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Patient Mobility Team “Lift Team” Proposal. Susan Crabtree Lynn Kirman. Background. Pushing issues Nursing shortage Aging workforce Increase in patient size Union activity Focus on Patient Safety – JCAHO Standards Increasing WC costs Failure of “proper body mechanics”
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Patient Mobility Team“Lift Team” Proposal Susan Crabtree Lynn Kirman
Background • Pushing issues • Nursing shortage • Aging workforce • Increase in patient size • Union activity • Focus on Patient Safety – JCAHO Standards • Increasing WC costs • Failure of “proper body mechanics” • Recruitment/Retention tool
Employee Safety Committee – in place “Safe Patient Handling” Policy Patient handling devices – house-wide, easy access Periodic ergonomic assessments of nursing workplace. Lift Team On-going training Preventative back exercise program Standardized data collection and reporting – track, trend, revise Elements of a Complete Program
GAMC “Patient Mobility Team” • 0700 – 1930 7 days/wk, 2 person team • C.N.A. required – 5% increase • Supervisor – Terry Novelli / Donna Cramer • Dispatched thru Escort Process or directly by pager (TBD) • Would also coach/instruct floor staff on transfer and lifting techniques.
Financial Analysis • Costs Before Lift Team • Direct Costs (Average of 2002 & 2003) - $502,516 • Medical Paid, Medical Reserves = Incurred Costs (also includes temporary disability payments) • Indirect Costs (Average of 2002 & 2003) - $244,350 • Lost days ($25.00 x 12 hours x 814.5 days) • Total W/C Patient Handling Costs = $746,866
Financial Analysis (continued) • Costs Before Lift Team$746,866 • Costs After Lift Team (25% reduction in workers injuries) • Lift Team Wage Costs - $157,467 • Direct Costs - $376,887 • Indirect Costs - $183,263 • Equipment Costs - $15,000 per year (Depreciation - $75,000 over 5 years) • Total W/C Patient Handling Costs $732,616 • Total Savings $14,249 • Return on Investment – 8%
Equipment Costs • Capital (first year - $30,000 – includes taxes) • Equipment to be shared by units (for example CSDU and CCU) • 5 mobile hoist heavy duty (444 lbs) = $18,711.80 • 1 floor lift heavy duty (600 lbs) = $6,478.09 • Additional Equipment • Gait belts • Sliders • Slings
Lift Team Roll-Out • Approval by Operations Council - done • Evaluate and Order Equipment – in process • Hire necessary staff – in process • Provide appropriate training on equipment for new staff – PT working on this • Provide training/orientation for nursing staff on lift team procedures • Start date – September, 2005