Brochure - Patient Handling

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Brochure - Patient Handling Powered By Docstoc
					  Assess Patient
Dependency Levels
 Select equipment after assessing
 the patient’s ability to provide
                                                                                 Preventing Back
 assistance in the transfer, ability
 to bear weight, their upper
 extremity strength, their height
 and weight, as well as special
 circumstances, and specific                               Questions?
                                                                                  Safe Patient
Solutions According to Dependency Level
                                                     If you have questions or     Handling and
                                                    concerns, please contact
Totally             Full sling mechanical
dependent           lift device
patient                                                      your Supervisor,
Extensive           Full sling or stand
                                                  Manager, or Safety Director.
assistance level    assist lift
Lifts from floor    Full sling mechanical
(dependent)         lift; if manual, specify #
                    of employees needed
Lifts from floor    Transfer belt or gait
(patient assists)   belt
Limited patient     Stand/assist lift; friction
assistance          reducing device


E   very day, nurses suffer debilitating
                                              LIFTING EQUIPMENT                                  Shower chairs, which fit over
and often career-ending and life-altering
                                                                                                 the toilet, can eliminate multiple
injuries from repeatedly lifting and          Good work practices must be combined with
                                                                                                 transfers, saving healthcare
moving patients. Back injuries affect up      the use of appropriate equipment. Not all          workers multiple lifts. A patient
to 38% of all nurses. More than any           lifting devices are the same. Proper               can be moved to the shower
other work-related injury or illness,         equipment selection depends on the specific        chair, toileted, showered, and
musculoskeletal disorders (MSDs) are          needs of the facility.                             transferred back to bed.
responsible for lost work time, the need
                                                                                                 Shower stalls should allow for
for protracted medical care, and                              Technical lift equipment helps     shower chairs to be pushed in
permanent disability among health care                        lift patients who cannot support   and out on level floor surfaces.
workers. MSDs are caused by any                               their own weight. Choose a lift    Use a standard shower without
combination of the following factors:                         that does not require manual       the front lip to allow for easy
                                                              pumping to avoid possible          access.
Awkward or fixed posture: working in                          repetitive motion disorders to
an awkward position or holding the                            workers’ arms and shoulders.       Toilet seat risers should be
same position for a long time. For                            Lift equipment can be classified   used to equalize the height of
example:                                                      into two main categories: lean-    the wheelchair and the toilet
• Repositioning or turning patients in bed                    stand assist lift and sling-type   seat, making it a lateral transfer
(side rails are up, bed is too low, and the                   full lift.                         rather than a lift up and back into
provider reaches across patient)                                                                 the wheelchair.
                                                              Multi-positional chairs provide
• Attaching gait or transfer belts with                       a no-lift solution for patient     Height-adjustable electric
handles (the bed or chair is too low or far                   transfers in a safe, dignified     beds have height controls to
away)                                                         environment for both patient       allow for easy transfer from bed
• Providing in-bed medical care (the bed is                   and caregiver. Easily converting   height to wheelchair height.
too low and side rails are up)                                between a stretcher and an         These beds can be kept low to
                                                              upright mobile chair in seconds,   the ground for patient safety and
• Washing patients’ legs and feet in a                                                           then raised up for interaction
                                                              the chair enables caregivers
shower chair (the shower chair is too low                                                        with staff. Avoid hand-cranked
                                                              tocomfortably transfer and
and access is limited)                                                                           beds, which can lead to
                                                              transport a patient weighing up
Repetitive tasks: repeated                                    to 250 pounds.                     wrist/shoulder musculoskeletal
repositioning in bed, numerous transfers                                                         disorders such as strain or
                                                              Overhead track-mounted             repetitive motion injuries.
to and from beds, chairs, or commodes
                                                              resident lifters are built-in
without rest breaks.                                          ceiling track systems to which
Forceful exertions: lifting or                                sling lifts attach.
transferring heavy patients, unexpected
or abrupt forceful motions, stopping
patient falls or lifting them off the floor

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