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Belinda Thomson Manual Handling Adviser Head of Manual Handling Service Risk Management Department NHS Forth Valley Sco

Belinda Thomson Manual Handling Adviser Head of Manual Handling Service Risk Management Department NHS Forth Valley Scotland belinda.thomson@fvah.scot.nhs.uk. Structure of Manual Handling Service. Level 1 Core Team Induction Training Level 2 MH Unit Trainers Onsite refresher

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Belinda Thomson Manual Handling Adviser Head of Manual Handling Service Risk Management Department NHS Forth Valley Sco

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  1. Belinda Thomson Manual Handling Adviser Head of Manual Handling Service Risk Management Department NHS Forth Valley Scotland belinda.thomson@fvah.scot.nhs.uk

  2. Structure of Manual Handling Service Level 1 Core Team Induction Training Level 2 MH Unit Trainers Onsite refresher Level 3 MH Key Workers local resource

  3. NHS Forth Valley Staff Population Acute Service: Surgical Medical, Emergency Care and Rehabilitation Women & Children/Clinical Services Facilities Corporate/Finance/HR ---------------------------------- Staff population = ~ 4,900 Community Services: Community Health Partnerships - CHP’s Stirling Clackmannan Falkirk ---------------------------------- ~ 2,100 Staff population = 7000 staff members

  4. Forth Valley - Scotland Population: • Stirling 88,190 • Clackmannan 49,900 • Falkirk 150,720 -------- 288,810 Geographical area: 2,643 square km or 1,021 square miles

  5. Source:Campbell I.W (2004)

  6. NHS Forth Valley Bariatric Definition ‘Very heavy’ 20 st/127 kg and > greater. Patient unsuitable for a range of routine hospital patient equipment e.g. toiletingcommodes, scanners. ‘Bariatric’ Patients 28 st/178 kg and > greater or due to body morphology. The patient unsuitable for routine patient equipment e.g. Kings Fund bed, x-ray tables. ‘Extreme Bariatric’ Patients Greater than > 35 st/222 kg and above.

  7. Case Study 1 • Year 2004/2005 • Female patient aged 43 years • Weight recorded at 52 stone/330 kg • Decreasing mobility over a 2 month period prior to admission to hospital. • Non ambulant at time of admission • Was known to Social Services • Patient medically stable at time of admission

  8. Case Study 1 • Hired in ALL equipment that was used during the patients hospital stay. • LIKO Gantry Ultra Twin Hoist • KC1 Bari-Air bed

  9. Case Study 1 From LIKO - Gantry Hoist

  10. Case Study 1 From Benmor Medical (UK) Ltd. • Riser/Recliner chair • SWL 50 stone/320 kg

  11. Case Study 1 From LIKO UK • Mobile Viking Hoist used with • Lift Pants

  12. Case Study 1 From Benmor Medical (UK) Ltd. • Bariatric Rollator • SWL 50 stone/320 kg

  13. Case Study 2 • Admitted February 2008 • Male patient aged 39 years • Weight recorded at 48 stone/ 306kg • Decreasing mobility over a 2 month period prior to admission to hospital • All independent ADL decreased over a 2 week period prior to admission • Non ambulant at time of admission • Known to Social Services • Patient medically stable at time of admission

  14. Emergency Ambulance with Bariatric capability

  15. Case Study 2 Non Emergency: Patient Transport Ambulance with Bariatric capability

  16. Case Study 2

  17. Case Study 2 Ferno Megasus (SWL 300 kg)

  18. Case Study 2 From Stryker • Transfer-Flat a rugged and versatile evacuation sheet • offers 12 rigid handles, polyester reinforced construction • SWL 114 stone/700 kg capacity. • Portable and compact, it rolls to stow-away size. Evacuation Sheet

  19. In-house Equipment

  20. Case Study 2 OUTCOME • Discharged home May 2008 • Weight on discharge 29 stone/185 kg • Only requiring assistance with ADL e.g. for hygiene care • Carers reduced from 4 to 1 /day by end of August 2008 • Independently mobile with quad sticks within and outwith home • Independently buying cakes at shops!!!

  21. Bariatric Patient Pathway Aim of project - identify a strategy for the most effective and efficient pathway to deliver necessary healthcare needs to bariatric patient……

  22. Bariatric Patient Pathway • Bariatric Patient Flowchart Pathway Appendix A ‘Step by step’ action pathways • Admission to A&E/CAU for Diagnostic Investigation Pathway Appendix B • Acute Hospital Admission Pathway Appendix C • Community Hospital Admission via Acute Service Pathway Appendix D • ‘Home Location’ for Rehabilitation/Care Pathway Appendix E • Community Hospital for Rehabilitation/Care Pathway Appendix F • ‘Home location’ NO Hospital admission Pathway Appendix G

  23. APPENDIX ABariatric Patient Flowchart Pathway

  24. Bariatric Patient Pathway • Bariatric Patient Flowchart Pathway Appendix A ‘Step by step’ action pathways • Admission to A&E/CAU for Diagnostic Investigation Pathway Appendix B • Acute Hospital Admission Pathway Appendix C • Community Hospital Admission via Acute Service Pathway Appendix D • ‘Home Location’ for Rehabilitation/Care Pathway Appendix E • Community Hospital for Rehabilitation/Care Pathway Appendix F • ‘Home location’ NO Hospital admission Pathway Appendix G

  25. APPENDIX BBariatric Patient PathwayA&E / CAUDiagnostic Investigations

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