Patient Capability Assessment Readiness for Transfers and Repositioning

Size: px
Start display at page:

Download "Patient Capability Assessment Readiness for Transfers and Repositioning"

Transcription

1 These guidelines have been formed with the opinion that in healthcare settings, manual lifting should be avoided whenever possible. Therefore, there needs to be a mechanism for licensed healthcare professionals to make an assessment of whether a patient can perform a transfer independently or with minimal supervision and assistance, or if the patient requires a lift. In the instances that the patient requires a lift, mechanical means are preferred. Assessments for transfers and repositioning should include three aspects: assessing the working environment, assessing the capabilities of the patient, and assessing the capabilities of the caregiver. Characteristics of the working environment include the amount of space that is available for the transfer, whether the floor is even or uneven, whether the floor is slippery in relation to the worker s footwear, the equipment available, lighting, temperature, humidity and ventilation. Characteristics of the patient include the patient s ability to assist with the transfer, the patient s weight, height, and likelihood of shifting or acting in an unpredictable way. The capabilities of the caregiver include knowledge of proper handling techniques and proficiency in use of patient handling equipment. Strength, flexibility and fitness level are also important factors. An additional item to be considered is the work/recovery time required. The more strenuous a maneuver and more frequently it is performed, the more rest time is required for muscle fatigue to abate and for the employees to recover to the point where they can safely perform the handling activity again. This assessment is concerned with patient capability only. Although both the working environment and the capabilities of the caregiver need to be assessed, they will not be addressed here. This assessment is primarily intended to identify those patients who possess the capability to perform an independent transfer or a stand-by or very minimal assist transfer supervised by the caregiver. Please note that only licensed healthcare professionals perform these assessments. Although other healthcare workers may be delegated the task of performing the transfers, the responsibility for assessment falls entirely on the licensed healthcare professional who has the education to perform them. The degree to which these tasks are delegated may vary from facility to facility dependent on the orientation and training of employees. However, in all cases the liability for accurate assessment remains with the licensed healthcare professional ASSESSMENT When assessing a patient s readiness for transfers/repositioning, the following items should be taken into consideration: diagnosis and medical stability, the patient s weight and height, level of cooperation and comprehension, ability to bear weight, ability to support body with arms, and balance. 1. Diagnosis and Medical Stability Diagnosis and medical stability determine the frequency with which comprehensive patient capability assessments are required, with more unstable patients requiring more frequent assessments. Medical conditions often affect a patient s ability to transfer/reposition

2 themselves and may limit the healthcare member s options in assisting the patient. The following conditions are likely to affect the transfer/repositioning process and should be considered when identifying patient capability and equipment that may be needed to move the patient. Bilateral amputation Colostomy Contractures/muscle spasms/spasticity Fractures Falls (history of) Medical equipment (IV s, chest tubes, splints, traction, etc.) Pressure sores Postural hypotension Severe osteoporosis Total joint replacements Wounds and healing incisions 2. Patient s Weight and Height This helps determine what assistance to use, if required. Weight Height 3. Patient s Level of Cooperation and Comprehension Cooperative (may need prompting, able to follow 1 to 2 step commands) Unpredictable and Variable This category encompasses comprehension, language barriers and deafness as well as confusion, agitation, etc. 4. Patient s Ability to Bear Weight The patient must have the ability to bear full weight on at least one leg for standing transfers. Ability to bear weight can be assessed by asking the patient to use their leg(s) to push up in bed. If the patient is able to push up in bed in a straight, controlled, safe manner, then they have the ability to bear at least partial weight. Further testing can be progressed to at bedside. Can patient bear weight? Yes, full Yes, partial 5. Ability to Support Body with Arms Many patients need the ability to support their body weight with their arms. This is particularly true of those who need to use crutches and those who need to use sliding boards during transfers. A quick assessment of the ability to support the body weight with the arms is to ask the patient to perform a chair push-up while sitting in a wheelchair or armchair. If the patient can lift their trunk while seated back in the chair (using their legs only minimally at

3 most), then they do have the ability to support themselves with their arms. Please note, this test can be performed at bedside, but is sometimes more difficult without arm rests, as a patient s hands will sink into the mattress, making it difficult to lift the body. In all cases the patient s feet should be on the floor or on footrests. Can the patient support themselves with their arms? Yes 6. Balance Two minutes of sitting at bedside, with the arms folded in the lap and the trunk unsupported, would indicate adequate balance for sitting transfers. Sitting unsupported with the eyes closed and sitting unsupported while turning the head from side to side and up and down are additional tests that help indicate adequate balance for standing transfers. Is balance adequate for two minutes of unsupported sitting, unsupported sitting with eyes closed, and unsupported sitting with head movement? Yes 7. Bedside Assessment Scenario An assessment at bedside may be as follows: Hello Mr. Smith, I am, and I m here to. (Medical diagnosis is already known; other medical conditions are being assessed.) Can you push yourself up in bed for me? (Assess comprehension, cooperation, and ability to bear weight.) Good. Would you please sit up on the side of the bed? (Assess ease of movement, interference from and/or apprehension about medical equipment, and need for minimal assist for arm or leg movement, as well as continued assessment of comprehension and cooperation.) Please fold your arms in your lap now. I d like to ask you a few questions while you do that. (Balance assessment as well as time for follow-up questions from previous items, blood pressure check, vital signs, and/or patient education opportunity.) Could you remain sitting with your arms folded and close your eyes? (Balance.) You can open your eyes. Can you turn your head? Can you look up and down? (Balance.) I d like you to put your hands down on the bed beside you and lift yourself so you can sit as far back on the bed as possible. (Assesses ability of the arms to support body weight and partial weight bearing with the legs.) Assuming all ability is present up to this point

