is between their knees.. and ill squat as low as I can where I feel I am solid.. and I will literally bear hug them and lift with my legs so that they are standing and hten I use the pivot board to slowly turn them.. its the easiest way for me to transfer a patient who is pretty much deadweight. ive had so many girls who could handle 200lb men who were paralyzed waist down... but cannot handle 130 lb woman who was paralyzed neck down. a hoyer lift is the best thing.. but if youre doing it the same way as the video... theres no way, you can lift.. they'll just slide out of your grasp.. even with a gait belt ..you have bear hug them. you have to squeeze them tight and close and I find that tobe the most important thing you hv to do.. bear hug them to death before you lift htem.. you cant just grab and expect to lift deadweight...anyway, that's how I did it, and ive worked with many paralyzed patients.. and used different methods. with that said,... do NOT lift a deadweight patient. I found out later its illegal to lift deadweight bc dangerous to u and the patient... so if your work requires you to lift deadweight... you don't. it is illegal and you need to have a talk with your company. I was lucky not to get injured. and my company replaced the director and many staff, because they were incompetent and were putting the employees and patients at risk.
NO, no, no, no. No human should have to suffer being handled like this by a paid professional. And no paid professional should be expected to continually put their back at severe risk of injury in this way. If the person has upper body strength and some leg strength they can use a patient transfer platform,If upper body strength but no leg strength then a transfer board, otherwise a hoist should be used. My word. the only time for a move like this is a life threatening emergency.
This type of t/f is actually commonly used for people with spinal cord injuries in the rehab setting. See my comment above. The gasp you mentioned, happens because the gait belt puts pressure on the rib cage, causing the client to expel a breath. I have a C7 spinal cord injury and clinicians have used this t/f on me many times. When done properly, it is quick, easy and painless. Obviously, clinical reasoning comes into play. You would not use this t/f on someone who is obese, or you did not feel comfortable moving; however, I have seen a small female clinician use this method flawlessly on a lanky 6ft male. It is all about positioning and momentum. The clinician blocks the knees from buckling, which allows the client to bare a good portion of their own weight while the clinician uses momentum to swing the client to the next surface.
Shocking. This moving and handling technique was banned in the UK many years ago. Too dangerous for both. I would hate anyone invading my personal space like this if I needed to transfer from A to B. You can hear the noise the 'patient' makes when she is thrown into the chair. NO NO NO NO!! NEVER!
tsk tsk tsk! you didn't check if the wheels of the wheelchair is lock.. .. this might be the scenarios of total disgrace.. .thanks anyway. This procedure is not applicable to all because person with a dis ability has a different weights.
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Thank you for posting this! This is better training than I received in my Nursing program!
Some people seem a little negative with their comments. They may have missed that this was a "dependent" transfer. Also, your posture was perfect with a straight back.
Perfect way to teach my restorative Nursing students how to safely and properly transfer
This transfer is actually commonly used for people with spinal cord injuries. Those with spinal cord injuries typically cannot bare weight on their own. When this transfer is done correctly, the clinician blocks the knees from buckling, allowing the clients legs to bare most of the weight as the clinician uses momentum to swing the client from one seated position to another.
Thanks this vedio I need this in my new job as a caregiver
The best grip would be with the hands supinated?
Yeah, this looks like a back injury waiting to happen. You might be able to pull this move off on a small 120lb person if you're a bigger, strong person yourself; but try doing this on anyone larger and you'll be thinking "this doesn't seem safe". Regardless, it's still not worth the risk to the caregiver's back or the patient should you lose your balance while swinging someone surface to surface who can't support themselves should you lose control. Use a hoyer lift or at least a slide board if legs have no strength, or a EZ stand if the patient can extend hips and knees a little. These types of transfers should not be done this day and age.
+kingv911 you're absolutely correct. unfortunately these transfers are daily routine in 90% of at least German hospitals. there are no lifts. the slide board seems to find use only rarely (my opinion @ board)
+Cedric White Just curious as to why German hospitals do not have mechanical lifts? Any idea? Where I work anyone who is a Max assist must be transferred by a lift unless with physical therapy (where I work). Saves CNA's backs and the company money from less worker's compensation claims.
+Cedric White or worst you can't move the sides of there shell chair.
As others have commented, I've been told this is a squat pivot transfer. Good instruction, though!
