The Use of Hoists in Patient Care

Hoists are essential tools in patient care, particularly for individuals with limited mobility, disabilities, or those recovering from surgery or injury. They are designed to safely transfer patients between beds, chairs, wheelchairs, toilets, and other surfaces, reducing the risk of injury to both patients and caregivers. Manual Handling Training is therefore required in the safe use of hoists. Here’s an overview of their use in patient care:

 

Types of Hoists used in Patient Care

Manual Hoists:

– Operated by caregivers using a hydraulic pump or lever system.

– Require physical effort to lift and move the patient.

– Suitable for environments where power sources are unavailable.

Electric/Powered Hoists:

– Use a motorised system for lifting and transferring patients.

– Reduce physical strain on caregivers.

– Often come with remote controls for ease of use.

Ceiling Track Hoists:

– Installed on a fixed track system mounted on the ceiling.

– Ideal for long-term care settings or home use.

– Provide smooth, effortless transfers without taking up floor space.

Standing Hoists:

– Assist patients who have some weight-bearing ability to stand and transfer.

– Useful for rehabilitation and promoting patient independence.

Mobile Hoists:

– Portable and mounted on wheels for easy movement.

– Suitable for use in multiple locations, such as hospitals or care homes.

 

Applications in Patient Care

Safe Patient Transfers:

– Hoists minimize the risk of falls, slips, or injuries during transfers.

– They are particularly useful for bariatric patients or those with severe mobility limitations.

Reducing Caregiver Strain:

– Manual lifting of patients can lead to musculoskeletal injuries for caregivers.

– Hoists reduce physical strain, promoting safer working conditions.

Promoting Patient Dignity:

– Hoists allow patients to be moved with care and respect, maintaining their comfort and dignity.

Rehabilitation and Therapy:

– Standing hoists can assist patients in regaining strength and mobility during rehabilitation.

Hygiene and Personal Care:

– Hoists are used to transfer patients to showers, toilets, or commodes, ensuring proper hygiene.

 

Key Considerations When Using Hoists in Patient Care

Patient Assessment:

– Evaluate the patient’s weight, mobility, and medical condition to select the appropriate hoist.

– Ensure the sling or harness is correctly sized and fitted for the patient.

Training for Caregivers:

– Proper training is essential to operate hoists safely and effectively.

– Caregivers should understand how to position the patient, use the controls, and maintain the equipment.

Equipment Maintenance:

– Regular inspection and maintenance of hoists are crucial to ensure safety and functionality.

– Check for wear and tear, especially on slings, straps, and mechanical parts.

Infection Control:

– Clean and disinfect hoists regularly to prevent cross-contamination, especially in healthcare settings.

Environment:

– Ensure there is enough space to operate the hoist safely.

– For mobile hoists, check that the floor is even and free of obstacles.

 

Benefits of Using Hoists in Patient Care

Enhanced Safety:

– Reduces the risk of injury to both patients and caregivers.

Improved Efficiency:

– Streamlines the transfer process, saving time and effort.

Patient Comfort:

– Provides a smooth and secure transfer experience.

Caregiver Well-being:

– Reduces physical strain and stress on healthcare workers.

 

Challenges and Limitations

– Cost: High-quality hoists, especially powered or ceiling-mounted systems, can be expensive.

– Space Requirements: Some hoists, like mobile or ceiling track systems, require adequate space for installation and operation.

– Patient Resistance: Some patients may feel anxious or uncomfortable using hoists, requiring reassurance and support.

 

Conclusion

Hoists play a critical role in modern patient care, ensuring safe and efficient transfers while protecting the well-being of both patients and caregivers. The Manual Handling Operations Regulations 1992 (as amended) require the proper selection, moving and handling training, and maintenance are essential to maximise their benefits and ensure safe use.