Manual Handling for Residential Care Staff

Safer moving and handling of people, equipment and everyday loads in adult social care

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Using equipment safely: hoists, slings, slide sheets and transfer aids

Older person seated on a shower chair in an accessible bathroom

HSE lists many types of moving and handling equipment used in health and social care, including hoists, slings, slide sheets, transfer boards, turntables, electric profiling beds, wheelchairs, lifting cushions, shower and bath aids, bed levers and bariatric equipment. Choosing the right equipment follows assessment of the person's needs and the task to be done.

Introduce equipment only after assessment and use it according to the moving and handling plan and the manufacturer's instructions. Staff must know which device is for which task, which sling or accessory goes with it, and what local pre-use checks are needed.

Key safe-use points

  • Use the specified equipment: do not swap to a different device or sling unless the plan or a competent review confirms it is safe.
  • Check size and fit: the wrong sling size or type can leave a person unsupported or at risk of slipping.
  • Check compatibility: hoists and slings are not automatically interchangeable between manufacturers or models.
  • Follow the plan on staffing: although some hoists can be operated by one person, many hoisting tasks require two staff for the person and environment involved.
  • Never leave a person unattended in a hoist: or in any unstable transfer position.
  • Remember limits of aids: handling belts may help a person stand or steady themselves, but they are not lifting devices.
  • Report defects immediately: frayed straps, missing clips, damaged brakes, flat batteries, cracked plastic, unreadable labels or overdue checks require local action.

Hoisting from Bed to Chair Return

Video: 5m 40s · Creator: ouhnhs. YouTube Standard Licence.

This Oxford University Hospitals video demonstrates a hoist transfer from bed to chair. It shows using a slide sheet to position the sling, feeding the leg straps through, crossing the straps, removing the slide sheet and sitting the patient upright before bringing in the hoist.

The demonstration positions the spreader bar just below the patient's jaw line, brings the hoist in at an angle to avoid overreaching, attaches shoulder and leg straps, lowers the bed to help bring the patient into a sitting position, then raises and guides the patient away from the bed. The base is widened before the person is lowered into the chair, with attention to head protection and wheelchair foot plates where relevant.

The video also briefly shows the angle of a hoist for a floor-hoisting situation. Its description states that these techniques were produced for clinical staff during the Covid-19 pandemic and should not be carried out without prior training and competence assessment.

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Scenario

The correct sling for a resident is missing from the storage area. Another sling is available and looks only slightly larger. A colleague says, "It will be fine for one transfer because the resident is only going from bed to chair."

Why is that unsafe reasoning?

 

The right equipment reduces risk only when it is the right device, the right size, available at the right time, and used exactly as the plan and instructions require.

Ask Dr. Aiden


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