Integrating Safe Patient Handling and Mobility into the DPT Classroom Flashcards

1
Q

What is Safe Patient Handling and Mobility ?

A

involves the use of assistive devices to ensure that patients can be mobilized safely and that care providers avoid performing high-risk manual patient handling tasks

Using the devices reduces a care provider’s risk of injury and improves the safety and quality of patient care

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2
Q

Work related injury

A

1) health care and social assistance

2) manufacturing

3) retail trade

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3
Q

Myth: You can train workers to use proper body mechanics and avoid injuries

A

Fact: More than 30 years of research and experience shows that relying on proper body mechanics or manual lifting techniques alone is not effective to reduce back and other musculoskeletal injuries

A comprehensive safe patient handling program that combines management commitment, employee involvement, policies, mechanical equipment, training, and maintenance is needed.

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4
Q

Myth: Patients are not as comfortable or safe with mechanical lifting

A

Fact: Patient education can reinforce that the lift is for the patient’s safety as well as the caregiver’s

Patient handling equipment can help prevent patient falls, bruises, and skin tears

Studies have shown that patients feel more comfortable and secure when a mechanical transfer device is used

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5
Q

Myth: It takes less time to manually move patients than to use lift equipment

A

Fact: It can actually take much longer to round up a team of colleagues to manually lift a patient than to find and use lifting equipment

It has been found that using mechanical devices to transfer patients takes fewer personnel and about five minutes less, overall, than manual transfers

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6
Q

Myth: Having mechanical lift equipment alone ensures safe patient handling

A

Fact: Training is key to the success of any safe patient handling program

In addition, many healthcare facilities lack conveniently located storage space for portable lifts

Routine servicing and maintenance are also needed.

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7
Q

What are some ways hospitals are trying to reduce injury in the workplace?

A

Creating hospital policies on safe patient handling

Creating safe patient mobility training programs for hospital staff

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8
Q

National institute for Occupation and Health (NIOSHA) recommended a ___ maximum weight limit for use in patient-handling tasks.

____ should be utilized when lifting exceeds this limit.

A

35lb

Assistive devices

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9
Q

BMAT

A

bedside mobility assessment tool for nurses

4 levels

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10
Q

BMAT level 1

A

assessment of trunk strength & seated balance

use total lift with sling and/or repositioning sheet and/or straps

use lateral transfer device such as roll board, friction reducing (slide sheets/tube) or air assisted devices

if patient has strict bed rest or bilateral NWB restrictions - don’t proceed with assessment

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11
Q

BMAT level 2

A

assessment of lower extremity strength and stability

use total lift for patient unable to WB on at least one leg

use sit-to-stand lift for patient who can WB on at least one leg

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12
Q

BMAT level 3

A

assessment of lower extremity strength for standing

use non-powered raising/stand aid

default to powered sit-to-stand lift if no stand aid available

use total lift with ambulation accessories

use ADs

patient passes assessment level 3 but requires AD to ambulate or cognitive assessment indicates poor safety awareness = patient is mobility level 3

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13
Q

BMAT level 4

A

assessment of standing balance and gait

if patient shows signs of unsteady gait or fails assessment level 4 = refer back to mobility level 3

pass = modified independence

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14
Q

SARA Stedy

A

Non-powered
Sit to Stand Aide
Transfer device NOT ambulation

Qualifications for use:
Pt needs to be able to stand on their own without assistance

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15
Q

Sara Stedy Therapeutic Interventions

A

Step preparation on and off the platform
Squats
Sit to stands
Reaching across midline/unsupported
Weight shifting
Standing ADLs (reaching into cabinet, grooming at sink, etc)

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16
Q

SARA Flex

A

Powered
Sit to Stand Aide
Transfer device NOT ambulation

Qualifications for use:
Pt needs to be able to demonstrate adequate trunk control at edge of bed

17
Q

SARA Flex Therapeutic Intervention

A

Trunk control for edge of bed sitting (use device as second set of hands)

Scooting edge of bed

Orthostatic vital sign measure in a safe position

Portable standing frame:
promotes upright tolerance/weight bearing through lower extremities

Work on standing ADLs

18
Q

SARA Plus

A

Powered
Sit to stand Aide
Ambulation and transfers Aide

Qualifications for use:
Pt needs to be able to demonstrate adequate trunk control at edge of bed

19
Q

SARA Plus Therapeutic Intervention

A

Trunk control for edge of bed sitting (use device as second set of hands)

Scooting edge of bed

Portable standing frame:
promotes upright tolerance/weight bearing through lower extremities

Work on standing ADLs

Ambulation!

20
Q

Maxi Move

A

Dependent Lift (powered)
Repositioning aide
Ambulation device
Limb slings for AROM/PROM (154#) weight limit

21
Q

Maxi Move Therapeutic Intervention

A

Facilitate turning in bed

Transfer patient out of bed to recliner chair

Beings activation

Sitting in wheelchair (upright posture)

Sitting tolerance

Limb sling for range of motion

Walking vest for ambulation

22
Q

Maxi Slide

A

In Bed use only
Patient repositioning (requires 2 person assist)

3 sizes
- Bariatric (orange), Medium (blue), Small (purple)

1 hand width on either side for fit
“Bottom is water, Top is boat”

23
Q

Maxi Slide Therapeutic Intervention:

A

Leg press
“Scoot” up and down in bed
Heel slides
Active Assist Range of Motion

Increasing independence when turning right and left

Lateral scooting for improved trunk control

24
Q

HoverMatt

A

1 size
Requires vacuum for use

Counts as 1 layer under patient (4 layer max for skin protection)

Mat can stay under patient
Formal recommendation for 2 person assist

Therapeutic Intervention:
Total assist boost in bed/positioning