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Safe Work Environments for Nurses: Safe Patient Handling . Audrey Nelson, Ph.D., RN, FAAN [email protected]. Every work environment has its own special challenges. Problem Statement . - PowerPoint PPT Presentation
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Safe Work Environments for Nurses: Safe Patient
Handling
Audrey Nelson, Ph.D., RN, [email protected]
Every work environment has its own special challenges
Problem Statement Nursing is one of the Top 10 high risk
occupations in USA, for over 3 decades, despite the fact that 50% of injuries remain unreported
Highest risk task contributing to injury is manual patient handling
In an eight hour shift, the cumulative weight that nurses lift equal to an average of 1.8 tons per day.*
Estimated costs in VHA are estimated at approximately $22 million/year
*Tuohy-Main, K. (1997). Why manual handling should be eliminated for resident and carer safety. Geriaction, 15, 10-14.
The adult human form is an awkward burden to lift or carry. Weighing 200 pounds or more, it has no handles, it is not rigid, and it is susceptible to severe damage if mishandled or dropped. (circa 1950)
The Ergonomic ChallengeThe Ergonomic Challenge
Link Between Nurse Safety and Patient Safety Nurse: Occupational injury results in lost
work days, absenteeism, staff turnover, decreased retention, discouraged recruitment
Patient: Unsafe patient handling leads to drops and drags, as well as increase in immobility-related adverse events
VHA Program Core Elements
Risk assessment identifying local needs, followed by monthly unit-based hazard evaluation
Selection/purchase of equipment involved front line nursing staff (equipment fairs)
Facility Champion Unit-based peer leader education
model “Minimal Lift Policy.”
Outcomes Nursing Outcomes:
31% reduction in incidence of injuries 18% reduction in lost work days 88% reduction in modified duty days
Patient Outcomes:1. Lower depression 2. Improved urinary continence3. Increased engagement in activities4. Less likely to fall5. Increase in Alertness/awake during day
Business case (Cost: $8,000/bed) pay-back of the capital investment in approximately 4.13 years with an
internal rate of return between .19 and .37 depending on model assumptions.
Basis of the OSHA Ergonomics Guidelines for Healthcare Facilities and ANA “Handle with Care” program.
Basis of VA Initiative to Roll out nationwide
Other Solutions Evidence-based facility programs
Hospitals Nursing Homes Home Health Care Outpatient
Change Curriculum in Schools of Nursing
State Legislation (national proposed)
VHA National Rollout
Making the change is hard……but nurses deserve this!
Patients deserve this!
Wis
e w
ords
The End…..
Do one Do one brave brave thing thing
each dayeach day