4/7/2015
Transfer Issues in Relation to
Wheelchair Dependent
Passengers
C. Dan Allison, MS, OTR/L, ATP, CDRS
Tom “TC” Cole Product Manager
Pride Mobility Products
Outline
Learning Objectives
• Participants will be able to list at least there
advantages for end users of the person lift.
• Participants will be able to describe at least
three different environments this equipment
can be used in.
• Participants will be able to identify at least
two methods of loading wheelchairs into
vehicles.
Lets get Rolling!!!!
• Transfers/ options
• Considerations for Loading and Securement of
wheelchair.
• Dependent passenger issues
– Torso support during transportation
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Functional Information
• Can the person weight bear to assist with
transfers?
• Physical abilities of the caregiver/caregivers
• Environment of transfers
– In garage/out in weather
– Level terrain?
• How will the mobility device be loaded?
Vehicle Choice?
• FUNCTION IS KEY
Capability For:
Getting in and out
Operation of controls
Loading/Storing mobility device
Additional relevant information
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Weight of wheelchair
Weight of person
Weight of other passengers/cargo
Very relevant when looking at payload of
vehicle, weight capacity of lift or ramp, weight
capacity of rear hitch lift.
Transferring to the (OEM) Vehicle
Seat
• When it is possible it is best to transfer to the
vehicles seat.
• OEM is the Original Equipment Manufacturer
seat. This is the seat that comes with the
vehicle from the factory
– The OEM seat has been fully safety tested
– The OEM seat may include side air bag or other
safety features
• What about the Mobility device?
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Hoyer Transfer
Multi-Lift or Autochair
Introduction
• The Milford Person lift is a versatile transfer system designed to
lift a person from their wheelchair into another seat whether it
be in a vehicle or at home.
• This training will cover all of the different aspects of the lift and
the different options available to assist the transfer.
Milford Person Lift
Training Course
• As you will learn throughout this session, the key to the Milford
and it’s operation is the:
1. The correct setting of the Lift and sling
2. The correct positioning of the mounting post!
3. The correct Vehicle choice, where applicable
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Available Options
• Extension arms (straight / Curved / Left or right) & Drop Bars,
drop bar sizes
• Spreader bar covers
• Sill bracket. This is used for very low glove boxes or very high
Sill vehicles
• Double Amputee Slings
• Fleece Lined Slings
Transferring into a vehicle
• Start with the Lift arm parallel to the car door
• Bring the person in the wheelchair parallel to the lift arm. If the
extension arm is straight compared to the lifting arm this will be
awkward to push forwards.
• Connect Leg straps first (the lift can then be raised 3-4”)
• Then pull the spreader bar backwards to connect the arm straps.
• With one hand holding the spreader bar, lift to the top of the
Milford’s travel. This helps to raise the feet over the cill, and pull the
person forwards to clear the door pillar.
Fitting the Sling
How to adjust the straps easily.
• Generally longer leg straps and short side straps
• Too Long leg straps = Spreader bar around chin / face
• Too Long side straps – leaning backwards, makes body longer to get into
door aperture.
• Too short leg straps = leaning backwards
• Ask the customer to lean forwards in the chair
• Place sling half way down the persons back with leg straps placed
forwards over the armrests (explain why!)
• Place the end of your fingers in the crease which joins the leg straps to the
backrest and using a flat hand, push the sling fully down the persons back.
• Pull each leg strap down each leg and under the leg.
• Pull sideways & Backwards not forwards.
Transferring into a vehicle
• Remove wheelchair. If it is a manual wheelchair, lift the back of the chair
and move on its front wheels. This eliminates the need to take the brakes
off the chair and is a one handed operation.
• Place one hand on the persons back and the other under their knees and
when pulling forwards, guide the feet into the car.
• Place right shoulder into vehicle and lower down so head height can be
judged.
• Once head is in the car the Milford can be lifted up again to clear the
person over the seat edge.
• Position person over the seat and push backwards.
• Lower the lifting arm and disconnect the sling arm straps first, then leg
straps.
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Exiting the vehicle
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Exiting the vehicle
Attach lift, extension arm & spreader bar
Connect sling, leg straps first then arm straps
Lift off the seat with your eye line at the door seal height.
In certain cases it is required to lift the person too high so
their head will not clear the top of the door. They should then
put their right ear over their right shoulder and be pulled half
way out of the car, lowered onto the seat so they can bring
their head out and then lifted back up again.
• Maneuver out of the car and pull backwards
while guiding the feet over the sill
• Position the chair approximately 6” behind the
person as the lift will push backwards when
lowering.
•Lift up slightly on the strap on the back of the
sling when lowering to pull the person right into
the back of the wheelchair
Special Applications
Lifting from a Scooter
• Reverse the scooter up to the door at such an angle that
when the seat is rotated the seat will lock at 90 degrees
• Turn the scooter seat slightly then move the legs to follow it
round and so on.
• Once lifted off the scooter, the scooter should be moved out
of the way making sure that the customers legs are clear of
it. Make sure the left hand armrest is raised otherwise you
will pull the person forwards when you move the scooter.
• Reverse the operation for getting back on the scooter
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Rear Door Fitting
Drivers side fitting
Removable fitting for demo cars
Sidecar
Boats
Motorhome floor mount
Shuttle Bus
Horsebox
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Right side Installation
Shuttle Bus Transfer
Rear Door Fitting (Sliding Door)
Motorhome Floor Mount
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Sidecar
Horse Trailer!
