Staff Member Observed
___________________________________________
Date
_____________
VERA LIFT AND VERA LIFT II
Standing
Transfer Skills Observation Assessment
The resident must be able to stand erect and have no contraindications to being transferred with a
back belt with knees against the knee rest.
PROCEDURE - DID THE EMPLOYEE:
Have the required number of staff members present?
Select the correct size back belt?
Inspect the back belt and lift for damage and proper operation?
If DAMAGED, did the employee get another lift/belt and notify charge nurse?
Correctly position the back belt behind the resident
with back belt top at least 2 inches below
shoulder blades and
fasten safety belt
snuggly
?
Perform environment assessment
and remove objects that would impede operation of lift?
Lower the lifting frame
using the Pendant Switch
, open the base
all the way, and
position in
front of the resident
with feet on footrest and knees against kneepad
?
Properly lock brakes
?
Snuggly connect back belt loops
to lift arm hooks?
For single strap transfer
connect back
belt loops (without crossing) to lift arm hooks.
For double strap transfer
1) cross back belt
loops on one side of back belt through the loop closest to the back belt on the other side and
connect to the lift arm hooks, 2) connect the colored loops to the lift arm hooks straight (see
photograph), 3) fasten knee strap.
Double check the back belt attachment to the lift?
Lift the resident
to a comfortable position?
Unlock brakes and move the lift into position in front of bed/wheelchair/commode?
(1
person pushes lift, while other pulls on back belt handle)
Leave brakes unlocked and lower the lift
to seat the resident on the chair/bed/commode?
Remove the back belt loops
from the lift arm hooks
and unfasten knee strap
, if used?
Back the lift away
from the resident and
remove the back belt?
Make certain the resident is safe and comfortable
before leaving?
KNOWLEDGE – CAN THE EMPLOYEE:
Identify lifting capabilities
(maximum weight)?
Identify location and use of Emergency Stop Switch?
Identify location and use of E
mergency
Lower
ing
?
Identify location and use of Auxiliary Up/Down Switch?
Identify Low Battery Indicator light?
Demonstrate how to recharge battery?
Properly use the Scale attachment (if applicable)?
Demonstrate proper understanding of how to clean the back belt and lift?
Refer to Operator’s Manual for more detailed description of transfer technique.
Pass
Fail
Observations __________________________________________________________________
_____________________________________________________________________________
Observer’s Name _______________________________________________________________
Observer’s Signature ____________________________________________________________
November 2017
For your nearest distributor, call 1-800-694-4525
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