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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Physician Assistant & Senior Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770

Physician Assistant & Senior Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Employer: Occupation: Company Contact: Analysis Provided By: Stanislaus County Physician Assistant & Senior Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Date: January 2009;

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

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

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

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

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

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

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

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

Understand nurse aide skills needed to promote skin integrity.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin

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

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

A Simple Guide to Health Risk Assessment Office Environment Series OE 5/2003

A Simple Guide to Health Risk Assessment Office Environment Series OE 5/2003 A Simple Guide to Health Risk Assessment Office Environment Series OE 5/2003 Occupational Safety and Health Branch Labour Department Occupational Safety and Health Council Contents Introduction 1 Office

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

Indications for a PMD as Reasonable and Necessary and Types of PMD Categories Available

Indications for a PMD as Reasonable and Necessary and Types of PMD Categories Available Appendix K The face-to-face examination provides the clinical information needed to determine if a patient needs a Power Mobility Device (PMD) and what type of PMD may be needed. This information needs

More information

Information and exercises following dynamic hip screw

Information and exercises following dynamic hip screw Physiotherapy Department Information and exercises following dynamic hip screw Introduction A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance

More information

Educational Physical Therapy Guidelines and Policies For Educationally Based PT in Glenn County Schools

Educational Physical Therapy Guidelines and Policies For Educationally Based PT in Glenn County Schools Educational Physical Therapy Guidelines and Policies For Educationally Based PT in Glenn County Schools Glenn County SELPA Glenn County Office of Education 311 S. Villa Willows, CA 9588 (530) 934-6575

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

COLLABORATIVE NURSING DOCUMENTATION

COLLABORATIVE NURSING DOCUMENTATION COLLABORATIVE NURSING DOCUMENTATION The following section is designed to assist the clinician in providing information to the nursing staff in effort to facilitate collaborative nursing documentation regarding

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

Falls Prevention Strategy

Falls Prevention Strategy Falls Prevention Strategy Policy of the Fall Season October-November 2011 Revised for CCTC By: Krista Shea RN, BScN, CNCC(C) Did you know In Canada: Falls are the 6th leading cause of death among older

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

Risk assessment. section 3. Contents

Risk assessment. section 3. Contents section 3 Risk assessment Contents Why risk assessment is important Risks related to moving and handling Identifying hazards in workplaces Workplace hazard management and risk controls The risk assessment

More information

1. Cut & plant 6. Hitch Hiker 5-7 cuts on each side 3 x 20-30s. 2. Single-leg jumping 7. Y-position 5-10 reps 2 x 10 reps each arm

1. Cut & plant 6. Hitch Hiker 5-7 cuts on each side 3 x 20-30s. 2. Single-leg jumping 7. Y-position 5-10 reps 2 x 10 reps each arm Beach Volleyball program - Level 1 1. Cut & plant 6. Hitch Hiker 5-7 cuts on each side Keep knee over toe 5-7 cuts on each side Squeeze shoulder blades together Lift arms Thumb pointing upwards 2. Single-leg

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

Texas Department of Insurance. Office Ergonomics. Provided by. Division of Workers Compensation HS03-003C (03-09)

Texas Department of Insurance. Office Ergonomics. Provided by. Division of Workers Compensation HS03-003C (03-09) Texas Department of Insurance Office Ergonomics Provided by Division of Workers Compensation HS03-003C (03-09) Contents Introduction 1 The Ergonomic Checklist 1 Sharp Edge Hazards 1 Equipment Adjustability

More information

The Advantages of Ergonomics

The Advantages of Ergonomics The Advantages of Ergonomics Workers come in all different sizes. Ergonomics can help make the work more comfortable for the individual worker. What is ergonomics? Ergonomics is designing a job to fit

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

INTRODUCTION TO POSITIONING. MODULE 3: Positioning and Carrying

INTRODUCTION TO POSITIONING. MODULE 3: Positioning and Carrying MODULE 3: Positioning and Carrying Blankets, pillows and towels, sandbags, carpet on the floor, a doll with floppy limbs that can be positioned i.e. not a hard plastic doll, display materials. Icebreaker

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

Lifting and Handling, a Risk Assessor s Guide

Lifting and Handling, a Risk Assessor s Guide Lifting and Handling, a Risk Assessor s Guide 1 Introduction Unfortunately manual handling accidents are all too common, and can lead to life-long problems with bad backs. While they do not have the same

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

VEHICLE EQUIPMENT INSTRUCTIONS

VEHICLE EQUIPMENT INSTRUCTIONS VEHICLE EQUIPMENT INSTRUCTIONS A Table of Contents 1) Ramp and Seats 2) Passenger/Attendant Operation 3) Restraint System City CarShare addenda noted by 1) Ramp and Seats 2 Unfolding Ramp Manual Ramp Operation

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

Otago Exercise Program

Otago Exercise Program Otago Exercise Program Edited Version Exercise Booklet Created by: Genesee County Coalition Supported by a grant from the Health Foundation for Western and Central New York Otago Exercise Program to Prevent

More information

SECTION 9. Mobility, positioning, and transfers. Moving after a stroke 9.1. Fatigue. Loss of sensation. Loss of motor function.

