Joerns Healthcare Oxford Quickfit Sling User manual

Redefining patient handling
Joerns
Healthcare
Sling Guide

Introduction 3
Oxford Sling Models 4
FIM Scoring 7
Oxford Slings Feature 8
Sling Accessories 10
Cradle Options 10
Range of Sizes 12
Weight Capacity 12
Identication Label 13
User Guide 13
Sling Safety Information 13
Size & Weight Range Guide 14
Other Considerations for Slings 14
Special Slings 15
Sling Prescription Sheets 15
Sling Support Levels and Commode Apertures 16
Selecting the Best Type of Sling 17
Information About Other Equipment 18
Sling & Lift Selection Chart 18
Clinical Support/Advice 19
Moving and Handling Training 19
About Joerns Healthcare 19
Contents
2

Oxford
Slings
A sling is an item of moving and handling equipment that is used with a mechanical lift in order to facilitate the
transfer of a patient. A sling comprises a specially designed and constructed piece of fabric that is placed under
and around a patient before being attached to the cradle/spreader bar of a lift to raise, transfer and lower the patient.
When selected and used correctly, a sling and lift will achieve a safer transfer, reducing the risks associated
with manual handling.
Introduction
3

The Oxford range of slings has been designed with a number of features aimed at meeting varied lifting requirements
and applications. Each sling is described briey below. Note FIM scores have been provided as an assessment tool to
classify a person’s function from independence to total assistance in 7 levels. See page 7 for classications details.
Quickfit/Universal Sling (Spreader Bar: 6 Point)
This sling is an easy-to-t, general-purpose sling designed to suit 85% of patients.
It is simple to use and is available in sizes XS to XL.
FIM Scores: 1 and 2 and any other person from the oor
Quickfit Deluxe Sling (Spreader Bar: 6 Point)
This sling is a development of the Quickfit design and is suitable for 95% of
patients. It can be used for amputees following assessment, and is available
in sizes XS to XL.
FIM Scores: 1 and 2 and any other person from the oor
Access/Toileting Sling (Spreader Bar: 6 Point)
This sling is designed specically to facilitate the toileting procedure by allowing
the removal of clothing. It is NOT a general-purpose sling and will suit only 25% of
patients. Patients must be in a sitting position to use this sling.
FIM Scores: 2 or 3 following careful assessment
An assessment MUST be carried out when using the access sling as it can be unsafe when used on the
wrong patient.
Long Seat Sling (Spreader Bar: 6 Point)
This sling can only be put on or removed in a lying position and is most commonly
used with an amputee. This sling also needs to be used in conjunction with side
suspenders.
Sling Models
FIM Scores: 1 or 2 following careful assessment
4

Oxford
Slings
Full Back Sling (Spreader Bar: 6 Point)
This is a more specialised sling. It incorporates integral boned head support
and padded leg pieces and is available in sizes XS to XL. The correct size will
t snuggly and give full protection for patients who go into extension or have
involuntary movements or behavioural problems.
FIM Scores: 1 and 2 and any other person from the oor
Comfort Sling (Cradle: 4 Point)
This is a more specialised sling. It allows correct positioning to be made via the 4-
point cradle and uses the Securi3 sling connection system ensuring no inadvertent
detachment of the sling from the cradle. It incorporates a removable comfort pad for
head support and ts snuggly to give full protection for patients who go into extension
or have involuntary movements or behavioural problems. It is available in all sizes
from XS to XL.
FIM Scores: 1 and 2 and any other person from the oor
5
Standing Harness (Spreader Bar: 6 Point)
The Standing Harness is a versatile sling with a wide range of uses. This includes
assisting with standing and walking or visiting the toilet. The Standing Harness
supports the patient around the upper body as well as under the arms. The
Standing Harness is not a general-purpose sling and requires the patient to be
able to partially weight bear.
FIM Scores: 2 or 3 following careful assessment
Silkfit Sling (Spreader Bar: 6 Point)
The Silkt Sling is a exible contoured, easy to t sling designed to t 85-90% of clients.
This sling is especially suited to patients in moulded type wheelchair systems where
tting of the sling can prove difcult. It has integrated, boned head support and leg
padding as standard. Available in four sizes - paediatric, small, medium and large.
FIM Scores: 1 and 2 and any other person from the oor

