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terminology

Terminology. Caregivers:RNs, LPNs, CNAsPTs, PTAs, OTs, OTAsAidesTransportersFamily membersEtc.. Where To Start. . Step 1: Collect Baseline DataStep 2: Identify High-Risk UnitsStep 3: Gather Data About High-Risk UnitsStep 4: Identify High-Risk TasksStep 5: Conduct Team Assessments of These TasksStep 6: Analyze the RiskStep 7: Involve the Caregiver and Patient in Selecting the EquipmentStep 8: Determine RecommendationsStep 9: Implement RecommendationsStep 10: Monitor Result1142

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terminology

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    2. Terminology Caregivers: RNs, LPNs, CNAs PTs, PTAs, OTs, OTAs Aides Transporters Family members Etc.

    3. Where To Start

    4. Step 1: Collect Baseline Injury Data

    5. Step 2: Identify High-Risk Units

    6. Step 3: Gather Data About High Risk Units Patient Population/Staffing/Equipment Use Staffing Discuss projected plans Describe the patient, including dependency level 0 Independent 1 Supervision 2 Limited Assistance 3 Extensive Assistance 4 Total Dependence

    7. Step 3: Gather Data About High Risk Units Space considerations General facility layout Doorway width Angles and turns Storage Dining rooms Hallway Railings Visiting rooms Activity rooms Common bathrooms

    8. Step 3: Gather Data About High Risk Units

    9. Step 3: Gather Data about High Risk Units

    10. Step 3: Gather Data About High Risk Units Current equipment/ furniture Beds Height Type Chairs Wheelchairs Geri chairs Regular chairs Recliners Toilets High rise Regular Tables Height Types Life devices Positioning and repositioning devices Other equipment Scales

    11. Step 4: Identify High Risk Tasks

    12. Step 4: Identify High Risk Tasks

    13. Step 4: Identify High Risk Tasks

    14. Step 5: Conduct Assessment by the team

    15. Step 6: Risk Analysis

    16. Step 7: Involve Healthcare Provider & Patient in Selecting Equipment ?Obtain Patient & Healthcare Provider Buy-In ?

    17. Step 7: Involve Healthcare Provider & Patient in Selecting Equipment Two end user groups: Caregiver Patient Both participate in the decision making process Equipment fairs Trial sessions

    18. Step 7: Involve Healthcare Provider & Patient in Selecting Equipment Patients can rate/rank the equipment using surveys Family members can have input to selection

    19. Step 8: Determine Recommendations

    20. Step 8: Implement Recommendations

    21. EQUIPMENT SELECTION: Engineering Controls

    22. EQUIPMENT SELECTION: Engineering Control Strategies

    23. EQUIPMENT SELECTION: Engineering Control Strategies

    24. EQUIPMENT SELECTION: Engineering Control Strategies Equipment availability Adequate variety of slings In a convenient location Toilet and bathing mesh slings Available and in accessible areas Storage room Empty room Short term use in the hallway

    25. EQUIPMENT SELECTION:What to Buy?? Total dependence Patients Level 4 Full sling mechanical lift device Extensive Assistance Level 3 Use of aid of a mechanical device Stand assist device Supervision/Limited Assist Level 2 & 1 Depending on the patients condition Stand assist lift Walking aid device Gait belts Sliding board Avoid manual lifting

    26. EQUIPMENT SELECTION:What to Buy?? Independent Patients Level 0 Capable of bearing own weight Walk without assistance Lifts from Floor A single full sling mechanical lift If patient can regain standing with minimal assist: transfer gait with handles

    28. EQUIPMENT SELECTION:What to Buy?? 6. Repositioning Bed: Bed controls utilized Trendelenberg positioning Friction reducing devices Chair: Stand assist lift Gait Belts Hand slings

    29. EQUIPMENT SELECTION:What to Buy?? 7. Special Situations Devices Bariatric patients ? special equipment Transfer chairs ? stretcher chairs Mechanical friction reducing Sliding boards Transfer belts Special training

    30. EQUIPMENT SELECTION: What to Buy?? 8. Combative & Mentally Impaired Patients Use the appropriate lifting aid device Additional care providers as needed

    31. EQUIPMENT SELECTION: What to Buy?? Equipment Availability Should be available Stored and available in accessible areas Batteries charged Slings available for all shifts Variety of sling sizes Toileting and bathing slings available Friction reducing devices available Sliding boards Transfer belts Gait belts

    32. Key Questions

    33. SAFE PATIENT HANDLING EQUIPMENT

    34. SAFE PATIENT HANDLING EQUIPMENT

    35. Monitor Results Ongoing success of process Established key indicators Established time line

    36. Information on OSHAs Website www.osha.gov

    37. Other Resources Patient Safety Center Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement www.visn8.med.va.gov/patientsafetycenter CDC/NIOSH Safe Lifting and Movement of Nursing Home Residents, publication #2006-117 www.cdc.gov/niosh

    38. QUESTIONS

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