2014 alfa conference safe handling movement of residents

Safe Handling and Movement of Residents Assistive Devices - Moving and Transferring Residents

#ALFA2014

Ray Miller, MSOSH, GP rmiller@directsupply.com Dir. Risk/Safety Solutions

Scott Bertulis, CSP, ARM Scott.Bertulis@Willis.com Vice President & Senior Consultant

JoAnne Carlin , MSN, RN, NHA JoAnne.Carlin@Willis.com 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

#ALFA2014

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!