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Applied Ergonomics for LTC University of Oregon, Labor Education and Research Center (LERC) and Oregon Occupational Safety and Health Administration (OR-OSHA)

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Presentation on theme: "Applied Ergonomics for LTC University of Oregon, Labor Education and Research Center (LERC) and Oregon Occupational Safety and Health Administration (OR-OSHA)"— Presentation transcript:

1 Applied Ergonomics for LTC University of Oregon, Labor Education and Research Center (LERC) and Oregon Occupational Safety and Health Administration (OR-OSHA) This material has been made possible by a grant from the Oregon Occupational Safety and Health Division, Department of Consumer and Business Services

2 Acknowledgements Materials for this presentation material made possible by Oregon OSHA Veterans Health Affairs SAIF Corporation HumanFit Bay Area Hospital, Coos Bay, OR Oregon Nurses Association (ONA) University of Oregon, Labor Education and Research Center Back Injury Resource Nurses (BIRN) National Institute of Occupational Safety and Health (NIOSH)

3 Introduction Ergonomic conceptsErgonomic concepts Risk factors for musculoskeletal injuryRisk factors for musculoskeletal injury Elements of an ergonomics programElements of an ergonomics program SRH Case studiesSRH Case studies Today’s workshop will cover

4 Learning Objectives By the completion of this class you should be able to: List 4 risk factors for musculoskeletal injuryList 4 risk factors for musculoskeletal injury Describe 4 action steps that can reduce your risk of injury during resident handling activitiesDescribe 4 action steps that can reduce your risk of injury during resident handling activities Identify effective solutions to prevent injuries in for number of common resident handling activitiesIdentify effective solutions to prevent injuries in for number of common resident handling activities

5 What is Ergonomics? The goal of ergonomics is to design the job to fit the worker NOT make the worker fit the job Environment Environment Task/job Worker

6 What kinds of Injuries are Musculoskeletal Disorders (MSDs)? Acute injuries Happen immediately due to overloadHappen immediately due to overload Can become chronicCan become chronic Re-injury possibleRe-injury possible Strains, sprains, disc herniationsStrains, sprains, disc herniations Chronic injuries Pain or symptoms lasting more than a month Cumulative trauma Happen over time Difficult to cure

7 Cumulative Trauma/Injury irritation to tissue microtrauma (small tears) produces scar tissue Keeps repeating as long as activity continues Activity results in:  flexibility  strength  Function *INJURY* adhesions form tears combine

8 Fatigue Discomfort Pain Injury Disability The Cumulative Effect Nurses/CNAs report here Time Continued exposure to risk factors

9 Terms for Disorders Work-related Musculoskeletal Disorder (WRMSD)Work-related Musculoskeletal Disorder (WRMSD) Cumulative Trauma DisorderCumulative Trauma Disorder Repetitive Strain InjuryRepetitive Strain Injury Overexertion or Overuse InjuryOverexertion or Overuse Injury Types of disordersTypes of disorders –Strains and sprains –Rotator cuff injuries –Disc herniations –Carpal Tunnel Syndrome –Bursitis, tendonitis –Sciatica

10 Why is Manual Resident Handling so Hazardous? Physical demands of the workPhysical demands of the work –Job exceeds physical demands of individuals Poor equipment and facility designPoor equipment and facility design Poor work practicesPoor work practices Individual characteristicsIndividual characteristics –Age, past injuries, physical condition, leisurely activities

11 What are the Risk Factors for Musculoskeletal Disorders? Excessive forceExcessive force Awkward posturesAwkward postures Prolonged posturesProlonged postures RepetitionRepetition

12 Excessive Forces Common activities contributing to excessive force: Lifting and carrying Lifting and carrying Pushing and pulling Pushing and pulling Reaching to pick up loads Reaching to pick up loads Prolonged holding Prolonged holding Pinching or squeezing Pinching or squeezing

13 Common risky postures: Awkward Postures Working overhead Kneeling all day Kneeling all day Reaching to pick up loads Reaching to pick up loads Twisting while lifting Twisting while lifting Bending over to floor/ground Bending over to floor/ground Working with wrist bent Working with wrist bent

