Safe handling Flashcards
What is Safe Patient Handling and Mobility ?
Safe patient handling and mobility 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.
Fact or myth: You can train workers to use proper body mechanics and avoid injuries
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.
fact or myth: Patients are not as comfortable or safe with mechanical lifting
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
fact or myth: It takes less time to manually move patients than to use lift equipment
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
fact or myth: Having mechanical lift equipment alone ensures safe patient handling
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.
What are some ways hospitals are trying to reduce injury in the workplace?
Creating hospital policies on safe patient handling
Creating safe patient mobility training programs for hospital staff
review some state legislation on safe handling for patients
slide 10
what is the maximum weight NIOSHA recommends for patient handling tasks?
35 ib use assistive devices if exceeds the weight limit
Review the BMAT for bedside mobility assessment
what are the maxi slides
3 sizes
Bariatric (orange), Medium (blue), Small (purple)
1 hand width on either side for fit
“Bottom is water, Top is boat”
Formal recommendation for 2 person assist
Therapeutic Intervention:
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
what is the hover mat?
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
what is the Sara steady?
Non Powered
Sit to stand aide
Used for transfers not ambulation
Qualifications for use:
Pt needs to be able to stand on their own without assistance
Therapeutic Interventions
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)
what is the Sara flex
Powered sit to stand device
Used for transfers not ambulation
Qualifications for use:
Pt needs to be able to demonstrate adequate trunk control at edge of bed
Therapeutic Intervention
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
what is the Sara plus?
Powered sit to stand device
Used for transfers and ambulation
Qualifications for use:
Pt needs to be able to demonstrate adequate trunk control at edge of bed
Therapeutic Intervention
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!
what is the maxi move?
Powered
Dependent lift for transfer
Ambulation device
Repositioning aide
Therapeutic Intervention
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