4 I d like you to stand now (with appropriate equipment or devices as indicated by the medical conditions present and for safety). (Final check of comprehension, cooperation, balance, weight bearing and (if an ambulatory aid is used) ability to support body weight with arms.) 8. Algorithm A possible algorithm for using this assessment for bed to chair transfers would be as follows: The patient is medically unrestricted or able to compensate, with adequate balance Is the patient able to bear weight? Yes Full Stand-by for safety as needed only. Yes Partial Can patient comprehend/cooperate? Yes Use seated transfer aid with transfer belt, up to standing pivot transfer (if partial weight bearing allows a functional stance). No Use mechanical lift or stand assist device. No Unable Can patient comprehend/cooperate? No Use mechanical lift. Yes Can patient support body with arms? No Use mechanical lift. Yes Use seated transfer aid

5 SAMPLE PATIENT CAPABILITY ASSESSMENT - READINESS FOR TRANSFERS AND REPOSITIONING Name: Date: Diagnosis: 1. Check conditions likely to affect transfers/repositioning: Bilateral amputation Medical equipment Colostomy Pressure sores Fractures Postural hypotension Contractures/spasms/spasticity Severe osteoporosis Falls (history) Total joint replacements Wounds/incisions Other 2. Weight Height 3. Level of Cooperation/Comprehension Cooperative (may need prompting, able to follow 1-2 step commands) Unpredictable or Variable Comments: 4. Ability to Bear Weight? Yes, full Yes, partial (enough for functional standing? Yes No 5. Ability to Support Body with Arms? Yes 6. Adequate Balance? Yes Care Plan: Transfers: Repositioning: Equipment and Personnel Required: Signature:

6 References: 1. Canadian Centre for Occupational Health and Safety: Ergonomic Patient Handling Policy Guidelines Corlett, E.N., Lloyd, P.V., Tarling, C., Troup, J.D.G., Wright, B.: Guide to the Handling of Patients, Fourth ed. Published by IMPACC in cooperation with the National Back Pain Association and The Royal College of Nursing, Greenville, ME, Patient Safety Center of Inquiry (Tampa FL) Veterans Health Administration and Department of Defense: Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement, Lewis, C.B., McNerney, T.: Clinical Measures of Functional Outcomes The Functional Outcomes Toolbox, Learn Publications, Washington, D.C., Written by: Christy L. Stout, M.S., P.T.

Patient handling techniques to prevent MSDs in health care

Patient handling techniques to prevent MSDs in health care 28 Introduction Patient handling techniques Work-related musculoskeletal disorders (MSDs) are a serious problem among hospital personnel, and in particular the nursing staff. Of primary concern are back

More information

Transfer and Lift with Care. Bridgepoint s TLC Program

Transfer and Lift with Care. Bridgepoint s TLC Program Transfer and Lift with Care Bridgepoint s TLC Program TLC Program Goals Eliminate injuries due to poor transfer, lift, and repositioning techniques Understand how injuries occur Understand the Minimal

More information

Catholic Mutual..."CARES"

Catholic Mutual...CARES Catholic Mutual..."CARES" BACK INJURY LOSS CONTROL FOR HEALTH CARE FACILITIES Occupational back injuries are a major loss exposure in the health care industry. Serious back injuries can result when employees

More information

Safe patient handling techniques will be utilized for all patient lifts, transfers, and repositioning.

Safe patient handling techniques will be utilized for all patient lifts, transfers, and repositioning. University of California Irvine HealthCare SAFE PATIENT HANDLING EP30f, Safe Patient Handling.pdf Policy and Procedure Manual PATIENT CARE RELATED Date Written: 08/07 Date Reviewed/Revised: 04/08 Page

More information

DO YOU AGREE? Did You Know? Why Do Nurses Get Hurt? Why Do Nurses Get Hurt? DO YOU AGREE? Staff in great physical shape are less likely to be injured.

DO YOU AGREE? Did You Know? Why Do Nurses Get Hurt? Why Do Nurses Get Hurt? DO YOU AGREE? Staff in great physical shape are less likely to be injured. Safe Patient Handling and Movement Training Program Did You Know? Nursing is second only to heavy industry, such as coal mining, in injuries to muscles and joints? 12% of nurses leave the profession each

More information

Table of Contents. Principles of Body Mechanics and Movement Wheelchair Considerations Gait Techniques Using Assistive Devices...

