Ergonomic Guidelines for Nursing Homes - Seton Resource Center

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FIGURE 5. Reposition in Chair: Wheelchair and Dependency Chair Can Patient assist? Fully Caregiver assistance not needed; stand by for safety as needed. No Partially If Patient has upper extremity strength in both arms, have patient lift up while caregiver pushes knees to reposition. If Patient lacks sensation, cues may be needed to remind Patient to reposition. Does chair recline? Yes Recline chair and use a friction-reducing device and 2 caregivers. Is Patient cooperative? No Yes No Use full-body sling lift -or- non-powered stand-assist aid and 1 to 2 caregivers. Use full-body sling lift and 2 or more caregivers. Comments: -This is not a one person task: DO NOT PULL FROM BEHIND CHAIR. - Take full advantage of chair functions, e.g., chair that reclines, or use of arm rest of chair to facilitate repositioning. - Make sure the chair wheels are locked. Source: The Patient Safety Center of Inquiry (Tampa, FL), Veterans Health Administration & Department of Defense. October 2001. 15
FIGURE 6. Transfer a Patient Up From The Floor Was Patient injured? Yes Was the injury minor? No Depends on type and severity of injury (follow Standard Operating Procedures). No 1 Yes Is Patient independent? 1 No Full-body sling lift needed with 2 or more caregivers. Yes Caregiver assistance not needed; stand by for safety as needed. Comments: - Use full-body sling that goes all the way down to the floor (most of the newer models are capable of this). - 1 Modifications made with concurrence of Dr. Audrey Nelson at Veterans Administration Hospital, Tampa, Florida. Source: The Patient Safety Center of Inquiry (Tampa, FL), Veterans Health Administration & Department of Defense. October 2001. 16
Page 1 and 2: Guidelines for Nursing Homes Ergono
Page 3 and 4: EXECUTIVE SUMMARY These guidelines
Page 5 and 6: Section I. Introduction Nursing hom
Page 7 and 8: Section II. A Process for Protectin
Page 9 and 10: should follow-up by talking with em
Page 11 and 12: appropriate method for lifting or r
Page 13 and 14: FIGURE 2. Lateral Transfer to and f
Page 15: FIGURE 4. Reposition in Bed: Side-t
Page 19 and 20: • Does the lift activation device
Page 21 and 22: Lateral Transfer; Repositioning Des
Page 23 and 24: Transfer from Sitting to Standing P
Page 25 and 26: Bathtub, Shower, and Toileting Acti
Page 27 and 28: Storage and Transfer of Food, Suppl
Page 29 and 30: Loading or Unloading Laundry Descri
Page 31 and 32: • address problems by selecting p
Page 33 and 34: A free consultation service is avai
Page 35 and 36: Appendix - A Nursing Home Case Stud
Page 37 and 38: designed the new beds to lift from

Ergonomic Guidelines for Nursing Homes - Seton Resource Center

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