SECTION 9. Mobility, positioning, and transfers. Moving after a stroke 9.1. Fatigue. Loss of sensation. Loss of motor function. SECTION 9 Mobility, positioning, and transfers Section overview This section looks at: Moving after a stroke Assisting with mobility Positioning Managing the affected limb Transfers Wheelchair use Walking

More information

Medial Collateral Ligament Sprain: Exercises

Medial Collateral Ligament Sprain: Exercises Medial Collateral Ligament Sprain: Exercises Your Kaiser Permanente Care Instructions Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off

More information

Guidance on the Management of Manual Handling in Healthcare

Guidance on the Management of Manual Handling in Healthcare Guidance on the Management of Manual Handling in Healthcare Our vision: A national culture where all commit to safe and healthy workplaces and the safe and sustainable management of chemicals Contents

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 V1: 28/02/2013 04/03/2013 31/08/2014 Prepared By: Consultation Process: Formally Approved: Information Governance Advisor

More information

Low Back Pain: Exercises

Low Back Pain: Exercises Low Back Pain: Exercises Your Kaiser Permanente Care Instructions Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you

More information

Safe Lifting/Back Safety Training. Presented by Rita Gagnon Occupational Health Outreach Coordinator Benefis Health Systems 406-731-8328

Safe Lifting/Back Safety Training. Presented by Rita Gagnon Occupational Health Outreach Coordinator Benefis Health Systems 406-731-8328 Safe Lifting/Back Safety Training Presented by Rita Gagnon Occupational Health Outreach Coordinator Benefis Health Systems 406-731-8328 Risk Factors Involved with Manual Handling Tasks: Bending at Trunk

More information

KNEE EXERCISE PROGRAM

KNEE EXERCISE PROGRAM KNEE PROGRAM INTRODUCT ION Welcome to your knee exercise program. The exercises in the program are designed to improve your knee stability and strength of the muscles around your knee and hip. The strength

More information

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program

Range of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal

More information

UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS

UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS Universal Fitness Network, Inc. specializes in physical

More information

Guidelines for Nursing. Homes. Ergonomics for the Prevention. Musculoskeletal Disorders OSHA 3182-3R 2009

Guidelines for Nursing. Homes. Ergonomics for the Prevention. Musculoskeletal Disorders OSHA 3182-3R 2009 Guidelines for Nursing Homes OSHA 3182-3R 2009 Ergonomics for the Prevention of Musculoskeletal Disorders Guidelines for Nursing Homes Ergonomics for the Prevention of Musculoskeletal Disorders U.S. Department

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

STANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP

STANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP STANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP General Guidelines-Best Practices: The following guidelines are applicable to office workers who sit at a desk and/or work on computers.

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

Knee arthroscopy advice sheet

Knee arthroscopy advice sheet Knee arthroscopy advice sheet During an arthroscopy, a camera is inserted into the knee through two or three small puncture wounds. It allows the surgeon to look at the joint surfaces, cartilage and the

More information

Common Symptoms in the Office Environment and Proper Adjustments

Common Symptoms in the Office Environment and Proper Adjustments Common Symptoms in the Office Environment and Proper Adjustments Shoulder Stress Improper postures of the shoulders and neck, such as shrugging (hunching shoulders up toward the ears), abduction (holding

More information

Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart

Starting position: Lying with knees bent up and feet flat on floor/bed about 12 (30cms) apart Exercise 3 Bridging Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart Tighten your buttocks, then raise them off the floor to form a bridge, then hold. Then

More information

Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart

Starting position: Lying with knees bent up and feet flat on floor/bed about 12 (30cms) apart Exercise 3 Bridging Starting position: Lying with knees bent up and feet flat on floor/bed about 12" (30cms) apart Tighten your buttocks, then raise them off the floor to form a bridge, then hold. Then

More information

HOPE EXERCISE RECOVERY RESOURCES RELATIONSHIPS INFORMATION REHABILITATION PREVENTION SELF ADVOCACY RELATIONSHIPS MOVEMENT. A Stroke Recovery Guide