14 Prolonged Postures Standing or sitting for longStanding or sitting for long periods of time periods of time Holding arms in fixedHolding arms in fixed positions for extended positions for extended periods periods

15 Common problem to look for: Repetitive Motions Same posture or motions again and again Same posture or motions again and again can be very frequent over short period of time can be very frequent over short period of time can be less frequent but repeated over time can be less frequent but repeated over time time time injury injury

16 Common Problems Leading to MSDS : Poorly Designed Equipment Poorly Designed Equipment Does not have a good grip Does not have a good grip Too heavy Too heavy Hard to use Hard to use Uncomfortable Uncomfortable Bad condition Bad condition Wrong tool/equipment for the job Wrong tool/equipment for the job

17 Common Problems Leading to MSDs Poor work organization Poor work organization In adequate scheduling In adequate scheduling Lack of planning Lack of planning Poor communication among staff and other Poor communication among staff and other resident stakeholders resident stakeholders Poor work practices Poor work practices

18 When is an Activity Likely to Become an Injury? Activity performed frequentlyActivity performed frequently You do the activity a long timeYou do the activity a long time Work intensity is highWork intensity is high There are a combination of risk factorsThere are a combination of risk factors

19 How do you find solutions? Hazards Tasks Job Solution Form SRH teamForm SRH team Ergonomic Risk AnalysisErgonomic Risk Analysis Needs AssessmentNeeds Assessment Formulate solutionsFormulate solutions Solution Solution Solution

20 Risk of musculoskeletal injury Engineering controls/ Equipment improvement Administrativecontrols Personalprotectiveequipment Fitness & wellness Work practice controls Properbodymechanics

21 Choose Effective Solutions Engineering Engineering Tools/equipmentTools/equipment Workplace designWorkplace design Administrative Administrative Job rotationJob rotation Number of workersNumber of workers Work practices Work practices Changing bed heightChanging bed height Behavioral Behavioral Body mechanicsBody mechanics Stretching/FitnessStretching/Fitness PPEPPE MostEffective LeastEffective

22 First Choice: Engineering Controls Eliminate or reduce primary risk factorsEliminate or reduce primary risk factors Use resident handling equipment, such as,Use resident handling equipment, such as, ceiling and portable floor lifts, air assist transfer devices, and mechanical sit to stand lifts ceiling and portable floor lifts, air assist transfer devices, and mechanical sit to stand lifts Must match equipment use withMust match equipment use with Resident dependency (physical and cognitive abilities)Resident dependency (physical and cognitive abilities) Type of lift, transfer or movementType of lift, transfer or movement Number of staff availableNumber of staff available Preventing MSDS

23 Second Choice: Administrative Controls Reduce employee exposure to primary risk factorsReduce employee exposure to primary risk factors Ergonomics trainingErgonomics training Policy & procedures that define good work practicesPolicy & procedures that define good work practices Staffing and overtime practicesStaffing and overtime practices Job rotationJob rotation Preventing MSDS

24 Second Choice: Work Practice Controls Reduce employee exposure to primary risk factors by using best work methods:Reduce employee exposure to primary risk factors by using best work methods: Plan work organizationPlan work organization Use good housekeeping practicesUse good housekeeping practices Use adjustments on equipmentUse adjustments on equipment Get help when neededGet help when needed Eliminate unnecessary movementsEliminate unnecessary movements Don’t use broken equipmentDon’t use broken equipment Preventing MSDS Remember – it’s the employee’s responsibility to use good work practices and follow the organizations’ safe resident handling policy and procedures

25 Preventing MSDs Preventing MSDs Neutral spine posture - 3 Curves make your spine strong and minimize physical stressNeutral spine posture - 3 Curves make your spine strong and minimize physical stress It is important to KEEP THESE CURVES when moving, bending and liftingIt is important to KEEP THESE CURVES when moving, bending and lifting Neutral spine is the reason body builders can lift so much weight without injuryNeutral spine is the reason body builders can lift so much weight without injury Cervical Thoracic Lumbar Second Choice: Work Practice Controls Using good body mechanics is important, even when using equipment, but alone body mechanics will NOT prevent MSDs

