2014 alfa conference safe handling movement of residents
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Safe Handling and Movement of Residents Assistive Devices - Moving and Transferring Residents
#ALFA2014
Ray Miller, MSOSH, GP [email protected] Dir. Risk/Safety Solutions
Scott Bertulis, CSP, ARM [email protected] Vice President & Senior Consultant
JoAnne Carlin , MSN, RN, NHA [email protected] Vice President Clinical Risk Services
1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives
1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives
Dynamics of Assisted Living
#ALFA2014
• Average Residents’ admission age is increasing • Residents and their families prefer the AL
environment over skilled care environments • Results:
– Higher Acuity Levels – Increased Dementia – Increased Falls – Increased Assistance with ADLs
Tilt Tests
Transfers
Resident Weights
Posterior Assessment
Dressing/Undressing (pants) Standing (nose-over-toes)
Functional Assessments
Transport Vs. Transfer Activities
Toileting in Bed
Hygiene/Cleaning Procedures
Care Tasks?
Toileting
Repositioning Wound Care
First-Time Bedside Dangling
Bariatric Residents
Gait Training
Vehicle Transfers
Applying barrier creams
Limb Support
Repositioning
Impact on Associates
#ALFA2014
• Number of associates needed • Shortage of competent dedicated caregivers
– Retention is key
• Complexity of residents condition • Injury prevention
– For Residents – For Associate
As you take care of your Employees,
they are better able to take care
of Your Residents.
A Fundamental of Care
#ALFA2014
1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the
devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives
Principles Of Good Body Mechanics For Manual Transfers
Your Work: – Assess, Plan, Execute – “Plan your work and work your plan”.
• Check before lifting • Get help or a device • Check your route and the target spot
Your Body:
– Bend at the knees and hips. – Keep objects being lifted close to your body. – Don’t twist to the side from the waist. Turn with your feet.
Your Stance:
– Balanced Stance (feet shoulder-width apart, one foot slightly behind the other) Your Posture:
– Stand upright. – Tuck in your buttocks. – Tighten your stomach muscles (pull in your abdomen). – Keep your head up, shoulders back and chin in – Keep your weight centered over your feet.
#ALFA2014
Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University
Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University
Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University
Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University
Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University
Injury and Illness (DART) Rates per 100 FTEs for Senior Living Industry
20122011
201020092008
012345 4.7
2 1.8
4.7
2.1 1.8
4.9
2.1 1.8
5
2.3 1.8
5
2.5 2
20122011201020092008
* Note: The leading cause in injury and illness in Senior Living environments continues to be back strains from resident handling and slips, trips, and falls.
ADLs
16
http://www.agingcare.com/eBook?gclid=CNfMk5v86b0CFc9AMgodSFcArQ
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Category 0: Independent
Category 1: Limited Assist
Category 2: Minimum
Assist
Category 3: Mod / Ext / Max Assist
Category 4: Total
Dependent
ADLs and Transfers
Assessment and Application
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1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives
Learn, Understand and Master skills using the devices
#ALFA2014
1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives
What are the barriers?
How do you overcome those barriers?
HANDOUT
#ALFA2014
1. Learn how to improve care, protect your Residents and Staff and increase efficiencies
2. Review and apply healthcare ergonomics to Activities of Daily Living
3. Learn, Understand and Master skills using the devices
4. Share, Plan and Implement today’s knowledge and skills
#ALFA2014
Session Objectives – Did we cover them all?
Safe Handling and Movement of Resident Assistive Devices and Moving and Transferring Residents
#ALFA2014
Q&A
Thank You!