One Liners issue 52 - October 2007

Washed out..
Inappropriate laundering has weakened the sling and fastenings to the hoist with the sling subsequently failing and the occupant falling when being lifted.

• Hoist slings should be laundered in accordance with the manufacturer’s instructions and ‘single patient use’ slings should not be laundered and reused at all.

Unexpectedly let down…
Using an unchecked sling has lead to the occupant falling from the sling during lifting.

• Slings and their clips should be checked before each use. Where signs of splitting fabric, fraying and any other damage to the material or fixings is found, they must be removed from use.

Don't forget LOLER…
Hoists and slings that have not been regularly inspected have caused injuries following failure in use.

• Hoist and slings require a 6 monthly (LOLER) ‘Lifting Operations and Lifting Equipment Regulations 1998’ inspection carried out by a competent person to check their condition and to verify they are fit for use. Ensure all yours are regularly inspected.

Size Matters!!
Occupants have been injured due to falling through apertures or out of slings that were too big for them.

• Slings and hoists come in a wide range of sizes and types. Select a sling and a hoist that suits the occupant to remove the risk of falls in use.

Hide and Seek !!!
Manufacturers have recalled or planned updates for hoists following problems in use. Subsequently the recall/update has not been successfully carried out across all units.

• If you are not able to find a hoist or sling when a manufacturer or MHRA warns you of a fault, you are at increased liability if subsequent injuries occur in use. Ensure that you have records for the traceability of every hoist and sling.

Hoistile !!!
Lack of maintenance or using a hoist past its life cycle has lead to failures in use injuring the occupant or a carer. In addition to LOLER inspections, hoists require regular maintenance throughout their lifetime in accordance with the manufacturer’s instructions. This includes the necessary replacement of worn parts such as pivot pins or actuators.

• Using a badly maintained hoist or faulty sling may lead to failure in use.

Adverse incidents should be reported at the earliest opportunity. We prefer to receive reports via the online reporting system on our website www.mhra.gov.uk
You may also use this online system to send an e-mail copy of your report to your medical device liaison officer.
We also have an adverse incident hotline: 020 7084 3080. You can find detailed reporting guidance on our website.