Hoyer Observation

• Name of Employee:

• Location

• Conducted on

  Date

• Prepared by: K. Thomas

• Sent to:

• Selects proper size and type of sling.

  Yes

  No

  N/A

• Sling and lift inspected prior to use.

  Yes

  No

  N/A

• Informs the person served who they are and what they are going to do, and communicates the lift procedure to the person served

  Yes

  No

  N/A

• The height of the bed is adjusted to an appropriate level, if transferring from bed.

  Yes

  No

  N/A

• Uses proper techniques for sling placement.

  Yes

  No

  N/A

• Secures wheelchair from movement, if applicable.

  Yes

  No

  N/A

• Opens the base of the lift to its widest point.

  Yes

  No

  N/A

• Positions lift with spreader bar directly over person served. Lowers lift for sling attachment without striking person.

  Yes

  No

  N/A

• Hooks loops onto spreader bar for appropriate transfer positioning

  Yes

  No

  N/A

• Raises person while visualizing sling is in proper position and only high enough to move the person easily and safely.

  Yes

  No

  N/A

• Demonstrates proper techniques for maneuvering lift (good body mechanics, clear path, avoid twisting).

  Yes

  No

  N/A

• Demonstrates proper techniques for lowering to bed or chair.

  Yes

  No

  N/A

• Demonstrates proper techniques for removing sling from bed or chair.

  Yes

  No

  N/A

• If answered No to any of the above questions, please provide details.

PASS/FAIL

• Can the employee safely transfer persons served using the total body lift?

  Pass

  Fail

  N/A

• If "Fail", please provide recommendations