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Premier Lifting Sling 7 RUSE STREET, OSBORNE PARK, WESTERN AUSTRALIA, 6017 PHONE: FAX: WEB: This is only a guide and individual State Laws must be applied if contrary to this guide. Quality Endorsed Company ISO 9001:2008 Reg QEC5255 S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 1 Before using a sling and hoist all staff should have training from a qualified trainer. This training should be ongoing to keep staff up to date with any changes and to refresh their memory on the importance of hoisting correctly. DRAFT This training is to protect the staff from manual handling injury and to give the patient the safest and correct method for their individual requirements.
Choose the most suitable sling material for the reason you are lifting a patient. The most popular slings are made from a nylon or polyester material. The polyester material is softer to touch, like a cotton feel, compared to the nylon, but the nylon is easier to tuck down behind the patients and under their legs, as it will slide better. The popular white colour will show dirt, and this is a good feature as any dirt seen on a sling means it should be washed. Dirt on coloured slings may not stand out and could spread infection. If the sling is to be used for showering, washing, bathing, or going into a pool or spa, the mesh or netting material is better. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 White Nylon Blue Polyester Maroon Polyester White Netting (Pale blue background) Blue Mesh (White background) The benefit of using the Blue Mesh and White Netting is because these materials are ventilated and water will drain away when lifting the patient out of the bath. The blue Mesh is thinner than the white Netting and it has smaller ventilation holes. When washing a patient it is possible to ‘pat dry’ them through the larger holes in the white netting material. Pelican Manufacturing © Page. 2
If the hoist has a ‘Tilt Frame’ with keyhole plate attachments then only slings that have keyhole plates can be used on this type of hoist. Keyhole plate slings only to be used with ‘Tilt Frame’ Style Hoists Slings with loops only to be used with ‘Coathanger Yoke’ Style Hoists Check the hoist you will be using to see if it has a conventional ‘Coathanger’ with hooks. This hoist can only be used with slings that have webbing loops. The webbing loops have different sections to enable more accurate sizing for patient comfort, so the correct loop can be put on the hook. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Never use a webbing sling on a keyhole plate hoist and never use a keyhole plate sling on a hoist with a ‘Coathanger’ with lifting loops. Pelican Manufacturing © Page. 3 This is a T.G.A. requirement
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 4
Is the patient a single or double amputee? Have they lost an arm or both arms? Do they need head support? Will they be lifted in a sitting position, semi-reclined or fully reclined? Do they mind if the sling leg sections are placed between their legs, as some ladies may object to this? Do they have the mental ability to comply when they are lifted and is their muscle tone strong enough to support their upper body? S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 The size and physique of the patient is important to determine if they can withstand pressure under the legs. Pelican Manufacturing © Page. 5
Measuring for a Full Body Sling: As a guide only, measure from coccyx to head, then from outside the shoulder to shoulder going around the patient’s back and outside hip to hip going around the patient’s buttocks. Compare the patient's measurements to the dimensions given on the Instruction Sheet for the different slings. The measurements of the sling should be greater than the measurements of the patient, so the patient will have sufficient material on either side of them when being lifted. Measuring for a Sitting Sling: The Bosun Chair Sling, Bodex Sling and the Access Slings are more like wide bands that go around the waist, so therefore measure the waist measurement to select the right size. This also applies to Walking Slings. The Bosun Sling has optional side straps that can be used to help prevent patients leaning sideways when being lifted. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 6 Always check the sling size with a health care professional Hoists and slings should be prescribed by a health care professional
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 This illustration indicates approximately where the back edge of the sling will be, when fitting the different Pelican Slings. Note: As the patient is being lifted they will sink lower into the sling, so the edge will ride up a bit. Sitting Slings Bosun Chair Sling Bosun Chair Sling with Full Back Bodex Sling Access Sling RPH Keyhole Access Sling Full Body Slings Premier Sling Dex Sling with Loops Single Patient Use, Disposable Sling General Purpose Sling RPH Keyhole Dex Sling RPH Keyhole Double Amputee Sling Hammock Slings are fitted by ‘log rolling’ patients when they are in bed. With smaller patients it may be possible to do a ‘sitting tilt’ to fit the sling under the patient while they are in a chair. Hammock with Hole Sling. The toileting hole is positioned appropriately under the bottom. The Hammock Sling with Chair Pad does not have a toileting hole Hammock Slings Walking Sling Pelican Manufacturing © Page. 7
