The Hoyer Lift is a revolutionary device in the field of care, designed to safely transfer patients with limited mobility. However, when used improperly, it can also lead to serious or even fatal accidents. Understanding the root causes of these accidents and strictly adhering to safety protocols is the only way to prevent tragedies and maximize the device’s protective role.

I. Common Accident Types and Severe Consequences

Patient Falls

Scenario: The patient slips out of the sling or the entire device tips over, causing the patient to fall heavily.Consequences: Fractures (especially of the hip and femur), head trauma, severe abrasions, and even death.

Patient Injuries

Skin Damage: Rough sling material, improper placement, or friction against the skin leads to skin tears or pressure sores.

Pinching Injuries: Fingers, arms, or body parts get caught in the device’s mechanical components (e.g., chains, hinges).

Sling-Related Injuries: The sling straps strangle the patient’s armpits or groin, or exert pressure on the neck.

Caregiver Injuries

Muscle Strains: Despite using the device, caregivers may still strain their backs or shoulders due to improper force application when adjusting the patient’s posture or trying to prevent the device from tipping over.

Crushing Injuries: Parts of the lift fall and hit the feet or body while moving or assembling the device.

II. In-Depth Analysis of the Root Causes of Accidents

1. Human Error and Lack of Training (Primary Cause)

Untrained Operation: Caregivers use the device based on intuition or brief instructions without receiving formal, hands-on training.

Incorrect Sling Selection and Application: Using slings of the wrong size or type, or applying them improperly, fails to provide adequate support for the patient.

Careless Operation: Transferring too quickly or unsteadily; failing to position the patient’s center of gravity directly below the boom arm.

2. Equipment Malfunction and Improper Maintenance

Lack of Routine Inspections: Failing to check before each use whether the sling is worn/tear, the chains/straps are damaged, or all locking devices are functional.

Using Damaged or Aged Equipment: Continuing to use the device when load-bearing components have cracks or severe rust.

Overloading: Subjecting the device to weight exceeding its rated maximum load capacity.

3. Environmental Risks

Insufficient Space: Operating in narrow spaces where the device’s casters hit obstacles, causing the lift to tip over.

Uneven Flooring: Using the device on uneven ground or thick, soft carpets, leading to instability.

Furniture Interference: Incompatible heights or structures of beds or chairs hinder smooth transfers.

III. Absolute Safety Guidelines: Golden Rules for Accident Prevention

1. Receive Professional Training (Non-Negotiable!)

Insist on on-site, hands-on training from occupational therapists, physical therapists, or qualified equipment suppliers. Do not rely solely on video tutorials.

2. Conduct Pre-Use Inspections Every Time

Sling: Check for damage and cracked seams.

Mechanical Components: For manual models, check if the hydraulic system is leaking oil; for electric models, ensure the motor operates normally; verify that chains/straps are intact.

Locking Devices: Ensure all safety latches function properly.

3. Select and Apply the Sling Correctly

Choose the right sling (e.g., full-back sling, U-shaped sling) based on the patient’s body type and transfer needs.

Ensure the sling is flat and wrinkle-free, with all straps properly secured to avoid strangling the patient’s sensitive areas.

The sling should provide even support from the patient’s back to thighs.

4. Safe Operating Procedures

Plan the Path: Clear all obstacles from the transfer route before starting.

Center the Gravity: Always ensure the patient’s center of gravity is directly above the device’s support base when in the sling.

Smooth and Slow: Operate the control lever or buttons in a smooth, slow manner.

Constant Supervision: Never leave the patient alone in the lifted sling.

Low-Height Movement: Keep the patient at a relatively low height when moving to enhance stability.

Effective Communication: Talk to the patient throughout the process, informing them of the next steps to ease their anxiety.

5. Environmental Preparation

Ensure the floor is flat, firm, and free of obstacles.

Adjust the height of the bed and chair to the most suitable position for transfer.

Lock the brakes of the bed and wheelchair.

IV. Special Warnings

Do not use the Hoyer Lift to lift patients from the floor. The device is designed for transfers between surfaces (e.g., bed, chair), not for lifting from the ground.

Do not use the lift as a scale to estimate the patient’s weight.

Conclusion

The Hoyer Lift itself is not a source of danger; danger arises from insufficient knowledge, carelessness, and inadequate preparation. Treating it as a precision lifting device rather than a simple "cart" is the first step in establishing a safety mindset. By investing in professional training, developing rigorous inspection habits, and following safe operating procedures, you can reduce the risk of accidents to zero. Remember, every safe transfer with this device is a success, and every act of taking chances is the start of a potential disaster. Using it safely is the most fundamental responsibility to the patient’s life and the caregiver’s own health.