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Patient Care Ergonomics Resource Guide: Safe Patient Handling ...

Patient Care Ergonomics Resource Guide: Safe Patient Handling ...

Patient

Patient Care Ergonomics Resource Guide: Safe Patient Handling & Movement Department of Veterans Affairs 5 Identify typical distribution of patients by physical dependency level according to the definitions below. Note: This is not the same as patient acuity. The total for the 5 categories should equal your average daily census. ____ Total Dependence – Cannot help at all with transfers, full staff assistance for activity during entire seven-day period. Requires total transfer at all times. ____ Extensive Assistance – Can perform part of activity, usually can follow simple directions, may require tactile cueing, can bear some weight, sit up with assistance, has some upper body strength, or may be able to pivot transfer. Over the last seven-day period, help provided three or more times for weight-bearing transfers or may have required a total transfer. ____ Limited Assistance – Highly involved in activity, able to pivot transfer and has considerable upper body strength and bears some weight on legs. Can sit up well, but may need some assistance. Guided maneuvering of limbs or other non-weight bearing assistance three or more times, or help provided one or two times during the last seven days. ____ Supervision – Oversight, encouragement, or cueing provided three or more times during the last seven days or physical assistance provided only one or two times during the last seven days. ____ Independent – Can ambulate normally without assistance in unusual situations may need some limited assistance. Help or oversight may have been provided only one or two times in the last seven days. 6. Provide inventory of all patient care equipment; describe working condition and how frequently equipment is used. 26

Ergonomic Workplace Assessments of Nursing Environments Department of Veterans Affairs Patient Care Equipment Sample: Mechanical Lifts. Sample: Surfboard frictionreducing device. Manufacturer Qty In working order? Comment: Describe whether it is used and why ARJO 3 Yes Used frequently, but there are not enough slings for all patients. Not sure. 1 Yes Rarely used – inconvenient to obtain and too heavy to carry to bedside. 27 Recommendations Need 1-2 additional lifts and 12 additional XL-size slings. Need easy-to-use friction-reducing devices stored at bedside for patients who require assistance with lateral transfers.

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