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Welcome to Your Moving And Handling Training

Welcome to Your Moving And Handling Training. Oma Chung Clinical Skills Tutor. OBJECTIVES. What is manual handling? Anatomy of the Spine Back pain facts Contributing Factors to Back pain Legislation Principles of manual handling Risk Assessment Communication Poor Handling techniques

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Welcome to Your Moving And Handling Training

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  1. Welcome to Your Moving And Handling Training Oma Chung Clinical Skills Tutor

  2. OBJECTIVES • What is manual handling? • Anatomy of the Spine • Back pain facts • Contributing Factors to Back pain • Legislation • Principles of manual handling • Risk Assessment • Communication • Poor Handling techniques • Working with VDUs

  3. Moving & Handling This session aims to increase your awareness of safety in moving and handling.

  4. WHY DO MOVING AND HANDLING TRAINING • STATUTORY – Legal requirement • Mandatory Training - MRI Policy • GMC - Tomorrow’s Doctors 2009 • Ensuring patient safety by working within the limits of their competence, training as medical students. • -Place patients’ needs and safety at the centre of the care process

  5. Moving & Handling Advisor Moving and Handling Advisor /coordinator Jane Whittaker 0161 276 4006 Oma Chung – Moving and Handling Linkworker – Medical Undergrad Centre 11285

  6. Manual Handling is defined as • Lifting • Putting Down • Pushing • Pulling • Carrying • Moving • Intentionally dropping or throwing of a load Ref: HSE Guidance on Regulations Manual Handling Operations Regulations 1992

  7. Back Pain - The Facts • The leading cause of disability in the UK • 1/3 of all reported injuries resulting in 3 days or more sickness absence are related to manual handling. • The NHS spends £480 million/yr on services used by people with back pain • Back problems cost the UK about £6 billion/yr • In NHS manual handling accidents account for 40% of sickness absence. But it doesn’t just affect your working life. Severe back pain can have an effect on: • Family Relationships • Social Activities • General health • Mental health. • Ability to function independently (BackCare Charity January 2009/ Dept.of health 2009)

  8. THE SPINE • The back consists of: 24 bones (vertebrae) cushioned by shock absorbing discs (inter-vertebral discs), ligaments to hold vertebrae and discs together, tendons to connect muscles to vertebrae, spinal cord and nerves, and muscles. • The lumbar region, is composed of 5 vertebrae L1 to L5.  This region bears the entire weight of the upper body (plus any extra weight carried) and is also under continual stress especially when bending, twisting, and lifting. • The complex structure of the lower back means that quite small amounts of damage to any of the structures of the back can cause a lot of pain and discomfort.  • Pain in the lower back is a symptom that there has been stress or damage to the ligaments, muscles, tendons or discs.

  9. Back pain - Contributing factors • Posture • Age • Genetic predisposition • Osteoporosis • Physical structure • Pregnancy • Cumulative damage • Injury • Smoking

  10. Legislation and Manual Handling Health and Safety at Work Act 1974 Manual Handling Operations Regulation 1992 Trust Policy: Intranet

  11. Health and Safety Act 1974 (HSWA) “Reasonably practicable” The employer must assess the manual handling operations that their staff carry out. If medium or high risks are identified steps must be taken to reduce the potential risk of injury to the lowest, reasonably practicable level

  12. EC Directive 90/269 EEC (1992) Employers Responsibilities • Avoid Manual Handling • Assessment of Risks • Reduction of Risks • Provide Information about the Load • Review Assessments • Training

  13. Risk Assessment: TILE • Task - What does it involve? • Carrying over a distance • Frequent or prolonged effort/ fixed posture • Awkward heights: too high/ too low • Individual - Is the individual? • Appropriately trained • Appropriately dressed • Competent to do the task • Pregnant/ health problems • Load - Is it? • Heavy • Bulky or unwieldy • Contents likely to shift • Labelled (indication of contents) • Environment - Are there? • Space constraints (posture) • Uneven/ slippery/ unstable floors • Poor lighting

  14. Principles of handling • Stop and think • Prepare the area • Foot position • Assess the load • Spine in Line • Hips and knees flexed • Hold the load close to your body • Firm hold • Head up

  15. Communicating instructions • Are you ready? (wait for answer) • Steady • Stand/Sit/Slide

  16. Poor handling practice and Potentially dangerous techniques

  17. The Australian Lift

  18. Cradle Lift

  19. Hands around Neck

  20. Drag Lifts

  21. Top and Tail

  22. Working Safely At Your Work-Station

  23. Not like this Not like this

  24. Moving and Handling courtesy BBC :

  25. Any questions

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