26 Conduct Ergonomic Risk Assessment Recognizing hazards is the first step toward injury preventionRecognizing hazards is the first step toward injury prevention Job analysis performed by people with ergonomics trainingJob analysis performed by people with ergonomics training –Ergonomics team –Safety committee members –Line personnel

27 What Can You Do to Reduce Your Risk of MSDs? The following materials from the Safe Resident Handling in Health Care Guide, and made possible by a grant from Oregon OSHA, Department of Consumer and Business Services, Used with permission from Oregon Nurses Association, UO LERC and Bay Area Hospital, Coos Bay, OR

28 Risk Assessment steps 1.Assess the resident 2.Assess & prepare the environment 3.Get necessary equipment & help 4.Perform the Resident care task, lift or movement safely Plan and Prepare – It only takes a minute but can save a career

29 1.Assess the Resident Goal: To assess if resident status (physical and cognitive abilities) has changed and to determine the safest method to transfer or move the resident. Compare assessment with resident handling orders or instructions in the Resident's Care Plan and ensure that staff are alerted to changes in resident status.

30 1.Assess the Resident This brief observation includes assessment of the resident’s: Ability to provide assistanceAbility to provide assistance Physical status – ability to bear weight, upper extremity strength, coordination and balancePhysical status – ability to bear weight, upper extremity strength, coordination and balance Ability to cooperate and follow instructionsAbility to cooperate and follow instructions Medical status – changes in diagnosis or symptoms, pain, fatigue, medicationsMedical status – changes in diagnosis or symptoms, pain, fatigue, medications When in doubt, assume the resident cannot assist with the transfer/ repositioning

31 2.Assess & Prepare the Environment Ensure that the path for transfer or movement is clear and remove obstacles and clutter that constrain use of good posture and access to the Resident, e.g.,Ensure that the path for transfer or movement is clear and remove obstacles and clutter that constrain use of good posture and access to the Resident, e.g., –bed tables, and chairs –trip hazards, e.g., cords from medical equipment –slip hazards, e.g., spilled beverages or other fluids on the floor

32 2.Assess & Prepare the Environment Consider safe handling of medical devices, such as catheters, intravenous tubing, oxygen tubing, and monitoring devicesConsider safe handling of medical devices, such as catheters, intravenous tubing, oxygen tubing, and monitoring devices Ensure good lighting.Ensure good lighting. Adjust equipment, such as beds to correct working height to promote good posturesAdjust equipment, such as beds to correct working height to promote good postures Keep supplies close to body to avoid long reachesKeep supplies close to body to avoid long reaches

33 3.Get Necessary Equipment & Help Get the correct equipment and supplies for the task as determined in the Resident Care Plan and after the Resident Assessment in Step 1Get the correct equipment and supplies for the task as determined in the Resident Care Plan and after the Resident Assessment in Step 1 Get additional help as requiredGet additional help as required Ensure thatEnsure that –Equipment is in good working order –Devices such as gait belts and slings are in good condition and the correct size –The resident is wearing non-slip footwear if they are to be weight bearing

34 4.Perform Resident Care Task, Lift or Movement Safely Explain the task to the resident – agree on how much help he or she can give during the taskExplain the task to the resident – agree on how much help he or she can give during the task Position equipment correctly, e.g., height between a stretcher and bed is equalPosition equipment correctly, e.g., height between a stretcher and bed is equal Apply brakes on equipment and furniture usedApply brakes on equipment and furniture used Lower bed rails when necessaryLower bed rails when necessary You should receive training on correct use of equipment, resident assessment and safe work practices before handling Residents

35 4.Perform Resident Care Task, Lift or Movement Safely Coordinate the task as a team (nurses and Resident)Coordinate the task as a team (nurses and Resident) Have the Resident assist as much as possibleHave the Resident assist as much as possible Use good body posture – keep work close to the body and at optimal heightUse good body posture – keep work close to the body and at optimal height Know your physical limits and do not exceed themKnow your physical limits and do not exceed them Follow your organizations safe Resident handling policy and procedures

36 What else can you do? Report ergonomic problems to your supervisorReport ergonomic problems to your supervisor Apply back injury prevention principles to your off -the-job activitiesApply back injury prevention principles to your off -the-job activities Report any physical problems early – leads to a quicker recoveryReport any physical problems early – leads to a quicker recovery