Table of Contents. Principles of Body Mechanics and Movement Wheelchair Considerations Gait Techniques Using Assistive Devices... Table of Contents Tab Principles of Body Mechanics and Movement... 1 Techniques of Proper Movement Positioning Techniques Bed Mobility Techniques Upright Mobility Techniques Wheelchair Considerations...

More information

Ergonomics is the science of adjusting environments, tasks, or procedures to fit you, the healthcare worker. When tasks or environments are not ergonomically designed, a hazard can be created. These hazards

More information

Ergonomic Safety. Take care of yourself, so you can care for others

Ergonomic Safety. Take care of yourself, so you can care for others Ergonomic Safety Take care of yourself, so you can care for others What is Ergonomics? an applied science concerned with designing and arranging things people use so that the people and things interact

More information

Lifting & transferring

Lifting & transferring Lifting & transferring Learning guide Caring for people who are not very mobile tends to involve a great deal of lifting. You may need to assist them from the bed to the chair or the wheelchair and back

More information

Back Care and Moving Patients

Back Care and Moving Patients Back Care and Moving Patients Body Mechanics And Back Safety General Principles Back injuries are common among those whose jobs involve heavy labor (patient care) and those of a sedentary nature (computer

More information

How to Help Someone Who Uses a Wheelchair: Including Walkers, Crutches and Canes Caregiving Series: Volume 2

How to Help Someone Who Uses a Wheelchair: Including Walkers, Crutches and Canes Caregiving Series: Volume 2 How to Help Someone Who Uses a Wheelchair: Including Walkers, Crutches and Canes Caregiving Series: Volume 2 Objectives Upon completion of this training, the viewer will understand: Safe methods and special

More information

Assisting Students Who Use Wheelchairs:

Assisting Students Who Use Wheelchairs: Quick-Guide Extra Assisting Students Who Use Wheelchairs: Guidelines for School Personnel Michael F. Giangreco, Irene McEwen, Timothy Fox, and Deborah Lisi-Baker Quick-Guides to Inclusion 3: Ideas for

More information

Review Monday s Lecture. Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift

Review Monday s Lecture. Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift Review Monday s Lecture Why learn body mechanics? Principles of body mechanics How to prepare Traditional Lift Model Golfer s Lift The goal of transfer training is Some skills learned for one transfer

More information

Physiotherapy Database Exercises for people with Spinal Cord Injury

Physiotherapy Database Exercises for people with Spinal Cord Injury Physiotherapy Database Exercises for people with Spinal Cord Injury Compiled by the physiotherapists associated with the following Sydney (Australian) spinal units : Last Generated on Mon Mar 29 16:57:20

More information

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS)

Premier Orthopaedic Pathway. Physiotherapy after dynamic hip screw (DHS) Premier Orthopaedic Pathway Physiotherapy after dynamic hip screw (DHS) The surgery After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. It allows

More information

MCCP Online Orientation

MCCP Online Orientation 1 To gain an understanding of: The prevalence and socioeconomic impact of cumulative trauma injuries in healthcare. The principles of body mechanics including spinal alignment, center of gravity, base

More information

LIFTS AND TRANSFERS March 2012

LIFTS AND TRANSFERS March 2012 March 2012 TYPES OF TECHNIQUES Techniques: The following procedures and specific transfers/lifts have been identified for use: 1. No lift resident handling and moving policy 2. General Guiding Principles

More information

Space Planning for the Bariatric Patient. March by Marylou Muir, RN, COHN

Space Planning for the Bariatric Patient. March by Marylou Muir, RN, COHN Space Planning for the Bariatric Patient March 2009 by Marylou Muir, RN, COHN Space Planning For the Provision of Bariatric Patient Care in Critical Care and Acute Care Settings The increased need to provide

More information

Injuries from lifting, loading, pulling or pushing can happen to anyone in any industry. It is important to be aware of the risks in your workplace.

Injuries from lifting, loading, pulling or pushing can happen to anyone in any industry. It is important to be aware of the risks in your workplace. Workplace safety: lifting One of the biggest concerns in the workplace is lifting and loading. When you lift something, the load on your spine increases and your spine can only bear so much before it is

More information

http://intranet.urmc-sh.rochester.edu/policy/smhpolicies/section10/10-22.pdf

http://intranet.urmc-sh.rochester.edu/policy/smhpolicies/section10/10-22.pdf APPENDIX B Patient Care Lifting Guidelines Patient handling, including lifting, transferring, and repositioning, is covered by SMH Policy 10.22 Minimal Lift for Patient Handling, which can be found at:

More information

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes

Rehabilitation. Rehabilitation. Walkers, Crutches, Canes Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.

