How to Properly Use a Hoyer Lift: A Safety Guide for Patient Transfers

For patients with severely limited mobility who are unable to stand or walk independently—such as those with post-stroke conditions, spinal cord injuries, advanced arthritis, or undergoing post-surgical rehabilitation—safely transferring from bed to wheelchair, toilet, or shower chair is a daily challenge. At such times, the Hoyer Lift becomes an indispensable assistive device. Using slings and an electric/hydraulic system, it helps caregivers complete safe, smooth transfers with minimal physical effort, while significantly reducing the risk of patient falls and caregiver back strain.

However, incorrect operation of a Hoyer Lift can lead to serious injuries. Therefore, mastering the correct usage steps is crucial. This article will provide a detailed guide on how to use a Hoyer Lift safely and properly.

What is a Hoyer Lift?

A Hoyer Lift is a patient transfer assistive device consisting of a base, mast, boom, lifting motor (or manual hydraulic pump), and a detachable sling. It is categorized as follows:

Electric: Controlled by buttons for lifting and lowering; labor-saving and efficient.

Hydraulic: Lifted and lowered via a hand pump; no power source required, suitable for emergency use.

Mobile vs. Ceiling-Mounted: Most home models are wheeled and mobile, while ceiling track systems are commonly used in institutions.

Regardless of the type, the core principle remains: ensuring patient safety and comfort, and operator ease and proper technique.

Pre-Use Preparation

Assess the Patient's Condition

Confirm the patient is conscious and can follow instructions (e.g., "Please relax," "Could you lift your head slightly?").

Check the skin for pressure sores, wounds, or fractures to avoid sling pressure.

If the patient has medical lines (e.g., catheters, IV lines), secure them in advance and allow for slack.

Select the Appropriate SlingThe type of sling must be chosen based on the patient's abilities and transfer purpose:

Full-Body Sling: For patients unable to bear any weight.

Toileting Sling: With an opening at the bottom for toileting convenience.

Stand-Assist Sling: For partial weight-bearing training.

Bathing Sling: Made of waterproof material for transferring to a shower chair.

 Never use a damaged, deformed, or ill-fitting sling!

Check Equipment Condition

Ensure sufficient battery power (electric models) or proper hydraulic fluid level (manual models).

Check that sling hooks, chains, and screws are secure.

Open the lift's base legs (if equipped) to ensure stability and prevent slipping.

Clear obstacles from the transfer path (wires, rugs, furniture, etc.).

Standard Operating Procedure (Example: Transfer from Bed to Wheelchair)

Step 1: Explain to the Patient and Gain CooperationGently inform the patient of the upcoming procedure: "We are going to help you move from the bed to the wheelchair now. Please relax your body, and I will support you."

Step 2: Position the Sling

Assist the patient to lie on their side and slide the folded sling under their hips from behind.

Adjust the sling position: shoulder straps should be under the armpits but not compressing the neck; how to use a hoyer lift leg straps should support the thighs, not the knees.

Thread the front sling loops through the back connection points, ensuring symmetry, flatness, and no twisting.

Step 3: Deploy and Position the Lift

Push the lift close to the bed and open the base legs (if equipped).

Adjust the boom height so the hooks are directly above the patient.

Attach the sling hooks to the four hanging points on the boom (usually two for the shoulders, two for the legs), ensuring all are locked securely.

Step 4: Slowly Lift the Patient

Activate the lift button (or press the handle) to slowly and smoothly lift the patient approximately 10–15 cm off the bed surface.

Pause for a few seconds and ask the patient how they feel: "Are you comfortable? Is anything pinching?"

If no discomfort is reported, continue lifting to a sufficient height (usually above the wheelchair seat).

Step 5: Move and Position Over the Target Location

Push the entire lift to position it directly above the wheelchair.

Adjust the direction to ensure the patient's feet are forward and their body is centered.

Lower slowly until the patient's buttocks lightly touch the wheelchair seat.

Step 6: Remove the Sling

Unhook the sling from the lift.

Gently slide the sling out from under the patient (assist by having the patient roll slightly to one side if needed).

Straighten the patient's clothing and fasten the seatbelt (if the wheelchair is equipped with one).

Step 7: Stow the Equipment

Fold the legs and push the lift back to storage.

Clean the sling (disinfect according to instructions) and store it properly.

Safety Precautions (Must Remember!)

Never perform high-risk transfers alone: If the patient is agitated, overweight, or has special medical conditions, two people should collaborate.

Do not stand under the boom: Never position your body under the boom or directly below the patient during lifting or lowering.

Lift/lower slowly: Rapid movement can cause dizziness, panic, or slipping.

Maintain equipment regularly: Check batteries, hydraulic systems, and sling wear monthly.

Receive professional training: Before first use, on-site instruction by a nurse, therapist, or supplier is recommended.

Frequently Asked Questions

Q: Can a Hoyer Lift be used without a sling?A: Absolutely not! how to use a Hoyer Lift The sling is crucial for weight-bearing and protection; using the hooks alone is extremely dangerous.

Q: Can slings be shared?A: Not recommended. Each patient should have their own sling to prevent cross-contamination, especially if there is incontinence or skin breakdown.

Q: What if the electric Hoyer Lift runs out of power?A: Most electric models have a manual release valve to lower the patient slowly. Familiarize yourself with emergency procedures in advance.

Conclusion

Properly using a Hoyer Lift is not just a technical operation, but a respect for the patient's dignity and safety. Every smooth transfer means eliminating a fall risk and reducing caregiver burden. If you are a family caregiver, be sure to receive training and remain patient; if you are a professional caregiver, always prioritize safety as the first principle.