Saving your back: How do horizontal patient transfer devices stack up?

The authors evaluated the use of a new transfer device (roller tray) and compared it with three commonly used devices (slide board, nylon tube, and roller board). Caregivers experienced the greatest low back stress moving patients weighing 70 to 90 kg (approximately 150 to 200 lb). Qualitative data overwhelmingly favored the new roller tray with disposable absorbent underpads over the other devices. Caregivers experienced the greatest L4-5 torque not when transferring the heaviest patients (over 90 kg or approximately 200 lb), but rather when transferring those weighing 70 to 90 kg. These "middle-weight" patients are often moved using only two instead of three caregivers or a lift team, as are used for heavier patients. Caregivers should use three caregivers (two pullers and one pusher) even when patients are medium weight. The researchers' nursing faculty members are enthusiastic about using the new transfer device in their teaching stations.