More information

LEARNING TO POSITION AND MOVE CORRECTLY

LEARNING TO POSITION AND MOVE CORRECTLY 15 LEARNING TO POSITION AND MOVE CORRECTLY Chapter Helping a resident move and be comfortably positioned is one of the most important things you do as a nurse assistant. Remember that CMS Guidelines say

More information

Using Assistive Devices

Using Assistive Devices Using Assistive Devices As you recover and heal from joint replacement surgery, your new joint needs to be protected while it is healing. You will use an assistive device such as a walker or crutches to

More information

Chapter 26 TRANSFERRING CLIENTS. Safety measures to observe when transferring clients. Pieces of equipment used for transfer activities

Chapter 26 TRANSFERRING CLIENTS. Safety measures to observe when transferring clients. Pieces of equipment used for transfer activities Chapter 26 TRANSFERRING CLIENTS What You Will Learn Methods used to transfer clients Safety measures to observe when transferring clients Pieces of equipment used for transfer activities Areas of the body

More information

Therapeutic Use of Assistive Technology

Therapeutic Use of Assistive Technology Therapeutic Use of Assistive Technology a clinical perspective Stephanie Radawiec, PT, DPT What is Assistive Technology? Mechanical and non-mechanical devices which decrease the physical stresses of patient

More information

Chapter. Some days I m so stiff. But even then, your firm yet gentle guidance always helps me move more easily. MOVING AND POSITIONING

Chapter. Some days I m so stiff. But even then, your firm yet gentle guidance always helps me move more easily. MOVING AND POSITIONING 15 MOVING AND POSITIONING Chapter Helping a resident move and be comfortably positioned is one of the most important things you do as a nurse assistant. Remember that CMS Guidelines say that all long term

More information

Physiotherapy following transplantation and mechanical assist circulatory devices

Physiotherapy following transplantation and mechanical assist circulatory devices Physiotherapy following transplantation and mechanical assist circulatory devices A patient s guide 1 Physiotherapy team The physiotherapy team at Papworth Hospital consists of qualified physiotherapists

More information

Safety in Manual Handling Operations

Safety in Manual Handling Operations Safety in Manual Handling Operations Supermarkets Occupational Safety and Health Branch Labour Department This guidebook is prepared by the Occupational Safety and Health Branch Labour Department This

More information

Chapter 14. Assisting With Moving and Transfers

Chapter 14. Assisting With Moving and Transfers Chapter 14 Assisting With Moving and Transfers Injury Protection To protect yourself and the person from injury, you must use your body correctly when: Turning and repositioning persons Moving persons

More information

PROTECTION AGAINST RISKS OF BACK INJURY AT WORK PLACES REGULATIONS

PROTECTION AGAINST RISKS OF BACK INJURY AT WORK PLACES REGULATIONS OF BACK INJURY AT WORK PLACES [S.L.424.17 1 SUBSIDIARY LEGISLATION 424.17 PROTECTION AGAINST RISKS OF BACK INJURY AT WORK PLACES REGULATIONS LEGAL NOTICE 35 of 2003. 24th January, 2003 1. The title of

More information

SAMPLE CLIENT HANDLING CODE OF PRACTICE

SAMPLE CLIENT HANDLING CODE OF PRACTICE SAMPLE CLIENT HANDLING CODE OF PRACTICE Company: Workplace Address: Introduction This code sets out requirements that this company will follow for the reduction of MSIs due to client handling at this workplace.

More information

Patient Lifts. Reasons why a mechanical lift may be required include:

Patient Lifts. Reasons why a mechanical lift may be required include: Patient Lifts Patient lifts are often used to address patient needs for safe and efficient transfers in the home between surfaces. The lift may be combined with other equipment, such as bath chairs and

More information

Policy & Procedure. Safe Patient Handling (No Lift Policy)

Policy & Procedure. Safe Patient Handling (No Lift Policy) Effective date signifies approval of this MHS policy by the Performance Improvement Leadership Oversight Team (PILOT) (see minutes). Policy. Policy & Procedure Safe Patient Handling ( Lift Policy) Effective

More information

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779 Employer: Occupation: Company Contact: Analysis Provided By: Stanislaus County Resident Physician Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Date: October 2008 Lyle Andersen,

More information

All staff are expected to use proper body mechanics at all times. Aids to lifting include gait belts, transfer boards and an electric Invacare lift.

All staff are expected to use proper body mechanics at all times. Aids to lifting include gait belts, transfer boards and an electric Invacare lift. Body mechanics All staff are expected to use proper body mechanics at all times. Aids to lifting include gait belts, transfer boards and an electric Invacare lift. Preventing Slips, Trips, Falls and Other

More information

Fall Prevention and Management

Fall Prevention and Management Fall Prevention and Management Each year, one in every three adults age 65 and older falls. These falls can result in moderate to severe injuries such as hip fractures and head traumas, and could increase

More information

Presented by Kelly Moed, MSN, RN-BC Nursing Logic LLC

Presented by Kelly Moed, MSN, RN-BC Nursing Logic LLC Presented by Kelly Moed, MSN, RN-BC Nursing Logic LLC November 10,2011 Quality Care Community Conference Transforming Nursing Homes for Generations---Let s Make It Happen Identify healthcare workers who

