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Safe Patient Handling 2015 update march 2015

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Safe Patient Handling 2015 update march 2015

  1. 1. Safe Patient Handling EED/NTDD 2015 Lisa Affatato, MSN, RN-BC Maureen Ibrahim MS, RN, CCRN, CEN
  2. 2. At the end of this class the learner will be able to : • Define safe patient handling. • List the benefits of safe patient handling and mobility technology. • Describe why manual handling of patients causes injuries.
  3. 3. In 2004, Nelson & Baptiste stated: • “Nursing can no longer afford the “human sacrifice” approach to patient handling defined as replacing the steady stream of injured nurses with newly recruited nurses.” Crit Care Nurs Clin N Am 19 (2007) 213-222
  4. 4. Did You Know? • 52% of RN’s complain of chronic back pain lasting >2 weeks within past 6 months • 12% of RN’s have left profession due to back pain • Nurses Aids & RN’s suffered highest prevalence 16.6% of work-related back pain involving lost work days • In 2005 Texas was first state to implement legislation requiring HCF to implement SPH programs to protect HCW’s from preventable injuries from manual patient lifting • 49% reduction in falls in one study R/T use of lifting equipment
  5. 5. Risk: • The single greatest risk factor for musculoskeletal disorders (MSD) in Health Care Worker is manual handling of patients (lifting, repositioning, & transferring)! • Risk of injury can be significantly reduced or eliminated through use of assistive devices and equipment.
  6. 6. Exercise: Use of SPH Equipment
  7. 7. Employee Resistance Regarding Use of SPH Equipment Employee comments What would you say? 1. “I’ve been a healthcare worker for 25 years and I’ve never injured my back yet. I don’t see why I have to start doing things differently now.” *Back pain reoccurrence rate 90% 2. “I’m in good shape. I don’t need that fancy equipment to do this.” 3. “This patient has already been through quite a lot. I don’t want to burden him any further. Let’s skip the lifter-you and I can just lift him together.” 4. “I find it takes a lot longer to use this piece of equipment even when it’s readily accessible.” 5. “I don’t use that piece of equipment enough to remember how exactly it works so it’s easier to just do a manual lift.” 6. “I don’t have enough time to hunt for the equipment.” 3/29/2016 Educational Enrichment Day 2015
  8. 8. Mobility Cooperation Size Aggression Weight Balance Predictability Diagnoses Cognition Patient RISK FACTORS: 3/29/2016
  9. 9. Why Caregivers Get Hurt: • Always lifting, moving & turning patients which tires your muscles putting you at risk for injury • Patients can’t be held close to body like a box • Patients are bulky • Patients don’t have handles • Don’t always know if patient can help • You can’t predict!!!
  10. 10. Risk- Load Increasing: • OBESITY is a growing population • In 1983 one in 200 people had a BMI > 40 • In 2000 one in 50 people had a BMI > 40 • In 2010 one third of all Americans have a BMI > 40 • One study found < 10% of patient census was bariatric patients & patient-handling injuries accounted for 29.8% of staff-reported injuries
  11. 11. Risk- Repetition: • 1995 study at one hospital • Found nursing staff pulled patients up in their bed an average of 9.9 times/shift.
  12. 12. Safe Patient Handling: • Definition: Use of engineering controls, lifting and transfer aids, or devices to perform acts of lifting, transferring and repositioning patients
  13. 13. NYS Safe Patient Handling Act NY SB 6914 • Public interest for Health Care Facility (HCF) to implement safe patient handling policies • Caregivers will reduce risk of injury • Safe Patient Handling Workgroup to develop policy & training materials; submit report by July 1, 2015 • Each HCF will have a SPH Committee by January 1, 2016 • Program must be implemented by January 1, 2017
  14. 14. National Institute of Occupational Safety & Health (NIOSH) • Calculates maximum load for manual lifting, pushing, pulling and carrying using a range of variables • Maximum load for a box with handles is 51 pounds (23 kg.) – load is lower if lifter has to reach, lift near the floor or undertake an awkward position • 35 pounds (15 kg) safe patient- lifting limit for HCW’s
  15. 15. Safe Patient Handling & Mobility: • For lifts above the SPH limit, there is no such thing as “Safe Lifting” using our bodies as the lifting mechanism • Body Mechanics – important, but again if load is above the SPH limit, injuries will occur • We must change our mindset! • Get in habit of using Safe Patient Handling & Mobility (SPHM) technology • This will keep both our patients & ourselves safe from harm!
