🚽 Toileting Sling Application and Mechanical Lift Transfer
In this video, the caregiver will learn how to properly apply a Toileting Sling and what client positioning looks like once lifted with a mechanical lift. This sling can be applied in the bed or in a seated position. It is used for transfers to a bedside commode (or commode if space permits) and improves access for clothing adjustment before and after toileting.
Ideal Candidate and Safety Checks
(1) Usage: A mechanical lift should be considered to transfer individuals who are unable to bear weight through their legs and/or are unable to assist with the transfer.
(2) Client Control: The client should have good head, neck, and trunk control when using a Toileting Sling.
(3) Assessment: Be sure to assess the client’s needs for the appropriate sling type and their ability to cooperate/follow instructions during the transfer for safety.
Things to Consider:
(1) Clearance: Ensure the clearance and space beneath the bed are adequate for lift positioning.
(2) Base Position: The lift base must be in its widest position before lifting. (3) Weight Limits: Always know the weight limit of the lift and the sling. Never exceed the lowest weight limit of the two. Example: If the sling limit is 450 lbs and the lift limit is 500 lbs, the individual cannot weigh more than 450 lbs.
(4) Condition Check: Always ensure both the lift and the sling are in good working condition before use. Do not use a sling that is torn or fraying.
Sling Placement
*Allow the loved one to do as much as possible. Assist them into sitting at the side of the bed. Raise the bed as needed to improve your body mechanics.
(1) Position: Place the sling around the back of the client. The tags of the sling should be facing away from the client.
(2) Height: The bottom edge of the sling is positioned in the area of the client’s tailbone, with the upper edge/belt around waist level.
(3) Inner Belt: Fasten the inner belt to a snug fit (check for stomach/abdominal issues).
(4) Arms: Bring each side of the sling around to the front, ensuring the client’s arms are on the outside of the sling.
(5) Leg Straps: Bring each leg strap beneath each thigh, approximately 3–4 inches above the back of the knees.
Preparing and Performing the Lift
(1) Lift Position: Position the mechanical lift, ensuring the base is widened. Make sure the swivel bar does not come into contact with the client.
(2) Strap Attachment: Use the color-coded loops (or marked tape) to make sure you attach both upper straps at the same length and both lower straps at the same length.
(3) Leg Straps: Criss-cross the leg straps by looping one through the other before attaching them at the correct color-coded loops on the swivel bar.
(4) Inform Client: Always inform the individual of what to expect/what you are doing.
(5) Brakes: DO NOT apply the mechanical lift brakes during the lift (it must move to find the center of gravity).
(6) Client Position: Base is widest. The client’s hands/arms should be outside the sling.
(7) Valve & Lift: Make sure the pump valve is closed (clockwise). Use the pump handle to begin lifting. Continue to monitor attachments.
(8) Clearance: Raise just until the individual’s bottom has cleared the bed. Lower the bed to prevent having to lift your loved one any higher than necessary.
Toileting and Reapplication
(1) Clothing Access: Once lifted, the Toileting Sling allows access to the client’s clothing for removal down to the back of the thighs.
(2) Commode: Once the client is positioned on the bedside commode, there is the option of removing the sling for further clothing adjustment/comfort as needed.
(3) Reapplying for Transfer: When reapplying the sling for transfer off the commode, make sure to pull the client’s pants up on the back of the thighs as far as possible, applying the leg straps of the sling below the area of the gathered clothing.
Disclaimer: The content included in the video and comment section is provided for general informational purposes only. Equipment and individual circumstances will vary. Always refer to and review the equipment manual for specific details on use and safety of your piece of medical equipment. Please consult with a local Physical or Occupational Therapist regarding your particular circumstances and use of medical equipment. This video is for informational purposes only.