37 Case Studies Safe Resident Handling Program: Applied Ergonomics for Nurses and Health Care Workers

38 Case Studies Case study 1: Repositioning resident in bedCase study 1: Repositioning resident in bed Case study 2: Transfer from chair to bedCase study 2: Transfer from chair to bed Case study 3: Transfer from bed to stretcherCase study 3: Transfer from bed to stretcher Case study 4: Transfer from wheelchair to bedCase study 4: Transfer from wheelchair to bed Case study 5: Making a bed & repositioningCase study 5: Making a bed & repositioning resident in bed resident in bed Case study 6: Resident ambulation and fallCase study 6: Resident ambulation and fall recovery recovery

39 Ergonomic Analysis Form Potential Risk Factors and Body Regions Root Causes Observed (Reason) Possible Solutions Repetitive Forward bend of torso >60  coupled with twisting and side bending back Lifting bags from floor. Dirty linen bags Weighing about 20 lbs each Consider carts for garbage and soiled laundry with spring load bases that reduce reach and force required to load and unload bags.

40 Case Studies Remember – what you are about to practice is not a substitute for specific training on safe use of resident handling equipmentRemember – what you are about to practice is not a substitute for specific training on safe use of resident handling equipment Not all resident handling equipment available is shown in the videoNot all resident handling equipment available is shown in the video Always follow the Resident handling policy at your facilityAlways follow the Resident handling policy at your facility

41 Case Study 1 Repositioning Resident in Bed What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

42 Case Study 1 Repositioning Resident in Bed Task Risk Factors & Hazards Cause Injection of medication Back bent & twisted coupled with static posture Trip Hazard Bed too low Rail up Bed table obstructs access Phone on bed – cord on floor Dispose of needle Back bent Neck bent backwards Long reach (arm overhead) Bed table obstructs access

43 Case Study 1 Repositioning Resident in Bed Task Risk Factors & Hazards Cause Reposition resident Back bent & twisted Neck bent backwards Forceful exertion– back and shoulder Bed too low Rail up Resident weight Resident did not assist

44 1.Assess the Resident –Has upper extremity strength, can sit unaided, is non-weight bearing, cooperative (consider medical status etc.) 2.Assess the Environment –Move bed table and phone, raise bed, lower rail when administering injection –Raise bed and lower bed rails before moving resident Case Study 1 Repositioning Resident in Bed: The Safer Way

45 3.Get Necessary Equipment & Help –Friction reducing device (slippery sheet) & two nurses or CNAs 4.Perform the Task Safely –Coordinate the move –Use good posture –Have resident assist Case Study 1 Repositioning Resident in Bed: The Safer Way

46 Case Study 2 Transfer from Chair to Bed What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

47 Task Risk Factors & Hazards Cause Assisting resident from chair to bed Forceful exertion – back Back bent & twisted Resident weight Resident not capable of bearing full weight Resident not assessed Chair too low Case Study 2 Transfer from Chair to Bed

48 Task Risk Factors & Hazards Cause Assisting resident onto bed Forceful and sudden exertion – back Back bent & twisted Neck bent backwards Resident not capable of full weight bearing Resident not assessed Repositioning in bed Forceful exertion – back Back bent & twisted Neck bent backwards Resident not capable of full weight bearing Bed too low Case Study 2 Transfer from Chair to Bed

49 1.Assess the Resident –Partial weight bearing, cooperative, has upper extremity strength and can sit unaided 2.Assess the Environment –Move bed table, lower head of bed; lower bed rail using good posture Case Study 2 Transfer from Chair to Bed: The Safer Way

50 3.Get Necessary Equipment & Help –Powered Sit-to-Stand device –Only one caregiver needed 4.Perform the Task Safely –Apply equipment brakes when raising or lowering resident –Raise bed before lifting resident’s legs –Use good posture –Have Resident assist Case Study 2 Transfer from Chair to Bed: The Safer Way