  16. 16. Ergonomics • Design of workplace or equipment • Those factors or qualities in the design of something, especially a workplace or equipment used by people at work, that contribute to comfort, efficiency, safety, and ease of use • Greek word; Ergon = work, Nomos = Laws; • “laws of work” • Fit the task to the worker – not fitting the worker to the task
  17. 17. Equipment available at Huntington Hospital: • Lift – Invacare (2 North), Prism (Med/Surg) & Golvo (CCU/ICU) –For Prism; reusable sling is blue, disposable sling is white –Slings are par leveled on every unit • Transfer boards
  18. 18. Slipper Slide Sheets
  19. 19. Transfer Board
  20. 20. Transfer Board
  21. 21. Safe Patient Handling: Equipment • https://www.youtube.com/watch?v=3lTA1ZoB h_w
  22. 22. Culture Change: Never Lift Alone • https://www.youtube.com/watch?v=9v3CYuQ nxok
  23. 23. Benefits of SPH: • Reduced injuries • Less re-injury • Pregnant/Older workers can work longer • Reduced workman's compensation medical and insurance costs • Reduction of lost days worked • Improved recruitment and retention • Improved employee satisfaction • Increased patient referrals; feel more dignified transferring with use of equipment
  24. 24. Benefits of Safe Patient Handling WHAT CAN IT DO FOR YOU? Reduce injury to healthcare workers Increase quality of care for patients Decrease patient injury during transfers and handling during care Lower workers compensation and insurance costs Reduce lost work days Increase in nursing retention Lower Hospital and Nursing Home costs Return on investment in 1-3 years
  25. 25. What Should be Looked At: • Is the patient dependent? • Is the patient minimally to moderately dependent? • Is the patient independent? • Weight-bearing capability? • Upper extremity strength? • Level of cooperation and comprehension? • Medications? • Other conditions; stoma, fractures, severe edema or joint replacement? • Equipment i.e. foley, oxygen mask, IV
  26. 26. Communication of Patient’s Mobility Status: • Handoffs • After procedures • Administration of medication or medication changes
  27. 27. ANA Recommendations:
  28. 28. Suggestions? • Have you worked with equipment elsewhere that you think would be beneficial for us to trial? • Send suggestions to: – Lisa Affatato RN, Nurse Manager, 2 Southwest – Kevin M. Cerrone, DPT, MHA, MS, CSCS Director Physical Therapy & Orthopedics
  29. 29. References • Cadmus, E., Brigley, P. & Pearson, M. (2011). Safe patient handling:Is your facility ready for a culture change? Nursing Management. Retrieved from www.nursingmanagement.com • Fitzpatrick, M.A. (2014). Safe patient handling and mobility: A call to action. Current Topics in Safe Patient Handling and Mobility. • Gallagher, S. (2013). Implementation guide to the safe patient handling and mobility interprofessional national standards. ANA: Silver Springs, MD • Garcia, A. Standards to protect nurses from handling and mobility injuries. Current Topics in Safe Patient Handling and Mobility. • Kumpar, D. (2014). Prepare to care for patients of size. Current Topics in Safe Patient Handling and Mobility. • Ryan, L. (2014). Safe patient handling leadership briefing. Greater New York Hospital Association.
  30. 30. References • Stenger, K., Montgomery, L.A. & Briesemeister, E. (2007). Creating a culture of change through implementation of a safe patient handling program. Crit Care Nurs Clin N Am 19 (2007) 213-222 • U.S. Bureau of Labor Statistics, U.S. Department of Labor. (2014). http://www.bls.gov/news.release/osh2.t01.htm • U.S. Bureau of Labor Statistics, U.S. Department of Labor. (2014).http://www.bls.gov/iif/oshwc/osh/os/osch0052.pdf • Zitkus, B.S. (2010). Obesity management workbook. Retrieved from http://www.zitkus.com