We Have Yo ur Bac k A Wo r ke r Safe ty Co llabo r ative An - PDF document

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 1 We Have Yo ur Bac k A Wo r ke r Safe ty Co llabo r ative An Initiative o f the F lo r ida Ho spital Asso c iatio n WORK E R SAF E T Y WE DNE SDAY WE BI NAR SE RI E S: PRACT I CAL SOL UT I ONS T O MOBI L I ZI NG T HE BARI AT RI C POPUL AT I ON T HURSDAY, DE CE MBE R 14, 2017 2 WE L COME ! Florida Hospital Association 1

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 3 WHYB: Pro mo ting wo rkfo rc e sa fe ty a s a n o rg a niza tio na l prio rity in o ur ho spita ls F OCUS ARE AS:  Sa fe pa tie nt lifting , ha ndling a nd mo b ility Sha rps injury a nd b lo o d e xpo sure pre ve ntio n   Wo rkpla c e vio le nc e  F inding so lutio ns to re duc e wo rk stre ss, fa tig ue a nd b urno ut 4 WHYB: Pro mo ting wo rkfo rc e sa fe ty a s a n o rg a niza tio na l prio rity in o ur ho spita ls F OCUS ARE AS: Sa fe pa tie nt lifting , ha ndling a nd mo b ility   Sha rps injury a nd b lo o d e xpo sure pre ve ntio n  Wo rkpla c e vio le nc e  F inding so lutio ns to re duc e wo rk stre ss, fa tig ue a nd b urno ut Florida Hospital Association 2

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 5 Spe c ia l T ha nks to Our Spo nso rs! 6 Pra c tic a l MANO N L ABRECHE, PT , CEAS II So lutio ns to MANAGE R, I NJURY PRE VE NT I ON Mo b ilizing & L I F T T E AM the Ba ria tric T AMPA GE NE RAL HOSPI T AL Po pula tio n Florida Hospital Association 3

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 7 Ob je c tive s Re vie w ra te o f o b e sity in the USA a nd ho w this a ffe c ts he a lthc a re  wo rke rs.  De sc rib e so lutio ns to mo b ilize b a ria tric pa tie nts utilizing sa fe pa tie nt ha ndling e q uipme nt fo r va rio us ta sks.  Disc uss g a ps in te c hno lo g y fo r the sa fe mo b ility o f the b a ria tric pa tie nts. 8 Ob e sity T re nds* Amo ng U.S. Adults BRF SS, 1990, 2000, 2010  30, o r a b o ut 30 lb s. o ve rwe ig ht fo r 5’ 4” pe rso n) (*BMI 2 0 0 0 1 9 9 0 1990: 2 0 1 0 Mo st Sta te s 10-14% o b e sity ra te 2000: Mo st Sta te s 20-24% 2010: Mo st sta te s > 25%, ma ny >30% No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥ 30% (data fro m c dc : https:/ / www.c dc .go v/ o be sity/ data/ pre vale nc e -maps.html) Florida Hospital Association 4

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 9 Ra te o f o b e sity in the USA c o ntinue s to rise (da ta fro m c dc : https:/ / www.c dc .g o v/ o b e sity/ da ta / pre va le nc e -ma ps.html) 2016:  > 1/ 3 a dult Ame ric a ns a re o b e se (BMI > 30) All Sta te s > 20% o b e sity ra te   Mo st a t 30-35% o b e sity ra te  5 Sta te s > 35% 10 Ho w do e s this a ffe c t he a lthc a re ?  Spe c ia l E q uipme nt (be ds, c o mmo de s, re c line rs, go wns, BP c uffs, be dpans, e tc .)  Ne e d mo re sta ff a nd time to c a re fo r the se pa tie nts  Sta ff injurie s  Pa tie nts no t b e ing mo b ilize d (staff fe ar injury, e quipme nt issue s, staffing e tc .) I nc re a se d pa tie nt c o mplic a tio ns   I nc re a se d le ng th o f sta y  Po o r pa tie nt sa tisfa c tio n  Disc ha rg e Cha lle ng e s  CO$T Florida Hospital Association 5

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 11 Ba ria tric sa fe pa tie nt ha ndling pro g ra m Cre a te a b a ria tric ta sk fo rc e / c o mmitte e to  e va lua te pro c e sse s, ide ntify e q uipme nt ne e ds, e va lua te e q uipme nt, de ve lo p a dmissio n pro to c o l a nd po lic ie s.  De ve lo p Sta ff tra ining pro g ra ms fo r c a ring o f the b a ria tric pa tie nts (e quipme nt and bariatric se nsitivity) T ra ine d le a de r o n e a c h unit to a c t a s a re so urc e fo r sta ff   Co nside r a lift te a m pro g ra m 12 Cre a te re so urc e s fo r sta ff:  We b pa g e s, vide o s, o rde r se ts, e tc . Pa tie nt c ha rt: se a rc h “mo b ile e q uipme nt” the n b a ria tric Florida Hospital Association 6

