VANDERLIFT
Report
- Report Number
- 1933441-2011-00010
- Event Type
- Other
- Date Received
- January 3, 2012
- Date of Event
- November 28, 2011
- Report Date
- December 20, 2011
- Product Code
- FSA
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
Narratives
THE SLING CLAIMED TO BE USED IN THIS TRANSFER WAS RETURNED TO US, THE MANUFACTURE FOR EVAL. UPON EVAL, IT WAS DETERMINED THAT THIS SLING WAS NOT SAFE FOR USE IN FACT THE SLING HAD SEVERAL HOLES IN THE BODY, LOSE THREADS ALONG WITH OTHER SIGNS OF WEAR AND SHOULD HAVE BEEN DISCARDED IMMEDIATELY UPON INSP BEFORE USE (AS STATED IN OUR MANUALS). THE SLING IS NOT "IN GOOD CONDITION" AS STATED IN THE REPORT GIVEN TO VANCARE. VANCARE PLACES WARNINGS ON OUR SLINGS, MANUALS AND INSP CHECK LIST TO DISCARD IMMEDIATELY ANY SLINGS THAT ARE "BLEACHED, TORN, CUT, FRAYED OR BROKEN." WE ARE INCLUDING PICTURES IN THIS REPORT OF THE TROUBLED AREAS OF THE SLING THAT WERE TAKEN DURING OUR INSP/EVAL. ALSO OF NOTE IN-SERVICE IS BEING SCHEDULED AT THIS FACILITY IN ORDER TO AGAIN TRAIN STAFF ON THE PROPER PROCEDURES TO INSP SLINGS THAT ARE BEING USED IN TRANSFERS AT THIS FACILITY.
TWO NURSING ASSISTANTS WERE TRANSFERRING A RESIDENT FROM HER BED TO HER WHEELCHAIR. THE STRAP ON THE SLING BROKE CAUSING RESIDENT TO FALL TO THE FLOOR. RESIDENT WAS SENT TO THE HOSP AND FOUND THAT SHE HAD BROKEN HER HIP. I HAVE ENCLOSED PICTURES OF THE ACTUAL SLING BEING USED AND CLEARLY SEE THAT SLING HAD NUMEROUS HOLES IN IT AT THE TIME OF THIS TRANSFER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VANDERLIFT | UNI FIT SLING H CLOTH | FSA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Hospitalization| R |