Applying a Sling

Goal: The arm is immobilized, and the patient maintains muscle strength and joint range of motion.

1. Review the medical record and nursing plan of care to determine the need for the use of a sling.

2. Perform hand hygiene. Put on PPE, as indicated.

3. Identify the patient. Explain the procedure to the patient.

4. Close curtains around bed and close the door to the room, if possible. Place the bed at an appropriate and comfortable working height, if necessary.

5. Assist the patient to a sitting position. Place the patient’s forearm across the chest with the elbow flexed and the palm against the chest. Measure the sleeve length, if indicated.

6. Enclose the arm in the sling, making sure the elbow fits into the corner of the fabric. Run the strap up the patient’s back and across the shoulder opposite the injury, then down the chest to the fastener on the end of the sling.

7. Place the ABD pad under the strap, between the strap and the patient’s neck. Ensure that the sling and forearm are slightly elevated and at a right angle to the body.

8. Place the bed in the lowest position, with the side rails up. Make sure the call bell and other necessary items are within easy reach.

9. Remove PPE, if used. Perform hand hygiene.

10. Check the patient’s level of comfort, arm positioning, and neurovascular status of the affected limb every 4 hours or according to facility policy. Assess the axillary and cervical skin frequently for irritation or breakdown.