Arm Sling

Arm Sling 

Purpose: 

• To elevate and support the arm. 

• To reduce edema. 

• To relieve stress on the shoulder or elbow. 

• To immobilize a strained or sprained muscle. 

• To immobilize a fracture. 

• To facilitate return circulation from the extremities. 

• To relieve pain. 

Equipment: 

• Arm sling (or type of commercial device used in your facility). 

• Fastener, if necessary. 

Procedure: 

1. Application: 

• Explain the procedure to the resident to ensure understanding and cooperation. 

• Apply the sling to the affected arm by placing the arm in the cloth sling with the elbow in the closed corner of the sling. 

• Adjust the strap around the neck so that the elbow is bent at a right angle, and the fingers are slightly elevated above the level of the elbow. 

• Ensure that the end of the fingers extends just beyond the base of the sling. 

2. Monitoring: 

• Observe the color and temperature of the fingers to ensure adequate circulation. 

• Remove the sling periodically to assess the skin condition and circulation. 

3. Post-Application Care: 

• Assist the resident to a comfortable position with the call light within reach on the unaffected side. 

• Provide any additional support or padding as needed to ensure comfort and prevent pressure points. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the application of the arm sling, including the resident’s response, in the medical record. 

• Note any observations related to circulation, skin condition, and any adjustments made. 

• Regularly review and update techniques and protocols for the use of arm slings according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on the correct application and monitoring of arm slings to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.