week 2: manual handling Flashcards
What are bariatric patients?
morbidly obese patients
Bed mechanics:
know (S__)
ensure patient fits in the bed s__ with room to m__ during o__-b__ tasks
SWL
safely with room to move during on-bed tasks
Overhead tracking:
ensure r__ s__ is attached to the h__
know you (S__) & patient w__
p__ equipment to __ patient ‘h__ t__’
right sling is attached to the hoist
SWL & patient weight
prepare equipment to reduce patient ‘hand time’
Manual Handling Principles:
- ___ manual handling wherever possible
- maximise p__ i__ by encouraging the patient to a__ whenever possible
- provide s__ h__ a__ to facilitate patient m__
- do not become l__/c__/h__ to patients
- use b__ m__
- transfer at the s__ l__ or to a l__ l__
- p__ rather than p__ or l__ - use f__ reducing devices
reduce manual handling wherever possible
maximise patient independence by encouraging the patient to assist whenever possible
provide self help aids to facilitate patient movement
do not become linked/connected/hooked to patients
transfer at the same level or to a lower level
push rather than pull or lift - use friction reducing devices
Transfer Hoist:
minimum of __ nurses
transferring patient from o__ l__ to a__
consideration given to i__
ensure patient is e__ p__ to transfer
2
one location to another
injuries
educated prior
Slide sheets:
minimum of __ nurses
use of __ slide sheets
moving patient __ or __ the bed
2
2
up or down
Patient Handling Risk Assessment Tool (PHRAT)
Patients are assessed as:
- i__
- r__ s__
- a__ to a__
- n__ a__ to a__
within each of these categories, patients are assessed for o__ b__ t__ & o__ b__ t__
independent
requires supervision
able to assist
not able to assist
on bed tasks & off bed tasks
what is this called?
Standing Lifter
what is this called?
transfer hoist
Occupational Health & Safety Act (2004)
Duties of Employees (section 25)
While at work, an employee must:
- take r__ c__ for his or her own h__ & s__
- take r__ c__ for the h__ & s__ of o__ who may be affected by the employee’s a__ or o__ at a w__
- c__ with their employer with r__ to any a__ t__ by the employer to c__ with a requirement imposed by the OHS Act.
- take reasonable care for his or her own health & safety
- take reasonable care of the health & safety of others who may be affected by the employee’s acts or omissions at a workplace
- cooperate with their employer with respect to any action taken by the employer to comply with a requirement imposed by the OHS Act
Most back injuries occur from c__ strain
d__ p__ & r__ can occur ___ warning & has l__ consequences e.g.,
p__, s__ d__ & l__ of i__.
most back injuries occur from cumulative strain
disc prolapse & rupture can occur without warning & has lifelong consequences e.g.,
pain, sleep deprivation & loss of income
Injuries resulting from manual handling may include:
a__ h__ & w__ a__ m__ from raised i__-a__ p__ from l__
abdominal hernias & weakened abdominal muscles from raised intra-abdominal pressure from lifting
Overhead trapezius Bar
ensure device is p__ s__ to the bed
a__ strap l__
enables patient to move __ the bed i__
consider i__
properly secured
adjustable strap length
up, independently
injuries
Manual Handling Equipment
- know what equipment is a__ & r__ a__ equipment if required
- know your s__ o__ p__ (SOP) for the equipment b__ using it
- check the equipment is in g__ c__ p__ to use
- must know the s__ w__ l__ (SWL) of the equipment & the w__ of the patient
available & request additional equipment if required
know your safe operating procedures for the equipment before using it
check the equipment is in good condition prior to use
must know the safe working limit of the equipment & the weight of the patient
Injuries resulting from manual handling may include:
injuries to s__ s__ in the b__, including m__, l__ & i__ d__ resulting in s__, s__ & p__ of the i__ d__.
Injuries to supporting structures in the back, including: muscles, ligaments & intervertebral discs resulting in strains, sprains & prolapse of the intervertebral disc.
what is this called?
overhead tracking
Criteria for Able to Assist:
Off Bed Tasks:
1. must be able to c__ & c__ instructions
- must be able to s__ u__ (w__ or w__ a__)
- must be able to maintain b__ (w__ or w__ a__)
- __ recent history of unexpected f__ in h__ or c__
If the patient does not meet __ criteria, patient is classified as not able to assist and requires a minimum of __ people & a__ e__
must be able to cooperate & comprehend instructions
must be able to stand unsupported (with or without aids)
must be able to maintain balance (with or without aids)
no recent history of unexpected falls in hospital or the community
all, 2 people & appropriate equipment
Why comply with Hospital OHS Policy?
