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

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

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Patient Care Ergonomics Resource Guide: Safe Patient Handling & Movement Department of Veterans Affairs Figure 3-4 Tool for Prioritizing High-Risk Patient Handling Tasks Directions: Assign a rank (from 1 to 10) to the tasks you consider to be the highest risk tasks contributing to musculoskeletal injuries for persons providing direct patient care. A “1” should represent the highest risk, “2” for the second highest, etc. For each task, consider the frequency of the task (high, moderate, low) and musculoskeletal stress (high, moderate, low) of each task when assigning a rank. Delete tasks not typically performed on your unit. You can have each nursing staff member complete the form and summarize the data, or you can have staff work together by shift to develop the rank by consensus. Frequency of Task H = High M = Moderate L = Low Stress of Task H = High M = Moderate L = Low Rank 1 = High-Risk 10 = Low Risk 30 Patient Handling Tasks Transferring patient from bathtub-tochair. Transferring patient from wheelchair or shower/commode chair-to-bed. Transferring patient from wheelchair-totoilet. Transferring a patient from bed-tostretcher. Lifting a patient up from the floor. Weighing a patient. Bathing a patient in bed. Bathing a patient in a shower chair. Bathing a patient on a shower trolley or stretcher. Undressing/dressing a patient. Applying anti-embolism stockings. Lifting patient to the head of the bed.

Ergonomic Workplace Assessments of Nursing Environments Department of Veterans Affairs Frequency of Task H = High M = Moderate L = Low Stress of Task H = High M = Moderate L = Low Rank 1 = High-Risk 10 = Low Risk Patient Handling Tasks Repositioning patient in bed from sideto-side. Repositioning patient in geriatric chair or wheelchair. Making an occupied bed. Feeding bed-ridden patient. Changing absorbent pad. Transporting patient off unit. Other Task: Other Task: Other Task: Adapted from Owen, B.D. & Garg, A. (1991). AAOHN Journal, 39, (1). Step 5: Conduct Team Site Visit for Ergonomic Assessment Following identification of high-risk units from historical data, the ergonomics assessment team is convened for the purpose of conducting an on-site evaluation. This site evaluation serves to recognize the many direct and indirect factors that may contribute to risk potential and, with staff input, to identify potential solutions that will serve to minimize risk of injury to the caregivers and patients. The following process is completed for each high-risk unit. Team members must understand the philosophy of ergonomics and ergonomic processes specific to patient-care environments, therefore, appropriate training, as offered in this tool, must be completed. Site Visit Team members include persons with training in the ergonomic process such as Industrial Hygienists, Occupational Medicine Practitioners and Ergonomists. At least one nursing service safety appointee should receive training and become a site team member. During the site visit on each unit, the Nurse Manager or designee from that unit will join the Team in order to answer questions specific to the unit. Additional staff involvement is suggested and important to accurately characterize a unit, so nursing staff members from each unit should also be invited. At a minimum, 31

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