There is no safe way to do a totally dependent quad pivot transfer, so training is not the solution to this issue. Appropriate equipment is needed, and then training in its use is the correct way to resolve this. Since there is so much we now know about Safe Patient Handling and Movement (and what is not safe), an employer who fails to implement these measures is taking a liability risk themselves for creating and maintaining an unsafe work environment, and eventually will be under scrutiny of OSHA, as the nursing home industry now is over these issues.

(KLD)