Docstoc

CNE-Safe-Patient-Handling-Snippets

Document Sample
CNE-Safe-Patient-Handling-Snippets Powered By Docstoc
					    What is Safe Patient Handling (SPH)?
                       It’s the law!!


   Safe patient handling (SPH) means the use of
    engineering controls, transfer aids, or assistive
    devices whenever feasible and appropriate--instead
    of manual lifting, to perform the acts of lifting,
    transferring, and/or repositioning health care patients
    and residents.



                                   Source: RI General Law 23-17-59
      Patient Floor Lift and Ceiling lift




Lifts, transfers, holds limbs, turns, or repositions a patient
Slings
                 Patient Assessment

   The patient assessment includes, but is not limited to
    evaluating the patient’s ability to:
     – ambulate
     – weight-bear through upper and lower extremities
     – follow directions and/or cooperate
     – Patient’s weight and/or BMI are also considered.
                 Patient Assessment

   Movement of some patients may require special
    consideration (i.e. musculoskeletal injury, tubes and
    drains, medical contraindications).
               Stand Assist Device

   Assist patient going from sit to stand from bed, chair,
    or toilet without having to manually lift her.
   A safe way to have your patient work on standing
    tolerance.
                         Trapeze

   A trapeze can help a patient boost herself in bed.
   Be aware of shearing forces to her skin.
        Test Your SPH Knowledge 1

    Generally speaking, safe patient handling means
     that, whenever possible, you should use equipment
     to move a patient instead of lifting or pulling on her.
    a. true
    b. false
        Test Your SPH Knowledge 1

    Generally speaking, safe patient handling means
     that, whenever possible, you should use equipment
     to move a patient instead of lifting or pulling on her.
    a. true
    b. false
                    Slippery Sheet

   This friction-reducing device is used to laterally
    transfer or boost a patient.
                      Bed Features

   Raise the bed a few inches to help a patient
    overcome gravity when going from sit to stand.




           Be sure the patient’s feet are firmly on the ground.
         Bariatric PREPAREDness

   Know the weight capacities of your furniture.
                           Rollbord

   Used to laterally transfer a patient


            1                        2



                      3



           4                     5
           Environment Assessment

   Prior to any handling task identify risks associated with
    the distance the patient is to be moved, obstacles, weight
    capacities of equipment and furniture, and other potential
    hazards.
                   Bed Features

   Elevate the bed to waist level when making the bed,
    drawing blood, or performing any other patient care
    tasks.
       Why Should I Report an Incident?

   Reporting may result in some of the following risk
    prevention strategies:
     – revised patient handling procedures
     – repair/replacement of existing equipment
     – new equipment trials
     – staff training/retraining
        Test Your SPH Knowledge 2

    In Rhode Island, Safe Patient Handling is important
     because
    a. it’s the law
    b. we want to minimize injury to our caregivers
    c. we want to enhance the quality of patient care
    d. all of the above
        Test Your SPH Knowledge 2

    In Rhode Island, Safe Patient Handling is important
     because
    a. it’s the law
    b. we want to minimize injury to our caregivers
    c. we want to enhance the quality of patient care
    d. all of the above
                    Bed Features

   Use the Trendelenberg feature whenever appropriate to
    boost a patient with assist of gravity.




              Some patients may not tolerate this position.
                 Transport Safety

   Most transport injuries occur from frequent
    deceleration down hill and around corners.
     – Only push the patient as hard as it takes to propel
       her forward.
     – Anticipate turns ahead of time.
        Limb Lifting Guidance Statement

   The National Association of Orthopaedic Nurses and
    Association of periOperative Registered Nurses
    developed guidance statements related to limb lifting:
    –   Maximum weight for a one-handed lift is 11.1 pounds
        and a two-handed lift, 22.2 pounds (which is the
        approximate limb weight of a patient who weighs 165
        pounds).
                  Did You Know…?

   After 3 minutes of
    continuous limb
    holding, your strength is
    29% of your initial lifting
    strength?



   After 3 minutes, the
    lift’s strength is 100%!!
                    Bed Features

   Raise the head of the bed to help the patient go from
    supine to sit.
                   Bariatric Bed

   Used with patients >
    350 pounds and/or BMI
    > 35-40
   You can power drive
    your patients in this
    bed!
   The handrails provide
    excellent support for
    patients who are
    transferring in and out
    of bed.
    Protect Patients, Co-Workers, and
                 Yourself!

Do not lift or pull on    Use the SPH
your patients…or allow    equipment that is
 them to pull on you!     provided to you!
                              Log Roll

Have   patient roll onto her
side, moving her
shoulders and hips as a
unit. Her knees should
hang off the edge of the
bed.



 You can reduce unnecessary
   spinal loading by getting
yourself out of bed this way as
             well!
        Test Your SPH Knowledge 3

    Prior to moving a patient, it is important to consider:
    a. her ability to participate in the mobility task
    b. the effect of her medications
    c. her weight
    d. all of the above
        Test Your SPH Knowledge 3

    Prior to moving a patient, it is important to consider:
    a. her ability to participate in the mobility task
    b. the effect of her medications
    c. her weight
    d. all of the above

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:3
posted:8/16/2012
language:English
pages:28