L4-5: Manual Tasks Training Flashcards
What are 3 implications for people handling?
- How pull up?
- Safety – shoes -
- ‘Shades of Grey’
What are 4 systematic processes of risk management?
The systematic process of identifying, assessing, controlling, monitoring and reviewing risks in the workplace
- Identify hazards - what could cause harm
- Assess risks if necessary – understand the nature of the harm, how serious the harm could be and likelihood of it happening
- Control risks – implement the most effective control measure that is reasonably practicable
- Review control measures to ensure they are working as planned.
Assessment is a ______ process to determine level of risk associated with performing a people handling _____ to develop a _______ of tasks/actions requiring control. Worker_____ essential.
subjective; TASK; prioritised list; consultation
A way of assessing risk is to consider the _____ and ______ of an incident occurring at the workplace
likelihood; consequences
What information is important to assess risk in manual handling?
Information derived from patient assessment, workers, availability & capacity of staff, availability & condition of equipment and environment; injury history
What is the 3 levels of likelihood?
What are the consuequences from 3 levels of risk (major, moderate and minor)?
What is the likelihood VS consequences?
What are the 3 levels of the risk priority scoring/rank?
Manual tasks technique training don’t preventor reduce risk for injury. Why?
EXAM QUESTION
XXX
What is the hierachy of risk control?
What are the 3 assumptions that manual tasks training?
- Safer methods of lifting (manual handling) are known and agreed
- These methods can be taught and applied in the work context
- Training addresses the risk factors associated with injury
What are the 3 methods of lifting? What is the safest method?
- Stoop
- Full squat
- Semi-squat lift
What are the 6 characteristics of the stooped lift?
- Reasonable evidence to support use of stoop lifting of low lying objects
- Lumbar moments and compression forces similar
- Energy expenditure, heart rate and ventilation lower
- Whole body rate of perceived exertion lower
- Quads rate of perceived exertion probably lower
- Natural thing to do – quick and less fatiguing
What are the 6 characteristics of the full squat lift when you compare to a stooped lift?
Useful to pick up light items from ground level
Compared with stoop, full squat has:
- Similar energy expenditure, ventilation and heart rate
- Similar lumbar moments, shear & compression forces as stoop
- Less lumbar passive tissue stress
Those with LBP tend to squat
What are the 5 characteristics of the semi- squat lift?
- Greater max acceptable weights than squat or stoop
- Lower rate of perceived exertion than for squat and stoop
- Avoids knee and lumbar joint extremes ROM
- Less likely to injure lumbar ligaments than stoop
- Good compromise between stoop and squat
Working at low heights or picking up objects from floor.
What are 3 lifts should physios use and teach?
- Semi-squat – considered safest due to reduced forces on lumbar discs, but high energy cost. Good for heavy loads performed on occasional basis
- Squat lift - alternative to the semi-squat when space is limited and load size does not allow for foot placement to the side of the object to be lifted. This lift preferred by individuals experiencing acute and chronic low back pain
- Stoop lift - OK to use for light objects occasionally; requires least amount of energy expenditure and least strain on knees
What is good practice? What is bad practice?
- Good Practice (planning & coordination between team; patient reassurance) and
- Poor practice (equip’t unavailable or not used; staff demonstrated poor posture; lack of safety checks)
What are 7 common reasons why nurses/physios practice unsafe work practices?
- To avoid conflict with other staff;
- Did not want to appear uncooperative
- Lack of confidence to say ‘no’
- Lack of time/equipment/staff
- Were told the patient had ‘complex needs’
- Avoid labeling by other staff as the ‘no-lifting nurses’
- Perception that situation as an emergency
- 1703 postal employees who received 2x1.5hrs (1 wk) training sessions on lifting and carrying techniques. Refresher training at 6 months and yearly;
to
- 1894 employees who received standard training in back injury prevention (video) plus periodic safety talks at their supervisors’ discretion
What are 5 effects of the program?
The program didn’t reduce:
- rate of low back injury,
- median cost per injury,
- time off from work per injury,
- rate of related musculoskeletal injuries,
- rate of repeated injury after return to work;
Only the subjects’ knowledge of safe behavior was increased by training
- 184 nurses received 1hr/wk training for 2yrs by trained nurse or nurse aide
- Compared with 161 control nurses who participated in 1x3hr instructional meeting
- Training – body mechanics, patient transfer techniques, use of equipment based on Bobath method
What was the result?
- Training needs to be regular for behavior change
- No significant difference in number of LBP episodes or care seeking due to LBP during the past year
How can you adopt a stable position as recommended principles of safe people handling?
The wider the BOS the more stable the posture - as more displacement of the line of G is required before the line of G falls outside the BOS eg lifting, walking aids, parallel bars
Why should you avoid fully flexed or twisted spine (or combo) as recommended principles of safe people handling? How can you do this?
Neutral posture = where the strain on the muscles and joints is least and the muscles can work most efficiently
How?
- Keep shoulders level and facing in the same directionas the hips
- Turn by moving feet rather than twisting at back or knees
