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Patient Transfer Assist Devices

Patient Transfer Assist Devices

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Patient Transfer Assist Devices. Patient Handling. Potential Hazard Employee exposure to injury from ergonomic stressors during handling, transferring, and repositioning of patients and residents. Who is Affected? - PowerPoint PPT Presentation

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Page 1: Patient Transfer Assist Devices

Patient Transfer Assist Devices

Page 2: Patient Transfer Assist Devices

Patient Handling

Potential Hazard

– Employee exposure to injury from ergonomic stressors during handling, transferring, and repositioning of patients and residents.

Who is Affected?

– Hospital, home health care, nursing home and other health care workers (especially nursing assistants) are affected.

Descent Control System

Page 3: Patient Transfer Assist Devices

Why is it important?

Bureau of Labor Statistics for nursing and personal care facilities. – Over 200,000 work-related injuries and illnesses

per year.

– Many are serious injuries and more than half require time away from work.

– Nearly $1 billion per year in workers compensation costs.

– Workers in nursing homes are twice as likely to get hurt.

– Patient handling is a leading cause for health care injuries.

Page 4: Patient Transfer Assist Devices

Increased Risks

There is an increased risk if patient handling tasks are:– Repetitive

– Done in awkward postures

– Done with a lot of force

– Done while lifting alone

– Done while lifting un-cooperative, confused, or large patients

– Done over great distances

– Done by employees that have been ineffectively trained

Demonstration of Descent Control System on Stairs

Page 5: Patient Transfer Assist Devices

Possible Solutions

Provide & train employees with assist devices

– Minimizes and possibly eliminates manual lifting

Train employees on proper lifting procedures

Create a plan that:

– Identifies patient/resident handling hazards

– Establishes patient/resident handling criteria

Page 6: Patient Transfer Assist Devices

Possible Solutions

According to OSHA, the best possible way to reduce patient handling injuries is to minimize and whenever possible, eliminate, manual patient positioning.

This can be done by utilizing the following devices.

Page 7: Patient Transfer Assist Devices

Assist Devices for Bathrooms

Shower Chairs – fit over toilets, into showers, etc. to eliminate multiple transfers

Shower Stalls with Level Floor Surfaces – allows for easy movement of shower chairs

Toilet Seat Risers – equalizes height of wheelchair and toilet

Bath Cabinets & Adjustable Tubs

Page 8: Patient Transfer Assist Devices

Assist Devices for Dependent Patients

Sling–Type Full Lift – used to transfer patients that are totally dependent, not limited by a track

Lean-Stand Assist Lift – used to transfer patients that have some lifting ability, not limited by a track

Ceiling Mounted Lift Device – used to transfer patients that are totally dependent, limited by a track

To reduce the chances of a repetitive strain disorder, use an electric device instead of one that requires manual pumping.

Page 9: Patient Transfer Assist Devices

Assist Devices for Lateral Transfers

Sliding Boards – a slick board used to move patients laterally, reduces need for lifting

Slip Sheets/Roller Sheets – “slick” sheets used to move patients laterally, reduces need for lifting

Some new systems are mechanical and require no lifting

Page 10: Patient Transfer Assist Devices

Assist Devices for Repositioning

Height Adjustable Electric Beds – eases transfer to wheelchairs and interaction with staff, can be lowered for patient safety, preferred to manual versions

Trapeze Lifts – allows patients with upper body strength to reposition

Page 11: Patient Transfer Assist Devices

Assist Devices for Movement

Walking or Gait Belts – allows workers to hold onto belt providing stabilization, not designed to lift patients

Wheelchairs with Removable Arms – allows easier lateral transfers, good with height adjustable beds

Sitting-Standing Wheelchairs – allows sitting to standing options for patients and workers

Decent Control System (DCS) – used to move patients from a building in an emergency

Page 12: Patient Transfer Assist Devices

Miscellaneous Assist Devices

Roll on Weight Scale – allows patients to be weighed in their wheel chairs, eliminates lifting.

Pivot Transfer Disk Devices – allows cooperative patients to be pivoted.

Back Belts – reduces risk of back injury, does not allow worker to lift more weight.

Remember – it’s difficult to safely lift a patient, even with help, and impossible to safely lift a patient alone.

For more assist devices visit www.osha.gov.

Page 13: Patient Transfer Assist Devices

Proper Lifting Techniques

Study the “load” before your lift

Use help when needed Use assist devices when

possible When lifting

– Stand close to the load

– Keep your back straight

– Get a good grip

– Lift with your legs

Page 14: Patient Transfer Assist Devices

Patient Care Plans

A written plan that describes: – Specific patient needs

– Degree of assistance required

– Special treatments Possible scenarios

– Color coding patient lift requirements at bedside

– Separate patients based on needs

– Staggered staffing

Page 15: Patient Transfer Assist Devices

Patient Care Plans

A good place to visit for examples of patient care plans and patient evaluation protocol is http://www.osha.gov/ergonomics/guidelines/nursinghome/

Can Patient Assist?

Use full-body sling lift -or- friction-reducing device and 2 or more caregivers.

Encourage patient to help using a positioning aid or cues.

Caregiver assistance not needed; patient may/may not use positioning aid.

If patient is >200 pounds: Use a friction-reducing device and at least 3 caregivers.

If patient is <200 pounds: Use a friction-reducing device and 2-3 caregivers.

NO

Some

YES

Page 16: Patient Transfer Assist Devices

Summary Points

Patient handling is a leading cause of injuries for healthcare workers

Avoid risks that increase chance of injury

Possible solutions

– Use assist devices

– Train employees how to lift properly

– Create a written plan that

Identifies hazards

Establishes handling criteria