6
Please note:
It is very important to use the correct sized sling and ensure it is properly fitted before attempting to lift.
This will ensure the person being lifted feels safe, dignified and comfortable.
It will also provide a carer with confidence that they can achieve the transfer required and that the
procedure will be executed in an effective and safe manner.
This guide aims to assist those responsible for the provision of slings by outlining some key factors to be
addressed in the selection of the most appropriate type of sling for a patient. Guidance is then given as
to which sling from the OXFORD range will best meet these requirements.
OXFORD has an extensive range of slings. Our slings are a reflection on many years of refinements that
make our range one of the most comfortable and flexible in the market place today.
Standing Sling (Standaid)
The standing sling is suitable for those patients who have a greater degree of weight
bearing ability. It allows excellent access for toileting and is easy to t, providing quick
and effective transfers. The adjustable waist strap and the non-slip back pad ensures
the sling does not ride up during the transfer. This sling can be unsafe however, when
used with the wrong patient, so a careful risk assessment is advised. Available in
three sizes - small, medium and large.
FIM Scores: 3 and 4
Transport Sling (Standaid)
The transport sling is suitable for those patients with a degree of weight bearing
ability. It is easy to t, allowing quick and effective transfers. Available in three sizes
- small, medium and large.
FIM Scores: 2, 3 and 4

Oxford
Slings
A widely used assessment tool to classify a person’s function from independence to total assistance in 7 levels.
What are the 7 levels?
7. Complete Independence
Another person is not required for the activity which is performed safely without
modication or outside assistance within a reasonable time.
6. Modified Independence
Activity requires one or more of the following: an assistive device, more than
reasonable time or safety (risk) considerations.
5. Supervision or set up
Someone required to help by observation or encouragement without contact.
4. Minimal Assistance
3. Moderate Assistance
Someone required to help by more than touching - subject makes 50% - 75% of
the effort.
Someone required to help - by touching - subject makes 75% or more of the effort.
2. Maximal Assistance
Complete dependence. Subject makes less than 50% but at least 25% of effort.
1. Total Assistance
Complete dependence. Subject makes less than 25% of effort.
Please note that staff in ALL areas must have immediate access to at least one mobile passive hoist for use in
the event of an emergency such as the retrieval of a patient who has fallen. A passive hoist suitable for a very
heavy person should also be accessible within the facility/hospital and all staff should be aware of the system for
accessing the hoist as required. (For example: in the event of an unplanned admission of a very heavy patient into
Accident and Emergency).
FIM Score
Independent
Dependent
Complete
Dependence
7

OXFORD slings have many common attributes that make them easier to use, and easier to train with.
OXFORD Sling Features
Coloured binding provides clear recognised size
information.
Coloured loop straps that provide adjustment and
the correct angle positioning for the 6-point spreader
bar system.
Clear labels provide all the information required
together with a line drawing showing how our
slings fit.
Leg support widths (1) offer optimal support, while not cutting into the knee or groin area, and modesty loops (2)
stop the patient’s legs from splaying while transferring.
Centerline markers aid the carer in the correct
positioning of the sling, especially when inserting
the sling before an off the bed or oor transfer.
1 2
8

Oxford
Slings
Made from polyester OXFORD slings are durable,
soft and comfortable.
The angles of the straps are carefully calculated to
ensure the correct posture and comfort of the patient.
Handles on the sides of our slings are optimised
to ensure correct handling.
Padding provides additional comfort and support to
delicate areas and our webbing straps have covered
ends to protect patient’s skin.
The grey colour of our slings means that contamination
is easy to spot - but the polyester fabric isn’t prone
to staining, and is easily laundered.
Net slings are ideal in wet environments, providing
rapid draining and drying.
9

