Module 16 Safe Patient Handling SAFE PATIENT HANDLING Safe patient handling focuses on the safe care of patients and safe practices of caregivers during intervention requiring direct hands-on patient care. Includes: Lifting and transferring Bed mobility and repositioning Assisting with treatment procedures Transportation of living and deceased patients 2 SAFE PATIENT HANDLING May also include: Handling equipment Patient assist device Team lifting 3
PATIENT HANDLING PROTOCOLS Patient handling protocols refers to the type of patient handling equipment or patient assist devices It also refers to the number of caregivers needed to safely move a patient during bed mobilization or transfer 4 EQUIPMENT OR ASSIST DEVICES Types of patient handling equipment or assist devices: mechanical lift devices roller sheets air assistive
transfer mattresses gait transfer belts pivot disks 5 BED MOBILITY Bed mobility refers to the positioning or moving of a patient in the bed moving a patient up in bed rolling or turning a patient to the side assisting a patient from supine to/from sitting Transfers moving a patient from one surface to another Lateral transfer move a patient between two flat surfaces (i.e. between a gurney and a bed, or a gurney and a surgery/exam table) Pivot transfer move a patient from a sitting position on one surface to a sitting position on another surface (i.e. from a bed to/from a wheelchair or commode) 6 ROLES & RESPONSIBILITIES
All Caregiver s Directors/ Managers/ Supervisors Engineering/ Biomedical Engineering Ensuring safe patient handling is a combined effort from all caregivers, directors, managers, supervisors, engineering and biomedical engineering 7 ROLES & RESPONSIBILITIES
All Caregivers Required to utilize patient handling equipment, patient assist devices, obtain staff assistance and participate in training 2 Directors/Managers/ Supervisors Responsible to assist when requested as long as patient or staff safety is not compromised 3 Engineering/Biomed Engineering 1 Responsible for knowing the
patients status with regard to moving the patient Required to report any changes in the patients status that may affect the way the patient is handled to the attending RN or next caregiver *Caregiver refers to trained employee or staff involved in safe patient handling 8 ROLES & RESPONSIBILITIES 1 All Caregivers 2 Directors/Managers/ Supervisors 3
Engineering/Biomed Engineering No caregiver will attempt to handle patients using a patient lift or patient assist device without prior specific instruction on the device Ensuring safe patient Allhandling caregiversis are a encouraged combinedto report any barriers or all limitations effort from to adhering to patient handling caregivers, directors, protocols
to the manager or supervisormanagers, - lack supervisors, of appropriate equipment available engineering and - a consistent lack of biomedical assistance available - lack engineering of training for - equipment equipment in disrepair patient refusal 9 ROLES & RESPONSIBILITIES 1
All Caregivers 2 Directors/Managers/ Supervisors 3 Engineering/Biomed Engineering Ensure that caregivers are utilizing patient evaluation and handling protocols and patient Ensuring safe properly patient handling equipment handling is a combined
Ensure effort that caregivers within the from all unit are provided with education caregivers, directors, and training regarding patient managers, evaluation, patient handling protocolssupervisors, and patient handling equipment or assist devices engineering and biomedical Ensure equipment and staff is availableengineering to carry out safe patient handling protocols 10
ROLES & RESPONSIBILITIES 1 All Caregivers 2 Directors/Managers/ Supervisors 3 Engineering/Biomed Engineering Identifiy and correct potential ergonomic risks that may affect patient handling (i.e. broken beds, equipment, etc.) Identify need and perform disciplinary action and follow up when appropriate
11 ROLES & RESPONSIBILITIES 1 All Caregivers 2 Directors/Managers/ Supervisors 3 Engineering/Biomed Engineering Maintain mechanical lift devices in proper working order, and conduct preventative maintenance annually or as recommended by manufacturers guidelines
12 PATIENT EVALUATION All patients should be evaluated and reevaluated to identify the physical and functional limitations they may have that will affect the ability of the caregiver to move the patient. height, weight and body shape physical impairments Ensuring safe patient handling is a combined balance deficiencies
effort from all functional ability caregivers, directors, cognitive functioning managers, spasms or contractures supervisors, patients level of cooperation engineering and pain level biomedical any circumstances that may affect the patients ability to engineering be moved (i.e. chest or abdominal wounds, presence of tubes) 13 RESPONSIBILITIES OF RN IN PATIENT EVALUATION The Registered Nurse will: Assess safe patient handling tasks upon admission to the unit Document the patient handling
evaluation, including any required safe patient handling aids or mechanical lifting equipment needed to safely perform the task Review the patient handling evaluation every shift, with any change in patients functional status, upon transfer to another unit and whenever necessary Ensuring safe patient handling is a combined effort from all caregivers, directors, managers, supervisors, engineering and biomedical engineering 14 TRAINING Education and training of all caregiver staff is key to preventing
patient handling injuries. Thorough patient handling evaluation and consistent use of patient handling equipment can prevent injuries. CHSB will provide education and training on lifting techniques and use of equipment upon hire, on an annual basis, and/or whenever new equipment is introduced. Employee has a responsibility to actively participate and demonstrate competencies. Documented competency evaluation will be performed according to injury outcomes as directed by the Manager of Injury Prevention - an injury arising from improper handling of equipment by the employee will be asked to redo training in addition to the annual training already set 15 PATIENT HANDLING
EQUIPMENT - CRITERIA Patient handling devices are recommended for total body transfers if the patient is totally dependent, except in case of an emergency Patient handling equipment is required if the patient requires maximum assistance from one or more person to be repositioned, lifted or transferred Mechanical lift equipment will be readily accessible for use in all direct patient care areas and in good operational condition 16 SITUATIONAL EXCEPTIONS Safe patient handling guidelines will apply to all situations , except:
Patient refusal (must be documented) Any situation that may decrease the safety of patient or employee When the goal of a Physical Therapist (PT) or Occupational Therapist (OT) is to provide training to a patient in self-mobility and transfer skills. The PT/OT will obtain the necessary assistance since the use of a mechanical lift may not facilitate the patients goal of achieving independence. 17 Thank You
Internal & external tutors including Karen Ardley, Carol Satterthwaite and Jason Bangbala. Highlight:- NQT conference 22 November Valley Parade. "Ofsted Reviewed" July course was fully booked, the November course is fully booked so we are repeating this again on 18...
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