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| CODES, STANDARDS and REGULATIONS |
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Health Care Material And Patient Moving
A SAFETY TALK FOR
DISCUSSION LEADERS
This safety talk is designed for discussion leaders to use in
preparing safety meetings.
Set a specific time and date for your safety meeting. Publicize
your meeting so everyone involved will be sure to attend.
Review this safety talk before the meeting and become familiar with
its content. Make notes about the points made in this talk that
pertain to your workplace. You should be able to present the
material in your own words and lead the discussion without reading
it.
Seating space is not absolutely necessary, but arrangements should
be made so that those attending can easily see and hear the
presentation.
Collect whatever materials and props you will need ahead of time.
Try to use equipment in your workplace to demonstrate your points.
DURING THE MEETING
Give the safety talk in your own words. Use the printed talk
merely as a guide.
The purpose of a safety meeting is to initiate discussion of safety
problems and provide solutions to those problems. Encourage
employees to discuss hazards or potential hazards the encounter on
the job. Ask them to suggest ways to improve safety in their area.
Don't let the meeting turn into a gripe session about unrelated
topics. As discussion leader, its your job to make sure the topic
is safety. Discussing other topics wastes time and can ruin the
effectiveness of your safety meeting.
At the end of the meeting, ask employees to sign a sheet on the
back of this talk as a record that they attended the safety
meeting. Keep this talk on file for your records.
Health Care Material And Patient Moving
TG16
Sprains and strains affect more Ohio workers than any other type of
injury. Recently, they accounted for 36.7 percent of lost-time
claims filed with The Industrial Commission of Ohio. But health
care workers are even more at risk for sprains and strains; more
than half of their lost-time injuries were in that category
during that same year.
Because manual material handling and patient transfer are frequent
tasks in health care work, extra care in approaching them may help
to avoid some of those injuries.
Moving materials or people should be thoroughly planned in order to
keep manual handling to a minimum. Both the load and the route
should be considered carefully.
As much mechanical help as equipment and ingenuity can
provide--carts, dollies, elevators, dumb waiters--should be used to
avoid manual handling. If no mechanical solution can be found for
a handling situation, look for one or more co- workers to share the
load.
When there is no choice but to move objects or people manually,
here are a few guidelines to remember:
ù Balance and stability will be more likely with good housekeeping
and the right shoes. Twenty percent of accidents in private health
services in a recent year were caused by the work surface. Floors
that are clean, dry and free of unexpected obstacles give the best
chance to work without slips and trips. Shoes that provide
stability and traction will enable the wearer to work on a firm
footing.
Loads that have a handle or grip are easier to move. Often a handle
can be attached to a load to make it less awkward.
ù When lifting, hold the load close to your body rather than at
arm's length. To experience the difference in effort needed by the
two positions, try holding a book close to your waist. Then hold
the same book out in front of you at arm's length.
ù Whenever possible, limit handling to the area between knuckle and
shoulder height. Avoid reaching above or below those levels.
ù If turning is necessary during lifting or carrying, move your
feet, legs and torso in the same direction at the same time.
When patients are being moved, follow those guidelines. But further
care is also needed. The best way to move a patient is with a
mechanical lifting devices, so avoid manual handling. If no
mechanical lift is available, enlist enough helpers to limit to a
reasonable amount the weight each person will handle.
Knowing the patients' weight and condition is important to moving
them safely, whether they are to be moved mechanically or not. Are
they conscious or unconscious? If conscious, can they help with the
move?
To reassure patients, be sure to let them know in general terms
what will be happening, and ask for their cooperation if that is
appropriate.
Adjust the bed to the best working level before beginning the move.
Moving any patient except a small child can be made easier and
safer by attaching a sturdy belt around the patient's waist to
provide a handle.
A carrying device that can help in moving a patient who is lying
down from a bed to a cart is a sheet under the patient's body with
the sides rolled up and gripped like handles.
Another "handle" can be devised to turn patients onto their sides.
Hoist the patient's bent knee until the foot is lying flat and the
knee is bent. Push the knee away from you to turn the patient.
If the lift is over a very short distance, moving one segment of
the patient's body at a time divides up the weight.
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