More information

A Guide to Wheelchair Selection

A Guide to Wheelchair Selection A Guide to Wheelchair Selection How to Use the ANSI/ RESNA Wheelchair to Buy a Wheelchair Standards Peter Axelson, MSME Jean Minkel, MAPT Denise Chesney, MEBME Illustrations by Peter Thomas 1994 by the

More information

Pivotal Transfers, Mechanical Lift

Pivotal Transfers, Mechanical Lift Duty: Assist Client with Personal Hygiene Task: A.01 Assist client with pivotal transfers A.02 Assist client with mechanical transfers Objectives: Identify types of client transfers. Identify the general

More information

Lifting & Transferring

Lifting & Transferring Lifting & Transferring Teaching Plan To use this lesson for self-study, the learner should read the material, do the activity and take the test. For group study, the leader may give each learner a copy

More information

Nursing Assisting. New for

Nursing Assisting. New for Nursing Assisting h! "? New for 04-5 Procedures have been realigned with the 8 th edition of Simmers DHO: Health Science resource. Purpose: To provide the Health Science student with an opportunity to

More information

Assistive Devices. University of Texas Health Science Center at San Antonio Dr. Martha Acosta, PhD, PT, MS, GCS Rebecca Oliver, SPT Caleb Baker, SPT

Assistive Devices. University of Texas Health Science Center at San Antonio Dr. Martha Acosta, PhD, PT, MS, GCS Rebecca Oliver, SPT Caleb Baker, SPT Assistive Devices University of Texas Health Science Center at San Antonio Dr. Martha Acosta, PhD, PT, MS, GCS Rebecca Oliver, SPT Caleb Baker, SPT Overview Introduction Types Adjustment Common Mistakes

More information

Rehabilitation following your hip fracture

Rehabilitation following your hip fracture Page 1 of 8 Rehabilitation following your hip fracture Introduction The following information is intended as a general guide to help with your recovery following your hip fracture. If you have any questions

More information

Spinal Cord Injury T1-T9

Spinal Cord Injury T1-T9 Patient and Family Education Spinal Cord Injury T1-T9 A Guide for Families You are an important member of your child s recovery team. Use this checklist to monitor your child s progress. Our goal is to

More information

CAPTURE Collaboration and Proactive Teamwork Used to Reduce. Best Practices in Safe Transfers and Mobility to Decrease Fall Risk

CAPTURE Collaboration and Proactive Teamwork Used to Reduce. Best Practices in Safe Transfers and Mobility to Decrease Fall Risk CAPTURE Collaboration and Proactive Teamwork Used to Reduce Falls Best Practices in Safe Transfers and Mobility to Decrease Fall Risk August 20, 2013 10 a.m. CST Dawn M. Venema, PT, PhD Jill Hassel, DPT

More information

HELPFUL HINTS FOR A HEALTHY BACK

HELPFUL HINTS FOR A HEALTHY BACK HELPFUL HINTS FOR A HEALTHY BACK 1. Standing and Walking For correct posture, balance your head above your shoulders, eyes straight ahead, everything else falls into place. Try to point toes straight ahead

More information

SOME BASIC PRECAUTIONS WHEN HELPING PEOPLE WITH MOBILITY IMPAIRMENTS

SOME BASIC PRECAUTIONS WHEN HELPING PEOPLE WITH MOBILITY IMPAIRMENTS SOME BASIC PRECAUTIONS WHEN HELPING PEOPLE WITH MOBILITY IMPAIRMENTS Good intentions are not enough when you are trying to help people who have a mobility impairment which makes walking slow, difficult,

More information

Sliding off a wheelchair seat: still a problem to address. Élise Jobin Occupational therapist May 2012

Sliding off a wheelchair seat: still a problem to address. Élise Jobin Occupational therapist May 2012 Sliding off a wheelchair seat: still a problem to address Élise Jobin Occupational therapist May 2012 Overview Introduction: definition, cause and consequences of sliding Problem solving, how to intervene:

More information

Lower Body Stretching Program

Lower Body Stretching Program Patient and Family Education Lower Body Stretching Program Range of motion is the amount of movement or flexibility you have at each joint. It is common to see a decrease in range of motion after an illness

More information

Pressure Ulcers. Occupational Therapy. This leaflet is for both yourself and Carers

Pressure Ulcers. Occupational Therapy. This leaflet is for both yourself and Carers Pressure Ulcers Occupational Therapy This leaflet is for both yourself and Carers Contents What is a pressure ulcer? 3 Who is at risk of developing a pressure ulcer? 4 How can I avoid developing a pressure

More information

Do s and Don ts with Low Back Pain

Do s and Don ts with Low Back Pain Do s and Don ts with Low Back Pain Sitting Sit as little as possible and then only for short periods. Place a supportive towel roll at the belt line of the back especially when sitting in a car. When getting

More information

Basic Training Exercise Book

Basic Training Exercise Book Basic Training Exercise Book Basic Training Exercise Book Instructions The exercises are designed to challenge the major muscles groups every day, approximately every 2 to 3 hours., for a total of 6 times

