1. HOB 2013 Body Mechanics The back you save can be your own

2. HOB 2013 Posture Counts! Head up Shoulders back Chest out Stomach and buttocks tucked in Back straight

3. HOB 2013 The Balanced Spine

4. HOB 2013 Where is our strength Legs are stronger than our backs Widen foot stance Squat from hips Tighten your stomach abs The abs attach to spine –Approach as being punched –Tighten the abs – hold your breathe and you protect your back

5. HOB 2013 See the difference?

6. HOB 2013 Ask for help with heavy objects Stand close to the load Assume a wide stance with firm footing. Position yourself in front of the load. Bend the knees and hips while maintaining the normal sway in the low back- a neutral spine. Use a cart for heavy items when appropriate Lifting Techniques

7. HOB 2013 Hold the object close to your body andlift with the load while maintaining the sway in the low back; use your legs! Lift steadily, do not jerk. Never bend and twist when lifting. This puts extreme pressure on the discs in the back. Lifting Techniques

8. HOB 2013 Look carefully Feet apart Back straight Arms close to body Squat from hips The legs will lift

9. HOB 2013 Use equipment to lift

10. Office Ergonomics Adjust your chair so your feet are flat on the floor or on a footrest Adjust keyboard height so your forearms are parallel with the floor Your chair should provide firm lower back support; your thighs should be parallel to the floor Your monitor should be 18 to 20 inches from your eyes HOB 2013

11. Ergonomics Align your chair, keyboard and monitor so you are sitting and looking straight ahead while you work Place your keyboard at or near elbow level Practice good posture at your workstation Take occasional mini breaks and stretch during the day Keep your phone within easy reach HOB 2013

12. Raise the Bed – Use equipment Hoyer Lift

13. HOB 2013 Maintenance Arm rests Leg rests Brakes Folding Wheelchair Safety

14. HOB 2013 Moving Patient Issues Lying to sitting position Bed to chair Chair to car

15. HOB 2013 Setting the Stage The most important part of the procedure Team Work The client and all helpers What does it mean to count to three? Using a Gait/Transfer Belt General Transfers

16. HOB 2013 Enlist the help of Patient Explain what will happen Demonstrate what you want them to do (pivot) Go slow enough that they do not get dizzy – allow to sit on side of bed

17. HOB 2013 Stand-Pivot Transfer Position chair next to the bed at a slight angle as demonstrated. Remove any obstacles. Help patient to the edge of the bed moving toward uninvolved side. Place transfer belt around patient snugly (if available). General Transfers

18. HOB 2013 Stand-Pivot Transfer Stay close to patient. Have patient move toward edge of bed/chair as independently as possible. If help is needed for above, assistant should maintain proper posture with lumbar spine in neutral. General Transfers

19. HOB 2013 Stand-Pivot Transfer Have patient push up from bed and stand. Be sure to position self to avoid bending and twisting. Maintain a neutral spine during transfer. Instruct patient to reach for the arm rest of the chair. General Transfers

20. HOB 2013 Two Person Lift Do not allow patient to hold you around the neck. Use correct positioning if two people are required for the transfer. One person should be in front, the other to the side (demonstration). Position chair right next to bed-remove arm of chair if possible. General Transfers

21. HOB 2013 Two Person Lift Position one (1) lifter at head, one (1) at foot. Both lifters use good body mechanics and maintain a neutral spine as they reach to lift the patient. One (1) lifter acts as the leader, counts to three (3) and the team lifts the patient into the bed/chair while using good body mechanics. General Transfers

22. HOB 2013 Sliding Board  Position chair right next to bed  Remove arm from chair  Assist patient to a sitting position on the edge of the bed.  Use transfer belt if available.  Stand in front of the patient to prevent sliding forward. General Transfers

23. HOB 2013 Sliding Board Position board under patient's buttock and on the chair. Patient uses arms to slide body along the board. Assist as needed using good body mechanics. General Transfers

24. HOB 2013 Chair to Car Explain process to patient Move chair close to car seat Patient may use arms on chair to help stand Your knees to his knees (bracing) Stand and pivot Instruct patient to bend forward and sit

25. HOB 2013 Walkers: Types – Standard, Folding, Rolling, Platform Step One – Adjust the height of the walker. The top of the handle to the bend in the wrist. Assisting the Ambulatory Person

26. HOB 2013 The walker is not a stabilization device for standing from a seated position. Allow the person to rise or sit with assistance from the chair before reaching for the walker. Be sure to guard the person from behind and slightly to the side during ambulation. Assisting the Ambulatory Person

27. HOB 2013 Canes: Types – Walkcane, Straight cane, Quad cane Step One – Adjust the height of the cane. The top of the handle to the bend in the wrist. Assisting the Ambulatory Person

28. HOB 2013 Canes: Standing and sitting The cane is not a stabilization device for standing from a seated position Allow the person to rise or sit with assistance from the chair before reaching for the cane. Assisting the Ambulatory Person

29. HOB 2013 Problem Solving….. How do you do it? Safety #1 issue YOU and the PATIENT