The nurse wants to transfer a patient from the bed to the chair by using a mechanical lift. The patient has difficulty following directions, and the nurse cannot find help. Which is the most im-portant action for the nurse to implement?
a. Assure the patient that the lift is safe.
b. Use two safety chains on a canvas sling.
c. Delay the transfer until help is found.
d. Double-check the wheel locks on the lift.
C
To maneuver the patient safely with a mechanical lift, the nurse must find an assistant to help on the opposite side of the bed and help hold the chair as the nurse lowers the patient onto it. Whenever a patient has difficulty comprehending or following directions, additional help needs to be obtained. Reassuring the patient about the safety of the lift is appropriate but is less impor-tant than ensuring his or her safety on the lift. The chains attach to the sling, providing a strong bond between the lift and the sling, but they are not specifically designated as safety devices. Double-checking the wheel locks on the lift is important to patient safety, but the nurse should not even begin this transfer until an assistant is available.
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