Smartbase
Extending the Milford Arm & Why
• Greater reach out of the car. This assists when placing
people back in their wheelchair.
• Greater lift gained, this is required when lifting onto a
higher seat such as a SUV or Pickup.
• In certain cases it does not matter that the lift is extended
further than the door pillar.
• The further the lifting arm is extended, the closer to the
door pillar the person will be, but will also pull them away
from the B pillar if set correctly.
• The more the Milford is extended, the more it reduces the
lifting capacity of the unit
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Assembly
Uses (traveling, hotel toileting, Bed on angle, chair to chair)
Pull unit backwards when lowering
20-30 Lifts / lowers per battery charge
Heaviest component is 40 lbs.
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Wall Brackets & Options
• Installation (suggest building contractor)
• Spacers / Extension arms
• Maximum Reach available and weight limits when different
extensions used. Safe Lifting capacity calculator
Notes & other points
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Milford Safe Lifting Capacity Calculator
Car door B pillars vs swivel seats
Initial cost versus transfers and car compatibility
Residual values on converted (WAV) vehicles
compared to standard cars utilizing the Milford
Person Lift
• 3 Applications with one lift
• Can park the vehicle for optimum use
Place sling half way
down the persons back
Ask Customer to lean
forward to place sling
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Pull each leg strap down each leg
and then under the leg
Leg straps too short
Pull sideways & backwards not
forwards
Correct Sling Position with
lengthened leg straps
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Start with the Lift arm parallel to
the car door
Connect Leg straps first (the lift
can then be raised 3-4”)
Bring the person in the wheelchair
parallel to the lift arm
Pull the spreader bar backwards to
connect the arm straps
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Place right shoulder into vehicle
Remove wheelchair
Once the head is in the car …
Position person over the seat
and push backwards
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Example of Transfer from a Wheelchair to Front Seat of a Dodge Grand Caravan
Milford Lift Overview
•
The function of the Milford Person Lift is to transfer a person simply, safely
and with a degree of comfort, from a wheelchair to a vehicle or other seat
and vice versa. It is a great low cost alternative to a lowered floor van and
bathroom remodels.
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Complete Milford Lift
installed on mount ready to
pick up a client.
Chair to Car
Chair to Toilet
Toilet to Bath
From Bed to Chair
You can easily move your
client with handles built
into the sling. NEVER LEAVE
CLIENT UNATTENDED!
Small Non obtrusive mount
can be mounted into virtually
any vehicle.
Example of Transfer from a Wheelchair to Front Seat of a Dodge Grand Caravan II
The lifting straps of the sling should be
adjusted so that each strap is as short as
possible, giving the best lift and the most
manoeuvrability for the person.
Different slings are available depending on
your clients needs.
Your client will feel completely secure
and comfortable though out the transfer
from the wheelchair into the vehicle.
Push the feet into
the passenger compartment
and then rotate your client Utilizing the handle you can easily pull your
onto the car seat.
loved one back in the seat for a comfortable
ride. Now just remove the lift and store it in
the convenient traveling bag provided and
stick it in your trunk while you go on your
way.
Milford Lift attached to
sling that requires no
physical lifting of client
Upper Lifting Straps
connect one to each side of the Spreader bar
Positioning
Handle
The sling(s) supplied with the Milford is
determined during your initial assessment.
The general purpose sling is shown
however we have slings for amputees,
fleece slings for people with sensitive skin,
and net slings for bathing.
However, if it does not suit, or you have not
had an assessment, please consult
Autochair.
Lower Lifting Straps
Connect to the central pin on the Spreader Bar
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Finished Milford Lift
installed on the Honda
Odyssey
Finished lift Installed in Toyota Camry
POWER TRANSFER BOARD
Turny Style Seat
• In one smooth, simple motion, the seat rotates and
then gently lowers out of the vehicle
• Works with car seats as well
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Turny style seat
What about the wheelchair?
• Now we have safely transferred our client into
the vehicle, what are some safe ways to
transport the wheelchair?
Courtesy of Clock Mobility
Loading folding wheelchairs
Note: 2 door vs. 4 door
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Rear Loading Devices
Trunk Loading Devices
•Need to protect chair from the elements
•Check hitch capacity
•Be aware of hydroplaning issues
BRUNO CHARIOT
Dependent Passenger Issues
ABI and Vent dependent
General information
• Supports 300#, provided the vehicle can
handle that weight.
• Need to check with NMEDA vendor for
compatibility.
• Chair and user secured and
caregivers trained
• Forward facing
• Upright as possible
• Stability of head and trunk
• Access to clients on
ventilators/open airways
• Separate caregiver to address
needs of patient
• Driver isolated to prevent
distraction
• Wheels back with vehicle.
• Does impede rear view
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Head stability for Dependent Passengers
I-MEC now
ottobock torso
support
www.triquality.com
Once in the vehicle
we may need to
add trunk support
Unstable head and neck – DO
NOT USE A RIGID HEAD BAND
Hensinger
collar
Contact Information
C. Dan Allison, OTR/L, ATP, CDRS
Shepherd Center
404-350-7763
[email protected]
Tom “TC” Cole
Pride Mobility
[email protected]
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