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
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
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
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
MANO N L ABRECHE, PT , CEAS II
MANAGE R, I NJURY PRE VE NT I ON & L I F T T E AM T AMPA GE NE RAL HOSPI T AL
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.
2 0 0 0 2 0 1 0 1 9 9 0 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
1990: 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% (data fro m c dc : https:/ / www.c dc .go v/
data/ pre vale nc e -maps.html)
(*BMI 30, o r a b o ut 30 lb s. o ve rwe ig ht fo r 5’ 4” pe rso n)
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%
(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)
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
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
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
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
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
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)
Ba ria tric flo o r lift a nd/ o r c e iling lifts
Do ub le XL tra nsfe r sling s
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
I n b e d:
Ba ria tric b e dpa n & sling to ra ise b o tto m
Use b a ria tric b utte rfly, b a ria tric limb sling
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
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
Sit to sta nd de vic e (no t ma ny b a ria tric
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)
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
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
T
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)
Sit to sta nd de vic e s
Sta nding a ids
Re c line rs
Ve hic le lifts: ma ny o ne s o n the ma rke t do no t e xtra c t pa tie nts we ll due to the ir de sig n. One so lutio n is to ha ve a c e iling lift a t o ne e ntra nc e .
Ha ving the rig ht e q uipme nt to ha ndle the b a ria tric po pula tio n no t
Re d uc e s le ng th o f sta y
Inc re a se s pa tie nt sa tisfa c tio n
Pro mo te s skin inte g rity
E nha nc e s pa tie nt sa fe ty
De c re a se s pa in
De ve lo p a ta sk fo rc e o r c o mmitte e if ne e de d to de ve lo p po lic ie s & pro c e dure s, e va lua te e q uipme nt ne e ds a nd c o nduc t tria ls e tc .
It ta ke s time a nd pe rsiste nc e , b ut is we ll wo rth the e ffo rt.
Ba ria tric pa tie nts a re a ll uniq ue a nd ha ve va rio us b a rrie rs (pa in, a nxie ty, pre e xisting c o nditio ns, disc ha rg e pla ns, e tc .) b ut if yo u ha ve a stro ng te a m wo rking to g e the r, g o o d P & P it is a win-win fo r sta ff a nd pa tie nts.
More inform a tion or que stions?
Co nta c t Ma no n via e -ma il: mlabre c he @tgh.o rg
Pla nning fo r 2018 F
Culture o f Sa fe ty
Sc he dule o f e ve nts c o ming
so o n!
Yo ur input is we lc o me !
E lig ib ility fo r Nursing CE U re q uire s sub missio n o f a n e va lua tio n surve y fo r e a c h pa rtic ipa nt re q ue sting c o ntinuing e duc a tio n: https:/ / www.surve ymo nke y.c o m/ r/ 9WZ8DY7
Sha re this link with a ll o f yo ur pa rtic ipa nts if vie wing to da y’ s we b ina r a s a g ro up
Be sure to inc lude yo ur c o nta c t info rma tio n a nd F lo rida nursing lic e nse numb e r
F HA will re po rt 1.0 c re dit ho ur to CE Bro ke r a nd a c e rtific a te will b e se nt via e -ma il
We wo uld a ppre c ia te yo ur fe e db a c k e ve n if yo u a re no t a pplying fo r CE Us!!
We b pa rtic ipa nts c a n sta y lo g g e d in a s the we b ina r c lo se s to b e re dire c te d to the o nline surve y (the link will a lso b e pro vide d in a fo llo w up e ma il)
An I nitia tive o f the F lo rida Ho spita l Asso c ia tio n