Check the measurements on the Instruction Sheet to compare with patient's size. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 PHOTO OF INEKE ON CHAIR WITH SMALL CHILDS, MEDIUM and EXTRA LARGE HEAVY DUTY Small Child Sling Obviously too small Medium Sling Just right Extra Large, Heavy Duty Sling Obviously too big Medium Just right Extra Large, Heavy Duty Sling Is too big for a smaller patient Measuring when lying down Note: The leg webbing on one side is threaded through the opposite leg webbing Head Section Below Shoulders If the patient needs a special size or modification, then contact Pelican Manufacturing to discuss this. Examples of Different Sizes of the Premier Sling Pelican Manufacturing © Page. 8
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Will it be easy to remove the sling after the patient has been transferred? Good practice is to always remove the sling from under a patient. The main reasons are for pressure care and dignity. However this may put the patient in pain or discomfort when removing the sling and refitting it again the next time they are going to be lifted. If this is the case, then a Hammock with Chair Pad Sling that can be left under the patient may be more comfortable with less perspiration than a normal sling. The Chair Pad is made from special material that will 'wick‘ perspiration away from the body into the foam pad to evaporate. This is very beneficial when the patient is sitting in a vinyl covered chair. These slings have special non-slip material on the outside to prevent the material from slipping under the patient. Hammock Sling with Chair Pad If the patients have wheelchairs with side trunk supports, bolsters, etc., then the design of the Bosun Chair Sling with thinner leg padding may be better, as this is easier to fit to the patient when the supports are being used. Non-Slip Backing Breathable Chair Pad Alternatively a netting or mesh sling may be more comfortable and cooler than a normal sling Pelican Manufacturing © Page. 9
The Bosun Chair Sling, the Bosun Chair Sling with Full Back, the Access Sling and the Bodex Sling do not tuck down to the coccyx area as the back of the sling is fitted around the waist area. This is to allow access for hygiene purposes to remove the patient’s lower clothing, to undress, toilet and wash them. It is also possible to dress the patients after they have been washed and dried. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Bosun Chair Sling with Full Back Support Bosun Chair Sling Outside View Access Sling Inside View Access Sling Starting to undress in Access Sling Pelican Manufacturing © Page. 10
The sling leg section is placed through the middle of the Leg Shearing Sleeve, so any movement of the sling leg section while lifting will take place inside the Sleeve and not next to the patient’s skin. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Some patients may get shearing or friction marks under their thighs when they are being lifted. The main reason for this is that as their weight is taken by the sling their body will slip in the material until they are fully airborne. The leg section is constantly rubbing under the thighs every time they are lifted and this can damage frail skin. Even padded leg sections will not stop this from happening, as the actual material is moving. Leg Shearing Sleeves Item #564 Leg Shearing Sleeves in Use To help overcome this Pelican Manufacturing make padded Leg Shearing Sleeves. Pelican Manufacturing © Page. 11
Access Sling with Safety Strap Double Lifting Bands with Safety Strap The Double Lifting Bands may still be requested by someone aged around 40 years old, who had an accident 20 years ago and was issued some Double Lifting Bands. The original Bands are getting old and need replacing. As the patients have good mental and upper body support, they will insist on replacing the Bands with something they are used to and they will not accept using a sling. These were popular in the 1980’s as they are very easy to fit to a patient. However they are not suitable for many elderly people as the patient may buckle at the knees and slip out of the Bands. Now in the 2000’s the more modern Access Sling and Bosun Chair Sling are similar to the Double lifting Bands, but safer for the patient. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 12
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 It is very important to inspect every sling prior to use. It is easy for slings to be damaged when in the wash or snagged when in use. Look for fraying in the webbing loops and the edges of the material and in the actual material itself. If you are not sure the sling is safe, it should be withdrawn from service and reported to Pelican Manufacturing. The snagging can happen in a washing machine or sometimes when lifting someone out of a wheelchair. There may be a small burr somewhere on the wheelchair / commode and when the sling is being fitted around the patient, the material may snag on the burr. This may not be noticed at the time of fitting, but after the hoist starts to lift the patient, enormous pressure is placed on the sling. If the sling is used on several wheelchairs or commodes, they all may need checking to find the burr. Example of badly frayed sling Example of damaged stitching The snagging can happen in a washing machine or sometimes when lifting someone out of a wheelchair. There may be a small burr somewhere on the wheelchair or commode and the material may snag on the burr. This may not be noticed at the time of fitting, but after the hoist starts to lift the patient, enormous pressure is placed on the sling and that’s when It may catch on the burr. If the sling is used on several wheelchairs or commodes, they may all need checking to find the burr. Pelican Manufacturing © Page. 13
