MAO Manual

SKILL 1 – LOADING/UNLOADING PATIENTS – HYDRAULIC LIFT

Skills Sheet – Hydraulic Lift – Loading the Patient

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Brings lift to lowered position 3. Places chair on lift facing away from the van. Locks brakes. Fastens seatbelt if applicable.

4. Positions self next to lift.Raises lift to elevated position. 5. Enters van. Unlocks brakes and pulls chair into van. Instructor Signature: _________________________________________ Date: _____________

SKILL 1 – UNLOADING PATIENTS - HYDRAULIC LIFT

Skills Sheet – Hydraulic Lift – Unloading the Patient

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Brings lift to raised position 3. Places chair on lift facing away from the van. Locks brakes. Fastens seatbelt if applicable. Exits van. 4. Positions self next to lift. Moves lift to lowered position. 5. Unlocks brakes. Pushes patient off lift and proceeds with transport. 6. Verbalizes 3 items to troubleshoot lift failure 7. Demonstrates raising and lowering the manual backup Instructor Signature: _________________________________________ Date: _____________

OPTIONAL SKILL – LOADING PATIENTS - RAMP

Skills Sheet – Ramp – Loading the Patient

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Deploys ramp. Places patient facing ramp. 3. Pushes chair up ramp, using body close to chair to bear the weight 4. Pushes chair into van and positions chair for securement. Instructor Signature: _________________________________________ Date: _____________

OPTIONAL SKILL – UNLOADING PATIENTS – RAMP

Skills Sheet – Ramp – Unloading the Patient

Step

Completes Successfully?

Yes

No

1. Informs the patient of the procedure 2. Deploys ramp. Places patient with back facing ramp. 3. Lowers chair down ramp, using body close to chair to bear the weight 4. Wheels chair away from van and proceeds with transport. Instructor Signature: _________________________________________ Date: _____________