51 Case Study 3 Transfer from Bed to Stretcher What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

52 Task Risk Factors & Hazards Cause Positioning stretcher in room Back bent and twisted Sharp corners or protruding edges on furniture (risk of soft tissue contusion) Poor posture or bodymechanics Moving furniture in constricted space Preparing transfer Back bent Long reach (arm overhead) Passing IV bag and tubing over bed Case Study 3 Transfer from Bed to Stretcher

53 Task Risk Factors & Hazards Cause Performing transfer Extreme forceful exertion – back and shoulders Back bent Neck bent backwards Extreme bending of knee (on bed) coupled with force Extended reach to grasp drawsheet Forceful grip (poor hand hold) Resident weight/ shape Resident unable to assist Stretcher higher than bed height Width of stretcher and bed Use of drawsheet to move resident Case Study 3 Transfer from Bed to Stretcher

54 Task Risk Factors & Hazards Cause Moving stretcher Forceful exertion - back and shoulder Back bent and twisted Neck bent backwards and twisted Arms extended away from body Pushing and pulling stretcher on carpeted surface Lack of holder on stretcher for O2 tank Lack of steering control on stretcher Stretcher too low Case Study 3 Transfer from Bed to Stretcher

55 1.Assess the Resident –This is a Bariatric resident who cannot assist with the transfer 2.Assess the Environment –Move furniture from of work area before bringing stretcher into room Case Study 3 Transfer from Bed to Stretcher: The Safer Way

56 3.Get Necessary Equipment & Help –Air assisted friction-reducing device & three caregivers –Pass IV bag around resident –Stretcher has holder for IV and Oxygen tank –Larger wheels and steering assist mechanism Case Study 3 Transfer from Bed to Stretcher: The Safer Way

57 4.Perform the Task Safely –Coordinate the preparation and transfer –Work heights equal and equipment/bed brakes applied –Use good posture –Adjust stretcher height for movement to allow good posture –2 nd person required to guide front of stretcher only Case Study 3 Transfer from Bed to Stretcher: The Safer Way

58 Case Study 4 Transfer from Wheel Chair to Bed What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

59 Case Study 4 Transfer from Wheel Chair to Bed Task Risk Factors & Hazards Cause Preparing to assist the resident Forceful exertion - back Back bent Neck bent backwards Holding resident’s leg while adjusting foot rest Adjusting leg supports/ foot rests Assisting resident from wheelchair to bed Forceful exertion – back Back bent & twisted resident not capable of full weight bearing Resident weight Resident not assessed

60 Task Risk Factors & Hazards Cause Assisting resident onto bed Forceful and sudden exertion – back Back bent & twisted Neck bent backwards Resident not capable of full weight bearing Resident not assessed Wheel chair away from bed Case Study 4 Transfer from Wheel Chair to Bed

61 Task Risk Factors & Hazards Cause Repositioning in bed Forceful exertion -back Back bent & twisted Neck bent backwards Bed too low Bed rail up Head of bed partially raised Resident does not assist Case Study 4 Transfer from Wheel Chair to Bed

62 1.Assess the Resident –Partial weight bearing, cooperative, has upper extremity strength and can sit unaided 2.Assess the Environment –Move bed table, raise bed, raise head of bed, lower bed rail using good posture Case Study 4 Transfer from Wheel Chair to Bed: The Safer Way

63 3.Get Necessary Equipment & Help –Gait belt; crutches and trapeze bar –Only one caregiver needed Case Study 4 Transfer from Wheel Chair to Bed: The Safer Way

64 4.Perform the Task Safely –Use good posture to apply gait belt and to adjust wheel chair foot supports –Have resident assist to hold leg while adjusting foot support –Do NOT lift but guide resident to a standing –Have resident transfer self to bed with stand- by assist –Have resident reposition self on bed Case Study 4 Transfer from Wheel Chair to Be The Safer Way

65 Case Study 5 Making Bed & Repositioning Resident in Bed What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

66 Task Risk Factors & Hazards Cause Making bed Forceful exertion – back and shoulders (CNA turning & holding resident) Back bent & twisted in static posture (CNA turning & holding resident) Repetitive bending & twisting of back (CNA making bed) Neck bent backwards (both CNAs) Resident weight Resident unable to assist Bed too low Bed Rails up Case Study 5 Making a Bed and Repositioning Resident in Bed