The OXFORD professional lift range has the option of two cradles that provide the carer greater choice in selecting
the most appropriate sling and cradle for the task. The Presence, Advance and Stature can be used with either the
6-point spreader bar or 4-point positioning cradles. Both cradles have their place, but more importantly it allows
the carer to choose exactly the correct sling for the patient and task in question.
Head supports ensure correct positioning during
transfer.
Cradle Options
10
Extension straps allow adjustment to the length of
the existing sling straps that connect to a patient lift.
(Available as an optional accessory).
Sling Accessories
Head/Neck Roll

Oxford
Slings
6-point Spreader Bar
The 6-point spreader bar uses slings with webbing loops that allow positioning
adjustments to be made by selecting the different coloured loops. The attachment
straps at shoulder level determine the position of the back, ranging from upright
through to semi-reclined and reclined. Similarly, the attachment straps at the legs
determine the approximate degree of exion at the hip, from around 90° to 45°.
The position achieved by adjusting the loops will depend upon the height and
build of the patient. The rule of thumb is the shorter the shoulder straps the more
upright the client will be.
4-point Positioning Cradle
Alternatively the 4-point positioning cradle uses the Securi3 safety clip system
and adjustment is made by rotating the cradle handle either down or up to obtain
an upright or reclined position for the patient. Both manual and powered cradles
are available.
Securi3 Sling Attachment System
(4-point cradle)
The 3 key stages assures the patient and carer of safety and comfort throughout
the transfer.
6-point spreader bar
4-point positioning cradle
(manual operation)
4-point shallow cradle
(Manual - Advance lift only)
4-point positioning cradle
(electric operation)
11
Note: The Comfort sling utilises the Securi3 clip system and this was
especially designed to ensure NO inadvertent detachment occurs.
INSERT PULL/LOCK SECURE SAFE
ü

Clearly stated on the label is the safe working load. This is 227kg/500lbs or 35st. Some slings vary so always check
the label before use.
Most slings are available in a range of sizes to accommodate variety in height, shape and weight of patients.
All these factors must be taken into consideration when selecting the appropriate sling for the patient. Sizes are
available from XS to XL and full details on our slings can be found in our order form.
Range of Sizes
Weight Capacity
XS SMLXL
Extra Small
(Paediatric)
Small Medium Large Extra Large
12
Note:
Remember to check the safe working load
of the hoist prior to lifting a patient as it may
differ to that of the sling.

Oxford
Slings
nModel reference number
nType of sling
nSize
nTesting mark (CE or similar)
nDate of manufacture
Note:
A unique serial number enables traceability, which can be used for
inspection and audit records.
The identication label provides essential information about the sling
such as:
Identification Label
nCare instructions
nSafe working Load (SWL)
nBar code (not shown)
nIdentication picture
User Guide
A detailed user guide is provided with all slings. It contains essential information concerning machine washing
and general care of the sling.
nMaximum wash temp: 85°, non-biological washing powder
nDo not tumble dry at high temperature
nAbility to wash helps against MRSA
Sling Safety Information (guidance)
13

Alternative fabrics are available as SPECIAL ORDERS. However, there is an extended lead-time for these
(typically 4-5 weeks). Please consult your OXFORD representative for details.
Size & Weight Range Guide (approx.)
Please note the following sling guides are recommendations only. A full risk assessment must be conducted
before any sling is selected. This will ensure safety for the patient and the carer.
Sling Minimum Weight Maximum Weight
Size
Sling Range
Weight Recommendation Chart (GUIDE ONLY)
XS 16 35 2.5 45 100 7
S 34 75 5.5 68 150 10.5
M 57 125 9 91 200 14
L 80 175 12.5 136 300 21
XL 125 275 20 227 500 35.5
Other Considerations for Slings
14
Kgs Lbs Stone Kgs Lbs Stone

Oxford
Slings
nExtend loop strap length to suit (leg or shoulders)
nAdd loop to suit
nRemove head support
Special slings are ‘one-off’ designs to meet specic requirements of individual patients and can be made to order.
The following specials can be ordered (extended lead times apply - please consult your OXFORD representative
for details).
Special Slings
nTaper leg section
nAdd lining to legs or body (synthetic eece material)
Sling prescription sheets are available upon request to facilitate
producing a special sling design. An example of a sling prescription
form is shown here.
Please contact your local Oxford representative for further guidance
on special slings.
Sling Prescription Sheets
15

