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Moving + Handling - OT Circles (The Occupational Therapy Hub)

Moving + Handling

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Helena  CorbettHelena Corbett
Helena Corbett

Slings and sleep systems

Hi everyone. I wonder if anyone has had experience of fitting slings for children sleeping in a sleep system, such as the Symmetrisleep?


It seems impossible to roll to fit the sling so the only option seems to be to remove the system and replace it when putting the child back to bed. This might happen several times a night so would be too unsettling.


If anyone has any suggestions or experience I'd be most grateful,


Thank you,


Helena

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Georgina West
Georgina West
Dec 11, 2023
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Hi Helena, I agree that I would be starting with why the child is being hoisted several times a night? Sleep systems are not really designed with this in mind and generally need to be removed/partly removed (depending on what one in place) to do anything too major during the night. If for personal care, why is this not being done on the bed? I appreciate I do not know the full situation here. In-bed positioning systems, like Wendyletts, are generally not compatible with most sleep systems, but you could look at Symmslyde or just consider use of a slide sheet to attend to personal care on the bed, if this is the reason they are being hoisted out?

Liz KeechLiz Keech

Hoist sling advice

I wondered if you could offer some advice. I am an OT working in the Acute setting, we complete hoist assessments with patients on the inpatient wards using the deluxe hammock slings (CA701) from Care Ability (which is the manufacturer used by our equipment company), with the Arjo midi mobile hoist. Previously the hospital offered the service of washing the slings so we could use them again for further assessments. However, due to a change in their machines they can no longer provide this service. I am looking to see if there are any disposable slings which are an exact match to the Care Ability slings so that we can accurately measure and risk assess the patient for the correct sling to be prescribed for using in the community. As an interim measure we are ordering slings for next day delivery to the hospital however this is costly, especially ifโ€ฆ


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Maxine Lloyd
Nov 14, 2023
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Is there an opportunity to have a peripheral store room with a few different size slings ? Slings can be then be accessed for assessment and replenished to the store and allocated via PUK number to the patients Equipment account . The benefit of this is the equipment service need only do one weekly delivery of replenishment items oppose to lots of individual ones that as you point out is extremely costly. It does still carry infection control as if sling does not fit cannot be reused however a collection order can be set up for on the day store replenished and it goes via appropriate cleaning process

Turning devices (Q2 Roller)

Hi Everyone,

I was wondering if anyone has come across / used the Q2 Roller (or similar) for patient turning, repositioning, personal care needs ? I had never come across it until a week or so ago when a patient was transferred to the ward I am on. The patient has a flair up of a very painful skin condition which makes manual handling and personal care incredibly difficult and uncomfortable for him and those caring for him. The manual handling team at the hospital were contacted and came up with the Q2 as an option and it has worked wonders, he has been so much more comfortable when his care needs are being met than before. It would be great to hear of any one else's experiences using this either in the community or hospital and how it has helped or hindered. Or alternatives you may have come acrossโ€ฆ


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sharon wilson
An active participant in OT Circles - posting, commenting and/or sharing resources

OT Circles Engager

Moving and handling help required

Hi All. I've been working with a lady with Alzheimers who still sleeps in a double bed (alone) which is up against the wall and there is limited space. She has 2 carers who help with all transfers. She is still able to follow some direction but takes some time to process the requests. Getting into bed is fine, the issue is the morning. She turns 90 degrees and ends up horizontal in the bed overnight (head towards the wall and the feet by the edge of the bed where she get outs). Carers are struggling to get her to turn on the morning as she takes a long time to wake up. She also removes her pad overnight. Carers are now moving her doing gradual increments, which concerns me because of friction. Slide sheets are difficult to fit due to the overreaching and soiling. I'm concerned about wendy-letts asโ€ฆ

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Rupert Murray
Rupert Murray
Jun 30, 2019
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I agree that sleeping arrangements need to be reviewed. I think that fitting and removing any type of slide sheet with single sided care will result in an excessive amount of bending and reaching for carers - has a risk assessment been done regarding this? Carers would probably be within their right to decline to carry out bed transfers, due the risk and this is often where moving & handling regulations can clash with family/client wishes.


Double beds aren't great for moving & handling - their fixed height and the excessive amount of reach/bending/poor posture required, to provide personal care and assist with transfers would normally indicate a different type of bed to lower risk as far as is reasonably practicable.


If falling out of bed is the main concern of the family, then you could assess with the Accora Floorbed, with a cot side and breathable bumper on the wall side to prevent entrapment.

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