67 Task Risk Factors & Hazards Cause Making the bed Forceful grip - Poor hand hold (nurse turning & holding resident) Slip Hazard Using drawsheet Spill on floor Repositioning resident in bed Forceful exertion – back and shoulder Back bent & twisted Neck bent backwards & twisted Resident weight Resident unable to assist Bed too low Rail up Case Study 5 Making a Bed and Repositioning Resident in Bed

68 1.Assess the Resident –This is a semi-conscious resident who is unable to assist 2.Assess the Environment –Clean up spill, have bed linens ready, raise bed and lower rails Case Study 5 Making a Bed and Repositioning Resident in Bed: The Safer Way

69 3.Get Necessary Equipment & Help –Ceiling hoist and 2 nurses or caregivers 4.Perform the Task Safely –Coordinate lift and movement –Each nurse makes a side of the bed –Move bed and/or use ceiling lift to reposition resident safely Case Study 5 Making a Bed and Repositioning Resident in Bed: The Safer Way

70 Case Study 6 Resident Ambulation & Fall Recovery What Did You See? Identify primary risk factors for MSDsIdentify primary risk factors for MSDs Identify hazards that may cause slips, trips, falls or other acute or traumatic injuriesIdentify hazards that may cause slips, trips, falls or other acute or traumatic injuries Determine the cause or the primary risk factors and hazards observedDetermine the cause or the primary risk factors and hazards observed Determine a safer way to perform the taskDetermine a safer way to perform the task

71 Task Risk Factors & Hazards Cause Ambulating resident Trip hazards Sharp corners or protruding edges on furniture (risk of soft tissue contusion) Poor and unstable coupling (handhold) Equipment in walkway No safe way to support resident – holding wrist may cause soft tissue trauma to resident during fall Case Study 6 Resident Ambulation and Fall Recovery

72 Task Risk Factors & Hazards Cause Attempting to control the resident fall Forceful exertion – back and shoulders Back bent & twisted Neck bent backwards Forceful twisting of left forearm when attempting to ‘hold’ resident during fall Resident weight coupled with sudden motion Location of resident at floor level Poor coupling –no location to securely support resident and control the fall safely Case Study 6 Resident Ambulation and Fall Recovery

73 Task Risk Factors & Hazards Cause Lifting Resident from floor Forceful exertion – back and shoulder Back bent Neck bent backwards Forceful grip - Poor coupling hand hold Resident weight Resident unable to assist Location of Resident - lift from floor level No safe way to hold resident’s arms and legs. Risk of soft tissue trauma to resident Case Study 6 Resident Ambulation and Fall Recovery

74 1.Assess the Resident –Can weight bear with standby assist and is cooperative –The resident cannot stand without assistance after fall 2.Assess the Environment –Move IV pole and wheelchair in walkway Case Study 6 Resident Ambulation and Fall Recovery: The Safer Way

75 3.Get Necessary Equipment & Help –Use gait belt for ambulation –Only one nurse or caregiver needed –Portable powered floor lift and two nurses or caregivers to safely lift resident from floor using equipment Case Study 6 Resident Ambulation and Fall Recovery: The Safer Way

76 4.Perform the Task Safely –Improve coupling or handhold by using gait belt with handles (less grip force required) –Control fall correctly using gait belt as aid (but not to ‘lift’ Resident) –Maintain good posture while controlling the fall and supporting resident in floor lift sling –Use of portable powered floor lift reduces injury risk for caregiver and resident Case Study 6 Resident Ambulation and Fall Recovery: The Safer Way

77 Applying your knowledge: Conducting a risk assessment

78 Resources National Center for Resident SafetyNational Center for Resident Safety –http://www.va.gov/ncps/ Resident Safety Center of InquiryResident Safety Center of Inquiry –http://www.visn8.med.va.gov/Residentsafetycenter/ National Institute of Occupational Safety and HealthNational Institute of Occupational Safety and Health –http://www.cdc.gov/niosh/topics/healthcare/ OSHA (federal)OSHA (federal) –www.osha.gov –http://www.osha.gov/SLTC/etools/nursinghome/index.html Oregon OSHA: OSHA: SAIF Corporation: Corporation:

79 Wrap up & Evaluation


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