This is most definitely NOT a stand pivot transfer but a squat pivot transfer. This would be much easier on the clinician if she had the patient scoot forward more in the chair prior to transferring and she was not close enough to the patient to maintain good body mechanics! yikes
Is this considered a "dependent over the hip" transfer?
It's difficult to find chair like that in india nd if the weight of care receiver is too high nd that of care giver is low then u cannot use this technique.. I m saying this because I take care of my mom.. My mother's weight is around 100 kgs nd I m below 60 kgs... I ll not b able to lift her like that
Isn't this a squat pivot? Her knees never fully extend.
My patient is 160lbs and will fall over if l lean her forward. This video doesnt help if your patient is paralyzed and has no upper body strength. You really should show transferring of a normal 200 lb person not a lightweight
Kathryn Ruhl amen to that one
you have to put you your knee between the patients legs and use a pivot step. ive worked with patients who are paralyzed neck down and there are so many videos on the best way, but for me, the best and only way I can do it is by pulling htem forward which is important..while my knee is between their knees.. and ill squat as low as I can where I feel I am solid.. and I will literally bear hug them and lift with my legs so that they are standing and hten I use the pivot board to slowly turn them.. its the easiest way for me to transfer a patient who is pretty much deadweight. ive had so many girls who could handle 200lb men who were paralyzed waist down... but cannot handle 130 lb woman who was paralyzed neck down. a hoyer lift is the best thing.. but if youre doing it the same way as the video... theres no way, you can lift.. they'll just slide out of your grasp.. even with a gait belt ..you have bear hug them. you have to squeeze them tight and close and I find that tobe the most important thing you hv to do.. bear hug them to death before you lift htem.. you cant just grab and expect to lift deadweight...anyway, that's how I did it, and ive worked with many paralyzed patients.. and used different methods. with that said,... do NOT lift a deadweight patient. I found out later its illegal to lift deadweight bc dangerous to u and the patient... so if your work requires you to lift deadweight... you don't. it is illegal and you need to have a talk with your company. I was lucky not to get injured. and my company replaced the director and many staff, because they were incompetent and were putting the employees and patients at risk.
Exactly my point u said my mother is around 100 kgs even I cannot lift her like that as I m below 60 kgs
This is a squat pivot. The client was not on her feet.
NO, no, no, no. No human should have to suffer being handled like this by a paid professional. And no paid professional should be expected to continually put their back at severe risk of injury in this way. If the person has upper body strength and some leg strength they can use a patient transfer platform,If upper body strength but no leg strength then a transfer board, otherwise a hoist should be used. My word. the only time for a move like this is a life threatening emergency.
+Roxy Eastland agreed. thats was terrible transfer.the patient also gasped at 1:15...not a good sign lol!
+nao1163 I hadn't noticed that, but yes. I presume she's a healthy, fully mobile volunteer and she found it scary
the chair is hard on one's butt..it hurts
This type of t/f is actually commonly used for people with spinal cord injuries in the rehab setting. See my comment above. The gasp you mentioned, happens because the gait belt puts pressure on the rib cage, causing the client to expel a breath.
I have a C7 spinal cord injury and clinicians have used this t/f on me many times. When done properly, it is quick, easy and painless. Obviously, clinical reasoning comes into play. You would not use this t/f on someone who is obese, or you did not feel comfortable moving; however, I have seen a small female clinician use this method flawlessly on a lanky 6ft male. It is all about positioning and momentum. The clinician blocks the knees from buckling, which allows the client to bare a good portion of their own weight while the clinician uses momentum to swing the client to the next surface.
Roxy222uk phoney video...they should use real handicapped heavy people
The woman's locking down the brake how about trying it with out all that able bodied help 🙄
Shocking. This moving and handling technique was banned in the UK many years ago. Too dangerous for both. I would hate anyone invading my personal space like this if I needed to transfer from A to B. You can hear the noise the 'patient' makes when she is thrown into the chair. NO NO NO NO!! NEVER!
This is always my go to! C 5-6 paralyzed 30 years. If there is an alternative please share.
tsk tsk tsk! you didn't check if the wheels of the wheelchair is lock.. .. this might be the scenarios of total disgrace.. .thanks anyway. This procedure is not applicable to all because person with a dis ability has a different weights.
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