- proven to __ risk of i__ & s__
- stay in the profession __
- l__ f__ & m__ e__ after completion of shift to enjoy s__ a__
- helps injured staff get b__ to w__ s__
proven to reduce risk of injury & strain
proven to stay in the profession longer
less fatigue & more energy after completion of shift to enjoy social activities
helps injured staff get back to work sooner
what is this called? (2 options)
HoverMatt & HoverJack
Standing Lifter:
must be able to bear s__ w__ through l__
must be wearing a__ f__
must be able to f__ i__
should not be used if the patient is f__
some weight through legs
adequate footwear
follow instructions
fatigued
Criteria for Able to Assist:
On Bed Tasks:
1. must be able to c__ & c__ instructions
- must be able to move o__ b__ w__ in bed (w__ or w__ the use of a__ d__)
If the patient does not meet __ criteria, patient is classified as not able to assist and requires a minimum of __ people & a__ e__
- must be able to cooperate & comprehend instructions
- must be able to move own body weight in bed (with or without the use of assistive devices)
both, 2 people & appropriate equipment
Occupational Health & Safety Act (2004)
Duties of Employers (section 21)
An employer must, so far as is r__ p__:
p__ & m__ for employees of the employer, a w__ e__ that is s__ & w__ r__ to h__
An employer, so far as reasonable practicable:
Provide & maintain for employees of the employer, a working environment that is safe & without risk to health
What is this called?
overhead trapezius bar
Label the Diagram.
What is this and what is it an example of?
When can the No-Lift Policy be modified?
life threatening situations
HoverMatt & HoverJack
minimum of __ nurses
transfer patient from o__ l__ to a__
r__ the patient to b__ following a f__ to the f__
2
one location to another
return the patient to bed following a fall to the floor
A bariatric patient is defined as one with a weight that is in excess of __ kg
special consideration should also be given to those patients who have a BMI in excess of __
Other must know important factors:
w__, h__, w__
120kg
35
weight, height, width
Injuries resulting from manual handling may include:
Injuries to s__ t__ such as n__, l__ & t__ in the w__, a__, s__, n__ or l__
injures to soft tissue such as nerves, ligaments & tendons in the wrists, arms, shoulders, neck or legs
not all tasks involving manual handling are hazardous. true/false?
what does it depend on?
depends on the d__, f__ & c__ of the task
risk of injuring __ when manual handling involves patients as they are u__
true
depends on the duration, frequency & complexity of the task
risk of injury increases when manual handling involves patients as they are unpredictable
manual handling covers a wide range of activities including:
- l__
- p__
- p__
- h__
- t__
- c__
- r__
- m__ a__ p__
lifting pushing pulling holding throwing carrying restraining maintaining awkward postures
Why comply with Hospital OHS Policy?
- d__ a__ may be taken for n__-c__
- p__ c__ is i__
- encourages patient i__ & reduces hospital induced d__
disciplinary action may be taken for non-compliance
patient care is improved
encourages patient independence & reduces hospital induced deconditioning
MSD’s may include:
- r__ s__ i__ (RSI)
- o__ o__ s__ (OOS)
- c__ t__ d__ (CTD
repetitive strain injury
occupational overuse syndrome
cumulative trauma disorder
Injuries resulting from manual handling may include:
c__ p__ conditions as a result of the various injuries sustained through manual handling activities
chronic pain conditions
Manual Handling Principles:
- keep your natural spine curve by reducing f__, s__ b__ or t__ of the spine
- reduce s__ b__, o__ s__ h__, o__ & o__
- avoid s__/u__ movements
- s__ u__ about p__ p__
keep your natural spine curve by reducing forward, side bending or twisting of the spine
reduce shoulder abduction, one sided handling, overreaching * overexertion
avoid sudden/unexpected movements
speak up about poor practive
Musculoskeletal disorder (MSD) is defined as:
An i__, i__ or d__ that arises in w__ or in p__ from m__ h__ in the w__ p__, whether occurring s__ or over a p__ p__ of t__
an injury, illness or disease that arises in whole or in part from manual handling in the work place, whether occurring suddenly or over a prolonged period of time
