Domiciliary Equipment Service Fact sheet Slings January 2013 What are Slings? Slings are used in conjunction with a hoist/lifter to support a client during a transfer. Slings come in a variety of sizes, with polyester or mesh fabric. Types of Slings Full Body Sling, Access/hygine, General Purpose sling as pictured. How do I use a sling? Detailed instructions of use should be given to the carer by a therapist at the time of issue. Instructions from a seated position 1. Prepare client ready for transfer. Ensure environment is clear of obstacles and equipment is close by and in good working order. 2. Partially lean the client forward, so that the sling can be slid down the back. Ensure client is stabilised during this step and will not fall forward. 3. Position centre of sling at centre of clients back, and as low as possible at bottom of spine, slightly tucking under buttocks. Alternately, lift clients legs and place leg strap under thigh area bringing loop straps up between legs. 4. Position hoist in front of client. 5. Attach upper sling loops to appropriate hook on lifting crossbar. (Client’s arms will be inside sling) 6. Cross leg straps over between legs, position loops on appropriate crossbar hook (to the opposite side of leg supported). Raise the client up slightly, so that the sling just takes clients weight but is not fully off seat. Check that sling is flat against the body, and that client is comfortable and safe. 7. Continue lifting to the required position. Instructions from a lying position (two carers are recommended) 1. Prepare client, environment and equipment ready for the transfer. 2. Roll client onto their side and stabilise. Check for latest e-version, as photocopies may be out of date: Released 05/02/2013 Phone: 1300 295 786 Fax: 1300 295 839 Email: equipment.feedback@dcsi.sa.gov.au Page 1 of 3 Domiciliary Equipment Service Slings Fact sheet 3. Bunch sling up longways and place slings midline in line with client’s spine. Ensure bottom of sling is level with clients sacrum. 4. Roll client onto their other side over the already half-placed sling and pull remaining part of sling through. 5. Return client onto their back. Sling should now be in place under the clients back with straps either side of them. 6. One at a time, position leg straps by bending the client’s knees and guiding the strap under the leg protecting the client’s skin with your hand on the inside of the sling. Ensure the straps are smooth and flat. Repeat on the other side. 7. Attach the upper sling loops. 8. Supporting the clients head, raise to a sitting position using the lifter. 9. Leg straps can now be positioned and client transferred as above procedure. Removing the sling At a seated position: 1. For removing the sling at a seated position, lower the cross bar. Unhook the legs strap loops from the lowered cross bar and bring the straps under the legs to the back of the client. 2. Hook up the legs strap loops onto the cross bar again. 3. With the legs strap loops and upper slings loops now connected to the crossbar, lift the crossbar using the electric control until the sling has cleared the client. At a lying position: 1. For removing the sling at a lying position, unhook all straps loops from the lowered crossbar. 2. Grasp one side of the sling and push it under the client as far as possible. To do this push sling down into the mattress – avoid pushing into the client and ensure all jewellery is taken off prior. 3. Roll client onto this same side (side without the sling showing) and stabilise. 4. You should now be able to safety pull the sling away from the bed without injuring the client. Things to remember For a laid back position (for transferring into bed) ensure that the leg straps are hooked onto the lifter using the shortest loop. For a seated position (for transferring into a chair) ensure that the leg straps are hooked onto the lifter using the longest loop. Check for latest e-version, as photocopies may be out of date: Released 05/02/2013 Phone: 1300 295 786 Fax: 1300 295 839 Email: equipment.feedback@dcsi.sa.gov.au Page 2 of 3 Domiciliary Equipment Service Slings Fact sheet To position client correctly in chair, (i.e. so their bottom is at the back of the chair) push through their knees from the front while lowering the lifter. Ensure crossbar does not come in contact with person being hoisted. Where possible, remove the sling from under the client after transfers, especially if wet or soiled. Precautions Beware of sling causing red pressure areas or skin abrasions. Try inserting a soft towel between the sling and the skin – contact your therapist if the problem persists. Avoid pulling the sling directly across the skin and dragging body parts across the bed when hoisting – this can lead to pressure sores developing overtime. Beware of any attachments eg, catheters, PEGs; when fitting sling. In the instance of weight change, ensure the sling is still appropriate ie. size, comfort and weight capacity. General Enquires & Contacts If you experience problems with your equipment and it has been hired for you by another agency, please call your service provider to report the problem. Alternatively you may call DOMICILIARY EQUIPMENT SERVICE Ph: 1300 295 786 or Fax: 1300 295 839 For Repairs & Maintenance: Ph: 1300 130 302 Check for latest e-version, as photocopies may be out of date: Released 05/02/2013 Phone: 1300 295 786 Fax: 1300 295 839 Email: equipment.feedback@dcsi.sa.gov.au Page 3 of 3