Moving and positioning clients

Prior to moving, handling and positioning of any clients, a movement and bhandling risk assessment should be undertaken (see above) to fulfil the Health and Safety Regulations concerning the manual handling of loads. The Manual Handling Operations Regulations (1992) state that when hazardous manual handling tasks cannot be eliminated, a ‘suitable and sufficient’ written assessment should be undertaken.

In addition to undertaking a risk assessment, the handler/s should:
• follow safe principles of manual handling
• follow safe systems of practice, in accordance with training
• follow the written movement and handling risk assessment or reassess
• take care of self and colleagues’ health and safety
• fully utilize appropriate equipment and moving aids provided.

When moving and positioning clients, ask the following:
• Does the move need to be undertaken – why are you undertaking the manoeuvre?
• Is there a documented movement and handling assessment and is this current or in need of updating?
• Can the client help with the manoeuvre, or undertake the manoeuvre with supervision?
• What equipment is available to help with this manoeuvre with this client and is the equipment working?
• Are the handlers trained to use the available equipment?
• Are there enough handlers available to undertake an identified manoeuvre and to use the available equipment as trained?
• What risks will the manoeuvre present?
• Which technique should be used?
• What client position are we aiming to achieve? (See Figures 2.3a–g.)
Selection of position should be based on client preference, client’s condition and nursing needs.

Having asked these questions, remember the following:
• Use clear and concise communication with all handlers and the client to ensure a co-ordinated movement where all those involved are aware of their responsibilities.
• Prepare the environment, ensuring there is enough space to safely perform the manoeuvre. This may include having to move unnecessary pieces of equipment or furnishings.

Having undertaken all of this, implement the manoeuvre if safe to do so. Always check that the client is comfortable and safe following any movement and handling procedure.