Transferring Lifting Repositioning (TLR)

Accountability

What does accountability mean to you?

Legislation/policies

• All employers and workers must follow the laws developed for working safe

• Policies are in place to support this

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Training for all staff, focusing on risk identification and management

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Step by step process for all moving tasks

Step 1: Clarify the nature of the moving taskStep 2: Identify the moving techniqueStep 3: Conduct an assessmentStep 4: Select the moving techniqueStep 5: Prepare for the moveStep 6: Perform the moveStep 7: EvaluateStep 8: Communicate

Defining the T, L and R

• Transferring – moving a client from one surface/location to another; a transfer belt is required

• Lifting – moving from one surface/location to another; involves mechanical lifts for client who cannot bear their own body weight

• Repositioning – moving on same surface or between to surfaces of equal height

Anatomy & Physiology

Gentle "S" Moves to Avoid

Vertebrae

Personal Health

8 Principles to Good Body Mechanics• Brain not back• Listen• Three Natural Curves• Strong Thigh Muscles• Grip• Stance• Weight Transfer• Keep Load Close

Checkpoints

Checkpoints of Good Body Mechanics• For the top (ears over shoulders; shoulders over hips)

• For the bottom (bend at the knees, bend at the hips, stick your bottom out and tighten tummy)

• Elbows tucked in

• Safe effective grip

• Comfort zone

• Weight transfer

3 Areas of Assessment

• self (you)

• environment (including equipment)

• client or object

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Empowerment of staff to make healthy and safe choices

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Teamwork, Communication, 1-2-3-command

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Zero lift requires minimal manual effort with maximum equipment use

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Think Twice, Move Once

Object (General) Moving Techniques

• Repositioning• Diagonal Lift (alternate for EMS)

• Power Lift (alternate for EMS and for infants/small children)

• Tripod Lift (alternate for EMS and for infants/small children)

• Golfer’s Lift

• Partial Squat Lift

Violence

How common is violence in your job?

How do clients display violent/assaultive behaviour?

What causes aggressive/assaultive behaviour?

Client Assessment

• communication

• cognition

• emotional/behavioural

• medical

• physical/functional

Hands-on Assessment

• Handshake

• Leg lifting

• Foot movement

• Rolling

• Sitting abilities

• Standing abilities

• Walking abilities

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Levels of Assessment

• General Client Mobility Assessment (GCMA)

• Ongoing Client Mobility Assessment (OCMA)

• Specialized Client Mobility Assessment (SCMA)

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TLR is always in the moment, at this time

Client Moving Techniques

• Repositioning – with assistive device

• Transferring – with transfer belt

• Lifting – with equipment

Equipment

• equipment – training of workers

• sling – use and care

• maintenance schedule for equipment and slings

TLR Theme

Zero lift requires minimal manual effort with maximum equipment use