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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 Chapter 4: Technology Solutions for Safe Patient Handling and Movement Equipment Categories for Safe Patient Handling and Movement ............................................................................ 47 Equipment Evaluation Process................................................................................................................................. 50 Evaluation Team .............................................................................................................................................. 51 Sources of Information .......................................................................................................................................... 51 Preliminary Equipment Evaluation Process ............................................................................................................. 52 Selection of Products for Field or Laboratory-Based Evaluation............................................................................. 53 Field Evaluations ..................................................................................................................................................... 54 Laboratory-Based Evaluation................................................................................................................................... 55 Purchasing Decision .............................................................................................................................................. 56 Tool: Criteria for Selection of Lifting and Transferring Devices............................................................................. 56 Challenges in Bariatric Care .................................................................................................................................... 56 Bariatric Equipment Providers................................................................................................................................. 58 Tool: Product Feature Rating Survey (Caregiver)............................................................................................... 59 Tool: Product Ranking Survey (Caregiver) ........................................................................................................ 61 Tool: Product Feature Rating Survey (Patient) ................................................................................................... 63 Tool: Product Ranking Survey (Patient) ............................................................................................................. 65 Tool: Incidence, Maintenance, and Adverse Events for Patient Handling Equipment and Device ..................... 67 Chapter 5: Patient Assessment, Care Planning, & Algorithms for Safe Patient Handling and Movement Purpose of Patient Assessment Criteria.................................................................................................................... 69 Background .............................................................................................................................................. 69 Key Points for Caregivers ........................................................................................................................................ 69 Key Assessment Criteria .......................................................................................................................................... 70 Care Plan Considerations ......................................................................................................................................... 70 Process for Using Assessment and Planning Criteria............................................................................................... 70 Form: Assessment Criteria and Care Plan for Safe Patient Handling and Movement ………................................. 71 Purpose of Algorithms ............................................................................................................................................. 72 Background of Algorithms....................................................................................................................................... 72 Algorithm #1: Transfer To and From: Bed to Chair, Chair to Toilet, Chair to Chair, or Car to Chair ............................................................................................. 73 Algorithm #2: Lateral Transfer To and From: Bed to Stretcher, Trolley..................................................... 74 ii

Patient Care Ergonomics Resource Guide: Safe Patient Handling & Movement Department of Veterans Affairs Algorithm #3: Transfer To and From: Chair to Stretcher or Chair to Exam Table...................................... 75 Algorithm #4: Reposition in Bed: Side-to-Side, Up in Bed......................................................................... 76 Algorithm #5: Reposition in Chair: Wheelchair and Dependency Chair ..................................................... 77 Algorithm #6: Transfer a Patient Up From the Floor................................................................................... 78 Bariatric Algorithms (Chapter 12) Chapter 6: Developing a No-Lift Policy Introduction ............................................................................................................................................................ 79 Implementation of a Safe Patient Handling and Movement Policy.......................................................................... 79 Tool: Template of a Safe Patient Handling and Movement Policy .......................................................................... 81 Chapter 7: Back Injury Resource Nurses Background ............................................................................................................................................................ 85 Description of Program............................................................................................................................................ 85 Limitations of Program ............................................................................................................................................ 85 Obtaining Buy-In from Management ....................................................................................................................... 86 Monitoring Progress .............................................................................................................................................. 86 Tools and Strategies for Implementation ................................................................................................................. 86 Chapter 8: Lifting Teams Background ............................................................................................................................................................ 93 Description of Program............................................................................................................................................ 93 Benefits of Program .............................................................................................................................................. 94 Limitations of Program ............................................................................................................................................ 95 Tools and Strategies for Implementation ................................................................................................................. 96 Lifting Team Program Policy Components.............................................................................................................. 97 Monitoring Progress .............................................................................................................................................. 98 Chapter 9: After Action Review Process Background ............................................................................................................................................................ 101 Description of Program............................................................................................................................................ 102 Guidelines for After Action Reviews ....................................................................................................................... 102 Benefits and Limitations of Program ...................................................................................................................... 103 iii

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