HOPE EXERCISE RECOVERY RESOURCES RELATIONSHIPS INFORMATION REHABILITATION PREVENTION SELF ADVOCACY RELATIONSHIPS MOVEMENT. A Stroke Recovery Guide INFORMATION REHABILITATION PREVENTION SELF ADVOCACY RECOVERY HOPE A Stroke Recovery Guide RELATIONSHIPS MOVEMENT RESOURCES RELATIONSHIPS EXERCISE www.stroke.org CHAPTER FOUR Movement and Exercise Moving

More information

Welcome to your LOW BACK PAIN treatment guide

Welcome to your LOW BACK PAIN treatment guide Welcome to your LOW BACK PAIN treatment guide You are receiving this guide because you have recently experienced low back pain. Back pain is one of the most common musculoskeletal problems treated in medicine

More information

Evaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating

Evaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Evaluation and Medical Justification for Complex Seating Systems and Mobility Devices Addendum A: Mobility/Seating This form must be completed by a physical therapist,

More information

AFTER TOTAL HIP REPLACEMENT. Living with Your New Hip

AFTER TOTAL HIP REPLACEMENT. Living with Your New Hip AFTER TOTAL HIP REPLACEMENT Living with Your New Hip Getting Back in Step By having a total hip replacement, you re taking the first step toward returning to an active lifestyle. The next step is rehabilitation

More information

TOTAL HIP REPLACEMENT

TOTAL HIP REPLACEMENT PENN ORTHOPAEDICS TOTAL HIP REPLACEMENT Home Exercise Program Maintain Your 3 HIP PRECAUTIONS! The purpose of your hip precautions is to allow for the best healing and the most successful outcomes from

More information

Gait with Assistive Devices

Gait with Assistive Devices Gait with Assistive Devices Review Last Lecture Weak dorsiflexors? Vaulting? Hip hiking? Weak hip abductors? Hip circumduction? Ataxic gait? Antalgic gait? Explain the line of gravity Ambulation with Assistive

More information

Ankle Arthroscopy and Follow-Up Physiotherapy

Ankle Arthroscopy and Follow-Up Physiotherapy Ankle Arthroscopy and Follow-Up Physiotherapy Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have agreed that you might benefit from

More information

Supporting people to move at home

Supporting people to move at home Supporting people to move at home Practical tips and techniques for carers and support workers Acknowledgements This brochure is an initiative between Home and Community Health Association and Carers New

More information

ROTATOR CUFF HOME EXERCISE PROGRAM

ROTATOR CUFF HOME EXERCISE PROGRAM ROTATOR CUFF HOME EXERCISE PROGRAM Contact us! Vanderbilt Sports Medicine Medical Center East, South Tower, Suite 3200 1215 21st Avenue South Nashville, TN 37232-8828 For more information on this and other

More information

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide

Info. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide Info. from the nurses of the Medical Service LOWER BACK PAIN Exercise guide GS/ME 03/2009 EXERCISE GUIDE One of the core messages for people suffering with lower back pain is to REMAIN ACTIVE. This leaflet

More information

Hospital Emergency Room Ergonomic Evaluations & Recommendations

Hospital Emergency Room Ergonomic Evaluations & Recommendations Hospital Emergency Room Ergonomic Evaluations & Recommendations Karleigh Burns Janna Burrows Chris Moe Lily Nirenberg Course taught by Professor Alan Hedge DEA 470, Spring 2004 Introduction Computers &

More information

Accountant I, II, III, Supervisor Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Date: February 2007; January 2016

Accountant I, II, III, Supervisor Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770 Date: February 2007; January 2016 Employer: Occupation: Classification: Company Contact: Analysis Provided By: Stanislaus County Accountant I, II, III, Supervisor Risk Management 1010 10 th Street Modesto, California 95354 (209) 525-5770

More information

Preventing Falls. Strength and balance exercises for healthy ageing

Preventing Falls. Strength and balance exercises for healthy ageing Preventing Falls Strength and balance exercises for healthy ageing Exercise should be comfortable and fun. To get the most out of your home exercise book, join a class for older people to check your exercises

More information

Knee Arthroscopy Exercise Programme

Knee Arthroscopy Exercise Programme Chester Knee Clinic & Cartilage Repair Centre Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Hospital Telephone: 01244 680 444 CKC Website: www.kneeclinic.info Email: office@kneeclinic.info

More information

Back Pain Musculoskeletal Disorder Updated October 2010

Back Pain Musculoskeletal Disorder Updated October 2010 Back Pain Musculoskeletal Disorder Updated October 2010 According to the Health and Safety Executive back pain is the most common health problem for British workers. Approximately 80% of people experience

More information

APPENDIX A. Sets = the completion of one consecutive grouping of repetitions of an exercise.