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 13 Ba ria tric e q uipme nt Pa tie nt c a re ite ms: b e ds, stre tc he rs, g o wns, BP c uff, b e dpa ns,  re c line rs, slippe rs, pa tie nt lifting e q uipme nt, e tc .  Pa tie nt lifting e q uipme nt:  De pe nde nt lifts: c e iling lifts, flo o r lifts  Sit to sta nd de vic e s  L a te ra l tra nsfe r de vic e s  Ve hic le lifts  Ba ria tric sling s  Wa lking de vic e s 14 T urning  Ce iling lift o r flo o r lift with:  De fla te d a ir a ssiste d ma tt  F ull le ng th re po she e t  Butte rfly sling s Florida Hospital Association 7

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 15 T urning 16 Bo o sting up in b e d  Be d in T re nde le nb urg (if no t c o ntraindic ate d)  Air a ssiste d te c hno lo g y the b e st so lutio n  F ull le ng th re po sling s with c e iling o r flo o r lift  Slide she e ts: c a n’ t sta y unde r pa tie nts (la st re so rt) Florida Hospital Association 8

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 17 T ra nsfe rs in/ o ut o f b e d Ba ria tric flo o r lift a nd/ o r c e iling lifts   Do ub le XL tra nsfe r sling s 18 L a te ra l tra nsfe rs  Air a ssiste d te c hno lo g y b e st o ptio n  Ca n use full le ng th re po sling with c e iling lift  Ro llb o a rds  Slide b o a rds o r slide she e ts Florida Hospital Association 9

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 19 T o ile ting I n b e d:   Ba ria tric b e dpa n & sling to ra ise b o tto m o ff b e d  Use b a ria tric b utte rfly, b a ria tric limb sling o r tra nsfe r sling (le gs lo ng and sho ulde rs lo ng)  Be dside c o mmo de s: Wide e no ug h a nd NOT to o lo w to the  g ro und. Dro p a rm he lpful  L ift se a t a va ila b le up to 600 po und s  20 Ba ria tric c a re  I nse rting c a the te r:  Use a tra nsfe r sling a nd ra ise o nly le g s (do no t c ro ss le g s)  Or use two limb ho lding sling s in uppe r thig hs (o ne o n e a c h le g )  Ra ise flo o r o r c e iling lift a nd it will a b d uc t the le g s  L imb ho lding :  Use limb ho lding sling s  Pa nus c le a ning :  Pa nus ho lding sling s o r use a b e d she e t Florida Hospital Association 10

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 21 Sta nd pivo t tra nsfe rs Sit to sta nd de vic e (no t ma ny b a ria tric  o ptio ns, $$, fo o t a nd kne e pla te s to o na rro w)  ? Ba ria tric No n mo to rize d Sta nding a id - use sit to sta nd de vic e witho ut the sling so the y c a n pull the mse lve s up.  Ba ria tric g a it b e lts - fo r Sta nd b y a ssist a nd b a la nc e , no t fo r lifting !  I f sitting e dg e o f b e d: ma y ne e d fo o t re st to a vo id fa lls o ff e dg e o f b e d (hips ne e d to be le ve le d with kne e s) 22 Wa lking  Ce iling lifts with wa lking sling  F lo o r lift with wa lking b a rs  Sit to sta nd de vic e with fo o tpla te re mo ve d Ba rima t fo r sta nding a nd  wa lking Florida Hospital Association 11

WHYB Worker Safety Webinar Series: Practical Solutions December 14, 2017 to Mobilizing the Bariatric Population 23 Be ds Mo to rize d   E a sy to e xpa nd a nd c o lla pse  E a sy to use  E g re ss fro m fo o t e nd fo r e a rly mo b ility due to diffic ultie s fo r so me to mo ve fro m supine to sitting e dg e o f b e d.  I f re nta l: a ssure time ly de live ry 24 T ilt b e ds  T o ma ximize func tio n (se ve ra l tilt se ssio ns/ da y)  Pa tie nt must b e mo tiva te d  D/ C g o a l is to sta nd a nd pivo t fo r tra nsfe r to nursing ho me o r ho me .  Gre a t suc c e ss a t T GH:  600 po und wo ma n who ha d no t a mb ula te d in 3 ye a rs, use d tilt b e d a nd she wa s a b le to wa lk 100 fe e t a fte r 99 da ys wa s disc ha rg e d ho me . (artic le publishe d in the I nte rnatio nal Jo urnal o f S PHM S e pt 2017) Florida Hospital Association 12