Different types of slings provide different levels of support for the patient being lifted. The support level is
determined by the shape and structure of the fabric, with the main body of the sling providing support to the
back and head (photo 1) and the leg straps providing support to the thighs, hips and buttocks (photos 3/4). The
shape of the sling will also determine the presence and size of a commode aperture (photo 2 below).
Sling Support Levels and
Commode Apertures
1 2
3 4
16

Oxford
Slings
Selecting a sling for an individual patient involves more than simply measuring their size and deciding what the
sling will be used for. Basic factors to take into consideration are the level of support required from the sling
and whether a commode aperture is necessary. However, to be sure that a sling meets specic requirements
and is the most appropriate sling available, many further aspects need to be considered as part of the selection
process. Some of these are discussed briey here.
Selecting the Best Type of Sling
In order to be sure that the sling selected will be suited to its required use, it is necessary to determine the type of
transfer task(s) that are desired, together with the frequency with which they will occur. This relates closely to the
functional requirements of the sling. (for instance: a sling that is to be used for toileting will require a commode
aperture). See Access sling listed on page 4.
Information About the Tasks:
When selecting slings, it is important to be mindful of the person(s) who will be tting the sling and using the lift.
Their abilities and limitations - especially experience and training - must be considered. Some slings are more
complicated than others to t and a handler may be reluctant to use a sling if the process of tting it is too complex.
The number of carers available to t the sling as well as the total number of carers involved in a patient’s care may
also be important considerations - a range of carers may have a range of capabilities.
17
Information About the Carer(s) or Handler(s):

It is necessary to establish the sling’s compatibility with other equipment,
especially the lift and the lifting system. It is also important to identify any
associated equipment that is involved in transfers, such as seating, beds,
trolleys, toilets and play or therapy equipment to ascertain that the lift and
sling will work effectively with these items.
Information About Other Equipment
To simplify the process of sling selection, OXFORD has developed a chart to guide you in the appropriate use of
each sling and task. There will, of course, be exceptions to this guide, but this reference enables a view of what
tasks can be completed.
Selecting the Type of Sling for the
Most Common Tasks
Sling Type OXFORD Lift Toilet Commode Chair Bed Floor Chair to Rehab
to bath (2) to chair to chair to bed commode Assisted
Standing
Access Advance/Presence n  n   n
Quick Fit Del Advance/Presence n n n n n
Quick Fit Advance/Presence n n n n n
Full Back Advance/Presence n  n n n
Long Seat Advance/Presence n   n n
Comfort Stature n n n n n
Standing Arise/Ascend n  n n  n
Transport Arise/Ascend n  n n  n
Standing Harness Stature/Presence n      n
18
(1)
(1) Where purchased with a commode aperture. (2) Use only with a net version.

Oxford
Slings
Joerns Healthcare provides the complete solution to moving and handling with a range of compatible lifts, slings
and accessories designed to meet the needs of both patient and carer. Besides slings, the OXFORD patient
handling range includes:
nCeiling mounted lifts
nMobile lifts
nExtended warranty and service options
nMoving and handling training packages
We trust you have found this guide both useful and informative.
About Joerns Healthcare
19
Support is available upon request to assist Joerns Healthcare customers by providing clinical information
and advice in relation to OXFORD slings and other products.
Clinical Support/Advice
The correct equipment coupled with appropriate training can help to minimise the risks associated with manual
handling. Joerns Healthcare has developed a comprehensive range of moving and handling training programmes
aimed at meeting the needs of all practitioners/carers. Programmes are exible, with courses designed to suit
individual circumstances and needs. The overall aim is to create ”a safer environment“ for all.
For details, please consult your local OXFORD representative.
Joerns Healthcare training programmes are CPD certied.
Moving and Handling Training

2007 Joerns Healthcare
0705/000690271.UK/SD Rev. B
Joerns Healthcare Limited
High Street, Wollaston, Stourbridge, West Midlands DY8 4PS England
(T) [phone] (F) [phone]
www.joerns.co.uk • email: [email protected]