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Safe Handling and Movement of Residents Assistive Devices - Moving and Transferring Residents

JoAnne Carlin , MSN, RN, NHA JoAnne.Carlin@Willis.com Vice President Clinical Risk Services

Scott Bertulis, CSP, ARM Scott.Bertulis@Willis.com Vice President & Senior Consultant

Ray Miller, MSOSH, GP rmiller@directsupply.com Dir. Risk/Safety Solutions

#ALFA2014


Session Objectives 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


Session Objectives 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


Dynamics of Assisted Living • Average Residents’ admission age is increasing • Residents and their families prefer the AL environment over skilled care environments • Results: – Higher Acuity Levels – Increased Dementia – Increased Falls – Increased Assistance with ADLs #ALFA2014


Care Tasks? Applying barrier creams Tilt Tests Repositioning Wound Care First-Time Bedside Dangling Repositioning Vehicle Transfers Limb Support Transfers Functional Assessments Resident Weights Gait Training Toileting in Bed Transport Vs. Transfer Activities Posterior Assessment Toileting Dressing/Undressing (pants) Bariatric Residents

Hygiene/Cleaning Procedures Standing (nose-over-toes)


Impact on Associates • Number of associates needed • Shortage of competent dedicated caregivers – Retention is key

• Complexity of residents condition • Injury prevention – For Residents – For Associate

#ALFA2014


A Fundamental of Care

As you take care of your Employees, they are better able to take care of Your Residents.

#ALFA2014


Session Objectives 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


Principles Of Good Body Mechanics For Manual Transfers Your Work:

– Assess, Plan, Execute – “Plan your work and work your plan”. • Check before lifting • Get help or a device • Check your route and the target spot

Your Body:

– Bend at the knees and hips. – Keep objects being lifted close to your body. – Don’t twist to the side from the waist. Turn with your feet.

Your Stance:

– Balanced Stance (feet shoulder-width apart, one foot slightly behind the other)

Your Posture: – – – – –

Stand upright. Tuck in your buttocks. Tighten your stomach muscles (pull in your abdomen). Keep your head up, shoulders back and chin in Keep your weight centered over your feet. #ALFA2014


Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University


Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University


Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University


Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University


Note: Slides used with permission from Dr. William Marras, Ph.D. Professor Ohio State University


Injury and Illness (DART) Rates per 100 FTEs for Senior Living Industry

5 4 3 2 1 0

4.7

4.9 4.7

55

2.5 2.3 2 1.8 2.1 1.8 2.1 1.8 2 1.8

2008 2009 2010 2011 2012

2012 2011 2010 2009 2008

* Note: The leading cause in injury and illness in Senior Living environments continues to be back strains from resident handling and slips, trips, and falls.


ADLs

#ALFA2014 16

http://www.agingcare.com/eBook?gclid=CNfMk5v86b0CFc9AMgodSFcArQ


ADLs and Transfers

Category 0:

Independent

??% Category 1:

??%

Limited Assist

Category 2:

??%

Minimum Assist

Category 3:

??%

Mod / Ext / Max Assist

Category 4:

Assessment and Application

??%

Total Dependent


Session Objectives 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


Learn, Understand and Master skills using the devices

#ALFA2014


Session Objectives 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


What are the barriers? How do you overcome those barriers?

HANDOUT #ALFA2014


Session Objectives – Did we cover them all? 1. Learn how to improve care, protect your Residents and Staff and increase efficiencies 2. Review and apply healthcare ergonomics to Activities of Daily Living 3. Learn, Understand and Master skills using the devices 4. Share, Plan and Implement today’s knowledge and skills #ALFA2014


Safe Handling and Movement of Resident Assistive Devices and Moving and Transferring Residents

Q&A Thank You! #ALFA2014


2014 alfa conference safe handling movement of residents