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Manual Handling

Manual Handling

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Manual Handling

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  1. Manual Handling Neonatal

  2. The Back Care / Manual Handling Team KATHERINE HOPKINSON • Manual Handling Trainer • Ext 5457, Bleep 031

  3. The Back Care / Manual Handling Team What Do I Do? Includes: • Training for all levels of staff • Follow up manual handling & related RIDDOR incidents • Carry out / assist with risk assessments for manual handling • Organise trials for new equipment • Assist with any manual handling problems you may be having in your department

  4. Main Areas to Cover

  5. Why is Good Manual Handling Important?

  6. The Spinal Column

  7. Intervertebral Disc

  8. Biomechanics The way our bodies move

  9. Side View Front View Compression The pattern of injury to the spine is a function of the type and size of forces present at time of injury. Lifting excessively heavy loads may result in damage to the disc structures.

  10. Herniated Disc

  11. Tension Front View Side View Overstretching may result in tearing of ligaments and consequently low back pain.

  12. Shear Shear forces, as a consequence of forward bending of the spine, may result in disc prolapse or herniation.

  13. Torsion Twisting movements of the spine may cause soft tissue damage.

  14. Posture Key factor when avoiding injury

  15. Law • Law

  16. Manual Handling Any transporting or supporting of a load including the lifting, putting down, pushing, pulling, carrying or moving thereof by hand or by bodily force Manual Handling Operations Regulations 1992

  17. Health and Safety Executive H.S.E. • Polices Health & Safety Law • Inspectors can and do enter premises without warning • If they are not satisfied by H&S standards they can give out a range of penalties • Verbal warnings • IMPROVEMENTNOTICES • Prohibition notices • Prosecute • They have been looking at • ELECTRIC PROFILING BEDS

  18. The Law • Health and Safety At Work Act 1974 • Management of Health and Safety at Work Regulations 1999 • Lifting Operations and Lifting Equipment Regulations 1998 • Provision and Use of Work Equipment 1998 • Manual Handling Operations Regulations 1992

  19. Health And Safety At Work Act Employer’s Responsibilities …to look after the health, safety and welfare at work of all employees as far as is reasonably practicable …to provide (amongst other things)…training Employee’s Responsibilities …to take reasonable care of their own health and safety and that of others by what you do or don’t do …to allow the employer to comply with his Health & Safety duties Management of Health and Safety at Work Regulations • Must carry out risk assessments • Employees shall use equipment appropriately, in accordance with the training and instruction provided

  20. P.U.W.E.R. Provision and Use of Work Equipment Regulations 1998 Covers nearly any equipment which is used by an employee at work And says it has to be: • suitable for the intended use; • safe for use & maintained in a safe condition L.O.L.E.R. Lifting Operations and Lifting Equipment Regulations 1998 • Includes any equipment used at work for lifting or lowering loads – includes HOISTS • Requires that lifting equipment provided for use at work is: • subject to ongoing thorough examination and, where appropriate, inspection by competent people • strong and stable enough for the particular use and marked to indicate safe working loads

  21. Manual Handling Operations Regulations Employee’s Responsibilities • Each employee while at work shall make full and proper use of any system of work provided for his use by his employer

  22. Policies • The Moving and Handling of Patients and Loads • Falls Prevention Policy • Dress Codes and Uniform Policy • Guidance for the Safe Handling of Bariatric Patients

  23. Policies • The Moving and Handling of Patients and Loads • Falls Prevention Policy • Dress Codes and Uniform Policy • Guidance for the Safe Handling of Bariatric Patients

  24. Falls

  25. The falls prevention policy does cover slips, trips and falls of staff as well as patients.

  26. Policies • The Moving and Handling of Patients and Loads • Falls Prevention Policy • Dress Codes and Uniform Policy • Guidance for the Safe Handling of Bariatric Patients

  27. Policies • The Moving and Handling of Patients and Loads • Falls Prevention Policy • Dress Codes and Uniform Policy • Guidance for the Safe Handling of Bariatric Patients

  28. A ‘Bariatric’ person can be defined as anyone who has limitations in health and social care due to physical size, health, mobility and environmental access A ‘Bariatric’ person is defined by the healthcare organization as a person whose weight, body dynamics or weight distribution exceed the safe working load and / or dimensions of a support surface, for example a mattress, bed frame, commode etc (Huntleigh Healthcare Website)

  29. 40 / 50 stone 254 / 318 kg

  30. Toilet: 63 stone / 400 kg Toilet Seat: 18 stone / 115 kg

  31. Risk Assessment

  32. Manual Handling Operations Regulations AVOID ASSESS REDUCE

  33. East Sussex Case • A No-Lift policy could be unlawful and in breach of the Human Rights Act • Individual staff members cannot be found guilty of breaches of the Human Rights Act (it would be the Trust) • It remains that manual handling is the exception • The main reason for manual handling injury is NOT due to the taking of well managed, higher risks but is instead due to the absence of adequate assessments, care plans, staffing, training, supervision and equipment.

  34. Risk Assessment Guidelines

  35. Task Risk Assessment T.I.L.E

  36. Reasonably Practicable A comparison between, on one hand the extent of the risk and on the other the sacrifice (cost, time and effort) in taking the necessary measures to advert the risk (Stranks 1994) RISK SACRIFICE

  37. It Could Happen To You • 1/3 of all reported injuries resulting in 3 or more days off work are caused by manual handling accidents • In the NHS manual handling accounts for 40% of all sickness absence • The cost to the NHS in accident and sickness absence is £500 million a year • 4 out of 5 adults will suffer from back pain during their working lives • Effects can be devastating and life changing • 1 in 4 nurses have at some time taken time off work with a back injury sustained at work • Back & musculo-skeletal problems are no respecter of position, age, gender or experience

  38. Reporting Incidents https://bedsqldatix01/datix/live/

  39. R.I.D.D.O.R. REPORTING OF INJURIES, DISEASES AND DANGEROUS OCCURENCES REGULATIONS 1995 Employer must report by law:- Fatal and specified major injuries Over 3 day injuries Injuries resulting in hospital admission > 24hours Plus: Employers must keep a record of all accidents. Employer & Managers must investigate the cause of an accident. Employees must:- Inform your manager a.s.a.p. after an accident at work Complete an accident form Advise manager if off sick for more than 3 days with a work related injury

  40. Ergonomics and Biomechanics