Pressure injuries aren’t just caused by time spent in bed, they often begin during everyday transfers, repositioning, and lifting. When handling is rushed, poorly executed, or mismatched to equipment, the risk to skin integrity increases dramatically.
But the good news? With the right tools and techniques, most handling-related pressure injuries are completely preventable.
Here are 10 expert-backed tips to help you move patients safely—and protect their skin while you do it.
1. Get the Sling Right
Poorly fitted slings cause bunching, pressure, and shear.
- Choose the right size and material
- Apply sling while the person is reclined
- Avoid folds and seams pressing into the skin
- Use slide sheet gloves for safer, smoother positioning
Video: Multifit Reflex Sling: Ripstop Nylon for Easier, Gentler Transfers
Video: Safe Sling Techniques to Reduce Pressure & Skin Injury
Check out Enable Lifecare's range of Slings for different needs here.
2. Never Drag. Always Lift.
Dragging increases friction and shear, especially over heels and buttocks.
- Lower the head of the bed before moving
- Use slide sheets, hoists, or transfer boards
- If needed, support the heels to avoid mattress contact during hoist lifts
3. Use Slide Sheets (Correctly!)
Slide sheets reduce friction but can cause issues if misused.
- Choose flat or tubular depending on the task
- Always remove after use to avoid pressure build-up
- Never use incontinence pads to reposition—this can damage skin
4. Know When to Use Stand Aids
Stand aids are great—if the person can bear some weight.
- Make sure knee pads are cushioned and not digging in
- Check that hand grips are easy and safe to reach
5. Watch Out for the Heels
The heels are one of the most common sites of pressure injury.
- Use positioning devices to offload the heels
- Always check heel clearance during transfers and lifts
6. Don’t Leave Slings Behind (Unless Designed To)
Leaving a standard sling under a person can trap heat, moisture, and pressure.
- Remove slings unless they’re breathable and designed for in-situ use
- Inspect skin under sling zones regularly
- Ensure seams and loops aren’t digging into high-risk areas
Video: Oxford In-situ, the Leave-in Sling
7. Consider Turn-Assist Mattresses (But Use with Caution)
Some powered mattresses can help reposition a person automatically.
- They reduce carer strain
- But they don’t fully offload the body—skin must still be checked regularly
8. Keep Equipment Accessible & Maintained
Even the best equipment can’t help if it’s broken or stored out of reach.
- Conduct regular equipment checks
- Ensure everything is within easy access
- Use equipment suited to the patient’s weight and size
9. Involve the Person in Their Care
Some techniques or devices can cause fear or discomfort.
- Ask the individual about their past experiences
- Respect preferences where possible
- Reassure and explain what you’re doing
10. Train, Check, Repeat
The best prevention is consistency.
- Conduct regular manual handling training
- Perform skin checks before and after every transfer
- Document any concerns and adjust care accordingly
Want the Full Clinical Guide?
These tips are just a summary. For in-depth techniques, equipment recommendations, and references from the International Pressure Injury Guideline, download our full whitepaper below.