Sharp Join When the snag is made, a thread of the sling material may be broken or cut and as the sling is being lifted the thread will ‘run’ like in nylon stockings. One or two broken threads will not weaken the strong material, but this gives an early warning that something is wrong. Depending on the damage, this can be repaired by Pelican Manufacturing. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Some hoist manufacturers have a padded plastic type of cover over the Example of frayed stitching Unfortunately it is difficult to detect a crack before lifting Crack in plastic With worn down edges the clip can slip off the stud Sometimes the webbing loops can start fraying and this also may be due to a burr in the lifting hook itself. If you notice this, very gently feel the length of the hooks to see if there is a burr or a rough section. If you have more than one hoist, you may need to check all of the hoists to find the rough hook. Any sharp burrs should be carefully filed down to make the hook smooth. Broken Keyhole Plate Sometimes the webbing loops can fray and this also may be due to a burr in the lifting hook itself. If you notice this, very gently feel the length of the hooks to see if there is a burr or a rough section. If you have more than one hoist, they may all need checking to find the rough hook. Any sharp burrs should be carefully filed down to make the hook smooth. steel spreader bar. Where the front and back of the plastic have been welded together, there may be a very sharp join and the webbing may rub next to this when fitting or removing the loop. Pelican Manufacturing © Page. 14
Read the instructions and the label on the sling Check the size Check the Safe Working Load (S.W.L.) and make sure the hoist is in good condition Check the fitting method, webbing loops or keyhole plates Check the sling is clean Check the stitching, webbing or keyhole plates to make sure they are not worn or damaged Pay particular attention that single patient use/disposable slings are still serviceable Check the Safe Working Load on the hoist and make sure the hoist is in good condition Remember your training instructor may change some of our recommendations If you have any doubts on the condition of the sling or if you think the sling is not suitable for the patient’s current condition, report this to your supervisor. Sizing Chart S.W.L and Hoist compatibility Suggested fitting methods Label sewn onto Premier Lifting Sling but also refer to the printed Instruction Sheet for more information S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 15
There have been many reports of accidents from around the world when patients have fallen from this type of sling. The most common cause of these accidents is when the keyhole plate has worn down and no longer clicks into place. As the patient is being lifted, a keyhole plate has dislodged off the lifting frame and the patient has fallen. Staff have been injured when trying to stop the patient from falling, and sometimes the patients have died after the accident. S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Always check all keyhole plates are correctly fitted before lifting. Other accidents have been when an actual keyhole plate has broken during a lift. All Pelican Keyhole Plate Slings have a special safety strap fitted to the sling, so if either of the two types of accidents mentioned above occur, the patient will only drop a few inches/centimetres. Safety Strap RPH Keyhole Dex Sling Loop to lift keyhole plate ON and OFF stud Pelican Manufacturing © Page. 16
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Before fully lifting any patient, always make sure the length of the webbing is evenly placed and correctly fitted on all hooks, so the patient is lifted straight up from a chair and not tilted to one side. However there may be some special patients, who perhaps have had a stroke and have a pronounced lean to one side, so your trainer may suggest making the webbing shorter on that side to help prevent the patient leaning sideways when they are being lifted. Always keep the patient under observation when lifting and never lift a patient any higher or for longer than necessary. We stress the importance of having training by a qualified trainer and to consult them if you have any problems with any patient. Coathanger with hooks Do not use a hoist instead of a wheelchair. Hoists should only be used to lift and lower patients or turn them when getting them in and out of bed. Do not wheel patients a long distance in a hoist. Picking up from floor: The Bosun Sling Side Straps Item #565S can be lassoed on to the Head/Shoulder webbing to extend these if the hoist will not lower enough. Pelican Manufacturing © Page. 17
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 18
S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 Pelican Manufacturing © Page. 19
For more help contact: 7 RUSE STREET, OSBORNE PARK, WESTERN AUSTRALIA, 6017 See more items for Patient Safety, Dignity, Manual Handling, etc., on our web page: For automatic updates on new products S:\documents\Presentation\Sling Selection Presentation\Sling Selection 17/12/09 PHONE: FAX: WEB: Pelican Manufacturing © Page. 20 General Purpose Sling
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