If the patient weighs over 200# or is uncooperative, 3 or more caregivers are needed for repositioning tasks.4 When the spine is subjected to unexpected, prolonged, or excessive stress it increases the likelihood of future staff injury from relatively minor stressors.8 The more mobility-dependent the patient is, the greater the risk for injury for those providing the care. Additionally, obese patients puts workers at risk for injuries during repositioning and nursing care activities that assist patients in meeting their daily activity needs, such as hygiene, bathing, ambulation, and dressing changes.13 When a patient lifting, moving , or repositioning task requires staff to lift over 35 pounds the patient should be fully dependent and assistive devices should be used.1 A trapeze can be attached to the bed for patients who have upper body strength, control over extremities, and are able to cooperate and follow instructions.22 Trendelenburg position can be used to make repositioning easier if not contraindicated; make sure mattress is firm to ease resistance.
1, 4, 8, 13 Footnotes found in the Scoring & Algorithms for Safe Patient Handling & Mobility