More information

Body Mechanics, Positioning, and Moving

Body Mechanics, Positioning, and Moving Body Mechanics, Positioning, and Moving Chapter 23 By Heba Sadaka BSN, RN Introduction The percentage of workplace injuries were 15.9% among health care worker versus 9.8% among construction workers. Introduction

More information

Allina Hospitals and Clinics

Allina Hospitals and Clinics Preventing Back Injuries Among Caregivers Allina Hospitals and Clinics Learning Objectives Upon completion of Allina SPM training, participants will be able to: 1) Explain the risk of injury to patients,

More information

Exercises for myeloma patients

Exercises for myeloma patients Exercises for myeloma patients This Infosheet describes exercises suitable for myeloma patients and includes some safety tips. As a rough guide, you should aim to do some of the exercises suggested below

More information

Transferring Safety: Prevent Back Injuries

Transferring Safety: Prevent Back Injuries Transferring Safety: Prevent Back Injuries OBJECTIVES: At the end of this class you will be able to: 1. Describe the back and what it does. 2. List things that you can do everyday in your home and at work

More information

Pelvic fracture physiotherapy after surgery

Pelvic fracture physiotherapy after surgery Pelvic fracture physiotherapy after surgery Information for patients This leaflet gives you information about exercises to do after you have had an operation to treat your broken pelvis. If you have any

More information

Proper Transfer Techniques For Healthcare Professionals

Proper Transfer Techniques For Healthcare Professionals Proper Transfer Techniques For Healthcare Professionals PROGRAM GUIDE FOR HEALTH CARE ASSISTANTS 1 OPTIMIZING MOBILITY IN OLDER ADULTS PROGRAM DESCRIPTION This program focuses on the safe transfer techniques.

More information

Powered Profiling Beds

Powered Profiling Beds Version: 2 Published: August 2004 Extract from Chapter 8c of Muscular Dystrophy Campaign s Adaptations Manual by Philippa Harpin Powered Profiling Beds Electric beds are invaluable for boys with Duchenne

More information

Manual Handling Operations

Manual Handling Operations Manual Handling Operations Occupational Safety and Health Branch Labour Department Manual Handling Operations Occupational Safety and Health Branch Labour Department 1998 Contents Are you this Character?...

More information

Getting Ready for Spine Surgery

Getting Ready for Spine Surgery Getting Ready for Spine Surgery Getting Ready for Spine Surgery Table of Contents Preparing for Surgery Your Conditioning Program What to Expect After Surgery Rehabilitation and Discharge Preparing for

More information

Symptoms of these disorders are most common in the back, hands, arms, wrists, elbows, neck, and shoulders. They include:

Symptoms of these disorders are most common in the back, hands, arms, wrists, elbows, neck, and shoulders. They include: 1 Our bodies normally recover from the wear and tear of work after a period of rest. But if the stresses continue day after day without time to recover, the damage can lead to ergonomic injuries. Many

More information

The Path to Excellence: How One Facility Received and Maintained a CMS 5 Star Rating

The Path to Excellence: How One Facility Received and Maintained a CMS 5 Star Rating The Path to Excellence: How One Facility Received and Maintained a CMS 5 Star Rating South Mountain Healthcare and Rehabilitation Center 2385 Springfield Avenue Vauxhall, NJ 07088 Author: Antonio Onday,

More information

WHEELCHAIR PARTS 1/29/2009. Brakes Side arm rails Footrests Seat belts Hand grips. Sports Wheelchair. Cart. Youth and Pediatric Wheelchairs

WHEELCHAIR PARTS 1/29/2009. Brakes Side arm rails Footrests Seat belts Hand grips. Sports Wheelchair. Cart. Youth and Pediatric Wheelchairs WHEELCHAIR S WHEELCHAIR S Piedad Suarez, DDS Dental Treatment of Geriatrics and Special Patients GSPD 504 Some patients who use wheelchairs can transfer themselves into the dental chair Others need assistance.

More information

Health and Safety Initial Induction Training. Manual Handling

Health and Safety Initial Induction Training. Manual Handling Health and Safety Initial Induction Training Manual Handling This training has been designed to provide information to help you understand the problems associated with the manual handling of loads and

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Fractured Hip Care on the Orthopedic Unit

Fractured Hip Care on the Orthopedic Unit Fractured Hip Care on the Orthopedic Unit Days 0-3 8900 North Kendall Drive Miami, FL 33176-2197 www.baptisthealth.net Baptist Health South Florida 0957-0409 Welcome to the Orthopedic Patient Care Center

More information

SAFE MANUAL HANDLING OPERATIONS

SAFE MANUAL HANDLING OPERATIONS SAFE MANUAL HANDLING OPERATIONS STFC Safety Code No 12 Rev. 1.4, Issued May, 2015 Note - This document may have been superseded by a more recent version. Revisions 1 Initial Launch November 2007 1.1 Amendment

More information

Early mobility in the Medical / Surgical Intensive Care Unit (MSICU)

