Speaker: Colleen Christopher, OTR Regional Clinical Manager, Diligent Services/ARJOHuntleigh
Safe Patient
Handling
Caregivers require protection as much as patients…..
First Do No Harm….
Otherwise they become
the patients
All rights reserved, Diligent Services, ARJO, Inc. © 2007
•Number of patients/day (P)
•Number of lifts/patient (L)
• Average weight/patient (W)
Average Weight/Day = P x L x W
What you lift each day…. do the math.
6 X 6 X 200
7,200# / day!
Combine this with…. • Graying workforce - “Wisdom Workers”
• Avg age of nursing staff = 47.5
• 12% nurses leave the profession each year due to back injuries
• Revised NIOSH Lifting Equation (35 lbs)
• Costs for Hospital Acquired Pressure Ulcers per hospital stay $43,160
• Costs due to Falls and Trauma per hospital Stay $33,894
(Data from CMS- 1390-P, May 2008
• Other Healthcare Initiatives
• JCAHO
• 5 Million Lives Campaign
• Institute Of Medicine Healthcare Quality Initiative:Crossing the Quality Chasm
• NDNQI (National Database of Nursing Quality Indicators)
» Patient Outcome and Nursing Staffing Data
A Decades Old Nursing
Culture….
The patient comes first
….even if the caregiver is at risk of injury.
Proper body mechanics and/or two-person lifts will prevent back injuries ….35 years of research dispute this belief
A patient that is 100# is “light”
…only in healthcare would we think 100# is light!
• It’s too time consuming…..
And
• It doesn’t relate to quality of patient care or their safety….
Culture
“Culture is what a company thinks is important, not just
what it says is important…
It boils down to the difference between lip service
and what is embraced…”
Michael Useem, Director of the Center for Leadership and Change Management,
Wharton School, as quoted in USA Today, 8-28-03
When people talk about culture change, what
they really want is behavior change.
Changing culture happens by
speaking about changing behavior,
modeling changed behavior, and
rewarding changed behavior.
Diligent Services, ARJO, Inc. All rights reserved. © 2008 13
Safe Patient Handling
means….
Quality of Care
Consistent with Rehabilitation
TM
Patient Profiles
Determining appropriate piece
Physical Capabilities
Mental Capabilities
Weight
Nursing
Therapy
What Goes Where ICU’s
Med/Surg
Ortho
Neuro
Rehab
Pediatric’s
OR
PACU
ED
Diagnostics
Imaging
Clinics
LTC