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When moving a patient, what should you always avoid doing?

Published in Patient Handling Safety 3 mins read

When moving a patient, you should always avoid turning or twisting your body and compensating when lifting with one hand. These actions can lead to serious injury for both the patient and the caregiver.

Critical Actions to Always Avoid When Moving a Patient

Patient handling requires meticulous attention to safety to prevent injuries to both the individual being moved and the healthcare provider. Ignoring proper body mechanics and techniques can result in muscle strains, back injuries, and even falls.

Never Turn or Twist

One of the most crucial rules in patient handling is to never turn or twist your body while lifting or moving a patient. Twisting places immense stress on the spine, particularly the lumbar region, making it highly susceptible to injury such as sprains, strains, or even herniated discs. Instead, pivot your feet and turn your entire body as a unit, maintaining a straight back.

Do Not Compensate When Lifting with One Hand

Attempting to lift or move a patient using only one hand, or compensating for an unbalanced load, is extremely dangerous. This often leads to:

  • Imbalance: The weight distribution becomes uneven, increasing the risk of dropping the patient.
  • Overexertion: The caregiver's body is forced to compensate, placing excessive strain on muscles and joints on one side.
  • Loss of Control: With insufficient support, it's easier to lose control of the patient's movement.

Always ensure you have a balanced grip and adequate support from all necessary team members or assistive devices.

Essential Practices for Safe Patient Movement

Beyond avoiding specific dangerous actions, adopting best practices is fundamental for safe patient handling. These practices minimize risk and optimize efficiency.

Best Practices vs. Avoidances

To illustrate proper patient movement, consider these comparisons:

Action Type What to Always Avoid What to Always Do
Body Mechanics Turning or twisting; Compensating with one hand Keep weight as close as possible to your body; Lift with your legs
Ergonomics Reaching excessively; Bending at the waist Maintain a wide base of support; Use proper alignment
Equipment Use Forgetting to use assistive devices; Rushing through transfer Use mechanical lifts, sliding boards, or stair chairs when possible
Teamwork Attempting heavy lifts alone Coordinate with team members; Use clear communication

Keeping Weight Close to Your Body

When lifting a patient, keeping their weight as close as possible to your body's center of gravity significantly reduces the strain on your back and arms. This principle leverages your body's natural strength and stability, making the lift more controlled and safer. The further the weight is from your body, the greater the leverage against you, increasing the risk of muscle strain.

Utilizing Assistive Devices

Especially when moving patients on stairs, utilizing a stair chair whenever possible is a critical safety measure. Specialized equipment like stair chairs, stretchers, sliding boards, and mechanical lifts are designed to distribute weight, reduce manual effort, and enhance stability, thereby preventing injuries during transfers. For more comprehensive guidelines on safe patient handling, refer to resources like those provided by the Occupational Safety and Health Administration (OSHA) on safe patient handling programs.

Why Proper Technique Matters

Improper patient movement techniques are a leading cause of musculoskeletal injuries among healthcare workers and can also result in discomfort or injury for the patient. Adhering to strict safety protocols and utilizing appropriate equipment and techniques ensures that patients are moved securely and comfortably, while caregivers remain safe from preventable injuries. Prioritizing training and continuous education in safe patient handling is vital for all involved in patient care.