Early mobility in the Medical / Surgical Intensive Care Unit (MSICU) Early mobility in the Medical / Surgical Intensive Care Unit (MSICU) UHN Information for patients of the MSICU and their caregivers This pamphlet will give you information about: Patient Education Improving

More information

Safe Patient Handling Algorithms

Safe Patient Handling Algorithms Safe Patient Handling Algithms ALGORITHM #1. TRANSFER FROM BED TO CHAIR, CHAIR TO TOILET, CHAIR TO CHAIR, OR CAR TO CHAIR Ability to Bear Weight Is Caregiver assistance not needed; stand by f safety as

More information

Pressure ulcers prevention and treatment. Issue date: September 2005

Pressure ulcers prevention and treatment. Issue date: September 2005 Issue date: September 2005 Pressure ulcers prevention and treatment Understanding NICE guidance information for people with pressure ulcers (also known as pressure sores or bed sores) and those at risk

More information

Post-Operative Breathing and Leg Exercises

Post-Operative Breathing and Leg Exercises Post-Operative Breathing and Leg Exercises Following surgery, especially abdominal surgery, there is a tendency for your lungs to produce more mucous than usual and not to expand fully. This is partly

More information

Ergonomic Evaluation Acute Care Nursing Health Center

Ergonomic Evaluation Acute Care Nursing Health Center Ergonomic Evaluation Acute Care Nursing Health Center Caroline Hegarty Jamie Rosenberg Rachel Stecker May 1, 2003 Most Injury Inducing Tasks (Owen & Garg, 1990) RESEARCH 1. Chair / toilet transfers 2.

More information

So You re Having a Total Knee Replacement?

So You re Having a Total Knee Replacement? So You re Having a Total Knee Replacement? Your team of nurses, hospitalists, therapists and social workers are here to help you every step of the way. This presentation is meant to assist you before,

More information

Preventing Patient Falls

Preventing Patient Falls Preventing Patient Falls Patient Falls are the #1 cause of ALL sentinel events. All patients at Doctors Community Hospital are assessed for fall risk and, as appropriate, the Fall Risk Protocol is implemented.

More information

CCG CO11 Moving and Handling Policy

CCG CO11 Moving and Handling Policy Corporate CCG CO11 Moving and Handling Policy Version Number Date Issued Review Date V2 06/11/2015 01/10/2017 Prepared By: Consultation Process: Formally Approved: 05/11/2015 Governance Manager, North

More information

Assistive devices in ambulation

Assistive devices in ambulation AMBULATION Ambulation is the action of walking for which the care recipient may need your help. The physical therapist will set up a plan for both of you to follow. The different types of equipment used

More information

FIM ITEM SCORING EXERCISE SHEETS 2015

FIM ITEM SCORING EXERCISE SHEETS 2015 FIM EXERCISE - EATING The helper applies the universal cuff on to the patient s hand before she eats. The patient then brings food to her mouth, chews & swallows by herself. The helper scoops all food

More information

Pressure Management Assessment Tool (PMAT)

Pressure Management Assessment Tool (PMAT) Pressure Management Assessment Tool (PMAT) Version 1.0 March 2012 Client name: Date: PART 1: INTERVIEW The following section should be completed by a clinician. Please have your client and/or caregivers

More information

OSTEOPOROSIS PREVENTION EXERCISES

OSTEOPOROSIS PREVENTION EXERCISES 1040 N.W. 22nd Avenue ~ Suite 330 ~ Portland, OR 97210 Phone 503 274-9936 ~ Fax 503 274-2660 www.cascadewomenshealth.org OSTEOPOROSIS PREVENTION EXERCISES Weight-bearing exercise is essential in preventing

More information

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779 Employer: Occupation: Company Contact: Analysis Provided By: Stanislaus County Nursing Assistant (Medical Assistant) Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Date: January

More information

ERGONOMICS. Health and Safety Resources for Ontario Secondary School Teachers. Produced by a partnership of:

ERGONOMICS. Health and Safety Resources for Ontario Secondary School Teachers. Produced by a partnership of: ERGONOMICS Health and Safety Resources for Ontario Secondary School Teachers Produced by a partnership of: Teacher s Guide Ergonomics Grade 11 Page 1 SECTION I Ergonomics Grade 11 Teacher s Guide Ergonomics

More information

Techniques for moving and handling people

Techniques for moving and handling people section 4 Techniques for moving and handling people Contents Overview of moving and handling techniques Preparations for moving and handling people Sitting and standing Technique 1 Supervised repositioning

More information

COMPUTER USER GUIDE. September Occupational Health, Safety & Environment

COMPUTER USER GUIDE. September Occupational Health, Safety & Environment AS/NZS 4801 OHS20309 SAI Global COMPUTER USER GUIDE September 2004 Occupational Health, Safety & Environment Guidelines prepared for Monash University by: David Caple, Director David Caple & Associates

More information

total hip replacement

total hip replacement total hip replacement EXCERCISE BOOKLET patient s name: date of surgery: physical therapist: www.jointpain.md Get Up and Go Joint Program Philosophy: With the development of newer and more sophisticated

