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Ashc  
#1 Posted : 08 September 2010 22:38:28(UTC)
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Ashc

I have been asked by a friend who works for a patient transport service if there is a maximum weight of a patient that would be reasonable for a single operative to push in a wheelchair on and off an ambulance. I know there are location, environment, individual limitations etc that will apply but was wondering if any colleagues in Healthcare settings use a rule of thumb maximum patient weight limits for wheelchair transporting activities?
Ron Hunter  
#2 Posted : 08 September 2010 23:22:11(UTC)
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Ron Hunter

teh_boy  
#3 Posted : 09 September 2010 08:43:22(UTC)
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teh_boy

quote=Ashc]I have been asked by a friend who works for a patient transport service if there is a maximum weight of a patient that would be reasonable for a single operative to push in a wheelchair on and off an ambulance. I know there are location, environment, individual limitations etc that will apply but was wondering if any colleagues in Healthcare settings use a rule of thumb maximum patient weight limits for wheelchair transporting activities?
I think you hit the nail on the head and answer your own question. On a nice shinny hospital floor (with a nice down hill slope :) ) things will be different from across a gravel car park. I know that doesn't really help answer your question, I will look into this and try and find out if the NHS or ST John Ambulance have guidance. From my patient handling training I don't recall any limits or guidelines even being mentioned,
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#4 Posted : 09 September 2010 10:07:55(UTC)
Rank: Super forum user
Ian.Blenkharn

I would hope that they would be bright enough to work it out for themselves, applying some degree of common sense. After all, how else are they do deal with this? There is perhaps no justification to ask a patient their weight, either before routine patient transport or in more urgent circumstances, and no opportunity to weight them. Asking may be considered obtrusive, and if you were to get an answer would you accept it as being correct? Has it really come to this?
David Bannister  
#5 Posted : 09 September 2010 10:40:54(UTC)
Rank: Super forum user
David Bannister

Ian, a sensible answer I think. I would also hope that the training would include this subject and how to reach a valid judgement in each case.
Ron Hunter  
#6 Posted : 09 September 2010 12:58:33(UTC)
Rank: Super forum user
Ron Hunter

The truth of the matter is that yes, it has come to this - thus the requirement for bariatric ambulances and equipment. Where the person calling 999 doesn't advise that the IP is obese (or whatever the PC term is) then they will be at increased risk. See the links I posted above.
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#7 Posted : 09 September 2010 13:32:43(UTC)
Rank: Super forum user
Ian.Blenkharn

No Ron, you have got the wrong end of the stick. My point does not relate to the growing obesity epidemic, but to those who might need the weight of a patient in order to know that he or sahe is too heavy to move without assistance, and ever more so up or down stairs, over rough ground, etc etc. Do not focus only on the patient. Remember the conditions in which the individual is to be moved, and the abilty of the staff who might need to give some thought to the problem and work it out for themselves. It is the fact that perhaps some do not believe that the latter is a reasonable skill required of ambulance staff that makes me sigh heavily. So, to put it another way for you, have we really come to the time when ambulance staff cannot look at a patient, assess their weight and the tools they have available, the requirements of any lift and the conditions that may affect safe lifting, and then deal with it safely?
Bob Shillabeer  
#8 Posted : 09 September 2010 14:39:53(UTC)
Rank: Super forum user
Bob Shillabeer

The point hear is the person assisting someone needs to understand his own ability. If he considers assistance is needed to manage somone who is too heavy he should get assistance before he injures himself. The weight of the casualty is secondary it is the knowledge of the person moving the patient that should be strengthened (sorry pun not intended).
Ron Hunter  
#9 Posted : 09 September 2010 15:39:16(UTC)
Rank: Super forum user
Ron Hunter

Got you now Ian. Of course "dealing with it safely" (within the limitations of the people and kit avialable) could mean......not doing it? (with reference to the kind of incident in that hyperlink above). Then there are the other pressures: what I believe I can safely do -v- what I am told I must do.
Bob Shillabeer  
#10 Posted : 09 September 2010 16:15:24(UTC)
Rank: Super forum user
Bob Shillabeer

Ron be very careful there are some instances where refusing to do it means letting the patient down, leaving him isolated and that would be most unprofessional. The important thing is to recognise when assistance is required and arranging it before you put yourself at risk or even the patient. Don't simply refuse to do it ask for help.
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#11 Posted : 09 September 2010 18:56:52(UTC)
Rank: Super forum user
Ian.Blenkharn

Ron It does not mean 'not doing it'. If you were to take that stance, or encourage others to do so, you would almost certainly and quite reasonably should be heading for robust professional and regulatory sanction, dismissal and public disapprobation, if not vilification. How about dealing with it, if necessary, be seeking appropriate assistance? Is that what you meant? Ian
Ron Hunter  
#12 Posted : 09 September 2010 23:21:33(UTC)
Rank: Super forum user
Ron Hunter

So, in the context of the original post, single-manned patient transfer service (common approach), ambulance already having some clients inside, at next client's house and confronted with someone I can't shift on my own, everyone wants to get to the day centre, some need the toilet already, others with behavioural problems starting to kick-off etc. etc. What next?
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