APPENDIX A. Sets = the completion of one consecutive grouping of repetitions of an exercise. Exercise Instruction Sheet Instructions: APPENDIX A Exercises are to be performed 3 times per week. Allow one rest day between each exercise day. You may divide the exercises into groups and perform them

More information

ALS Society of BC 1233 13351 Commerce Parkway Richmond, BC V6V 2X7 P: 604-278-2257 Toll free: 1-800-708-3228 F: 604-278-4257 Email:

ALS Society of BC 1233 13351 Commerce Parkway Richmond, BC V6V 2X7 P: 604-278-2257 Toll free: 1-800-708-3228 F: 604-278-4257 Email: Equipment Loan Program Policies & Procedures ALS Society of BC 1233 13351 Commerce Parkway Richmond, BC V6V 2X7 P: 604-278-2257 Toll free: 1-800-708-3228 F: 604-278-4257 Email: equipmentloan@alsbc.ca The

More information

NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS

NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS XXX DAYTONA XXX _OCEANSIDE HEALTH CARE PARTNERS Department: Page 1 of 5 POLICY & PROCEDURE Policy Number NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS

More information

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS Current Concepts of Low Back Pain Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS 28% population reports LBP in past 3 months (CDC 2010) 60% recurrence rate (Turner et al, 1992) Low Back Pain Low Back Pain

More information

Safe Lifting/ Back Safety Training. Environmental Health and Safety

Safe Lifting/ Back Safety Training. Environmental Health and Safety Safe Lifting/ Back Safety Training Environmental Health and Safety Why Back Safety is Important Back injuries are considered by OSHA the nation s #1 workplace safety problem Back injuries are often: Very

More information

Thoracolumbosacral Orthosis (TLSO)

Thoracolumbosacral Orthosis (TLSO) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Thoracolumbosacral Orthosis (TLSO) Physiotherapy Department Name of patient: Date: Name of Physiotherapist: Telephone: 01483

More information

Hazards and risks associated with manual handling in the workplace

Hazards and risks associated with manual handling in the workplace 14 Hazards and risks associated with manual handling in the workplace Summary Manual handling occurs in almost all working environments, though workers in construction, agriculture, hotels and restaurants

More information

HealthandSafetyOntario.ca. Hazards. Introduction. Legislation

HealthandSafetyOntario.ca. Hazards. Introduction. Legislation Manual Materials handling Introduction Manual materials handling operations are carried out in most workplaces. Each handling task poses unique demands on the worker. However, workplaces can help workers

More information

BAILEY CHIROPRACTIC LIFE CENTER

BAILEY CHIROPRACTIC LIFE CENTER BAILEY CHIROPRACTIC LIFE CENTER Jason A. Bailey, D.C. 224 Southpark Circle East St. Augustine, FL 32086 904-342-4941 Name: Male Female Today s Date: Address: City/State/Zip: Home Phone: ( ) Cell Phone:

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

Sun Retirement Health Assist

Sun Retirement Health Assist Sun Retirement Health Assist product FEATURE SHEET Sun Retirement Health Assist provides an income-style benefit if you become unable to care for yourself due to aging, an accident, illness or deteriorated

More information

COMMON OVERUSE INJURIES ATTRIBUTED TO CYCLING, AND WAYS TO MINIMIZE THESE INJURIES

COMMON OVERUSE INJURIES ATTRIBUTED TO CYCLING, AND WAYS TO MINIMIZE THESE INJURIES COMMON OVERUSE INJURIES ATTRIBUTED TO CYCLING, AND WAYS TO MINIMIZE THESE INJURIES Listed are a few of the most common overuse injuries associated with cycling long distances. 1. Cervical and upper back

More information

Total Hip Replacement Guide

Total Hip Replacement Guide Total Hip Replacement Guide Founded 1908 C A P PA G H N AT I O N A L O RT H O PA E D I C H O S P I TA L FINGLAS, DUBLIN 11. TEL: 01 814 0400 FAX: 01 814 0327 Total Hip Replacement Guide Contents Introduction

More information

HealthStream Regulatory Script

HealthStream Regulatory Script HealthStream Regulatory Script Back Safety Version: May 2007 Lesson 1: Introduction Lesson 2: Back Injury Lesson 3: Spinal Anatomy and Physiology Lesson 4: Safe Operation of the Spine Lesson 5: Preventive

More information