More information

Fundamental of a Successful Team Environmental Services and Patient Transport Best Practices

Fundamental of a Successful Team Environmental Services and Patient Transport Best Practices Fundamental of a Successful Team Environmental Services and Patient Transport Best Practices September 29, 2010 Tangee B. Kizer, BSM Executive Director Environmental and Guest Services Carolinas HealthCare

More information

1501 North Bickett Blvd. Suite E ~ Louisburg, NC 27549 ~ Phone (919) 497-0445 ~ Fax (919) 497-0118 USING A WALKER

1501 North Bickett Blvd. Suite E ~ Louisburg, NC 27549 ~ Phone (919) 497-0445 ~ Fax (919) 497-0118 USING A WALKER WALKING WITH A WALKER USING A WALKER 1. Lift the walker and place it at a comfortable distance in front of you with all four of its legs on the floor. This distance is usually equal to an arms length.

More information

Why Back Safety is Important

Why Back Safety is Important Back Safety Why Back Safety is Important Back injuries are considered by OSHA (the Occupational Safety and Health Administration) as the nation's #1 workplace safety problem. Back Injuries are often: Very

More information

Manual to Frequently Asked Questions

Manual to Frequently Asked Questions Manual to Frequently Asked Questions 1 Index 1. Introduction 2 2. Benefits of standing in a wheelchair 3 2.1. Medical/therapeutic benefits 3 2.2. Functional benefits 4 2.3. Psychological benefits 4 2.4.

More information

Rehabilitation. Rehabilitation. Walking after Total Knee Replacement. Continuous Passive Motion Device

Rehabilitation. Rehabilitation. Walking after Total Knee Replacement. Continuous Passive Motion Device Walking after Total Knee Replacement After your TKR, continue using your walker or crutches until your surgeons tells you it is okay to stop using them. When turning with a walker or crutches DO NOT PIVOT

More information

Treatments for pressure ulcers

Treatments for pressure ulcers DRAFT FOR CONSULTATION Treatments for pressure ulcers The paragraphs in the draft are numbered for the purposes of consultation. The final version will not contain numbered paragraphs. Understanding NICE

More information

PATIENT HANDLING FOR HEALTHCARE WORKERS

PATIENT HANDLING FOR HEALTHCARE WORKERS PATIENT HANDLING FOR HEALTHCARE WORKERS TABLE OF CONTENTS Musculoskeletal Injury Among Health Care Workers:. 1 What Causes Musculoskeletal Injury? 1 Common Back Musculoskeletal Disorders. 1 What are Work

More information

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779

Chief Executive Office Risk Management Division P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779 Employer: Occupation: Classification: Company Contact: Analysis Provided By: Stanislaus County Licensed Vocational Nurse Licensed Vocational Nurse I, II Risk Management 1010 10 th Street Modesto, California

More information

SETTING UP THE COMPUTER WORKSTATION TO FIT YOU

SETTING UP THE COMPUTER WORKSTATION TO FIT YOU SETTING UP THE COMPUTER WORKSTATION TO FIT YOU TABLE OF CONTENTS Adjusting Your Chair...1 Adjusting an Adjustable Working Surface...2 Adjusting a Non-adjustable Working Surface...3 Adjusting Your Keyboard...3

More information

Body Mechanics & Transfer Techniques. Body Mechanics. Transfer Techniques

Body Mechanics & Transfer Techniques. Body Mechanics. Transfer Techniques Body Mechanics & Transfer Techniques Body Mechanics Efficient use of body to produce motion that is safe, energy conserving, anatomically and physiologically efficient and leads to maintenance of a person

More information

Good Body Mechanics/ Employee Safety: A Skills Update THIS PROGRAM COVERS: 4) How to Maintain Healthy Lifestyle Habits to Help Prevent Injury

Good Body Mechanics/ Employee Safety: A Skills Update THIS PROGRAM COVERS: 4) How to Maintain Healthy Lifestyle Habits to Help Prevent Injury In-Service Training Good Body Mechanics/ Employee Safety: A Skills Update THIS PROGRAM COVERS: 1) Definition of Ergonomics 2) How Repetitive Movements Can Lead to Injury 3) The Basic Steps to Using Good

More information

Unit 6. Moving and Handling. Theory. Page 1 of 11

Unit 6. Moving and Handling. Theory. Page 1 of 11 Moving and Handling Unit 6 Theory Page 1 of 11 Unit 6 Moving and Handling Theory INTRODUCTION All handling of objects, people and animals carries a risk of injury for the handler and others. More than

More information

Information and exercises following a hemiarthroplasty of the hip

Information and exercises following a hemiarthroplasty of the hip Physiotherapy Department Information and exercises following a hemiarthroplasty of the hip Introduction A hemiarthroplasty is a surgical procedure which replaces one half of the hip joint (the head of

More information

What is Manual Handling?

What is Manual Handling? What is Manual Handling? The Manual Handling Operations Regulations (MHOR)define Manual Handling as: any transporting or supporting of a load (including the lifting, putting down, pushing, pulling, carrying

More information