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Guidelines in Developing a Safe Patient Handling Lift Document Tool. Speaker: Robert Guest MSPT, Cert. MDT. Types of Transfers. Lateral transfers Bed Chair Commode/toilet Car Floor. Repositioning Tasks. Bed Chair Gurney Diagnostic tables.
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Guidelines in Developing a Safe Patient Handling Lift Document Tool Speaker: Robert Guest MSPT, Cert. MDT
Types of Transfers • Lateral transfers • Bed • Chair • Commode/toilet • Car • Floor
Repositioning Tasks • Bed • Chair • Gurney • Diagnostic tables
Components for safe transfers & repositioning tasks • Medical, mental & functional status of the patient • Environment • Staff • Equipment
Patient • Medical status – history received from the patient, family & other facilities • Mental status – cooperative, follow directions • Functional status- strength, balance, coordination & stamina
Environment • Room design • Medical equipment • Furniture • Illumination • Climate/temperature • Traffic/activity
Staff • Medical education • Competency • Compliancy • Teamwork • Communication
Equipment • Bed • Ceiling lift • Total mechanical lift • Sit to stand lift • Transfer belt • Non-Friction device/Air assistive device • Assistive devices (cane etc.)
SPH equipment reduces over exertion for the healthcare staff
Criteria for each piece of safe patient handling equipment Contraindications vs. Indications
Who is responsible for determining the lift type/equipment utilized for safe patient handling and movement (SPHM) ? (Three W) Who When Where
Decision Tree • Ceiling lift/Total mechanical lift • Sit to stand lift • Transfer/gait belt • Non-Friction device/Air assistive device • Independent ** going up the tree the patient requires more assistance**
Case Study 1 A male 50 years old involved in MVA enters the emergency department to R/O a right leg fracture. Determine the SPHM for this individual using the lift document tool.
Case Study 2 A 30 year old male S/P right TKR day two has an order to get OOB. Determine the SPHM for the patient.
Case Study 3 A 70 year old female has fallen in the hallway while existing her husband’s hospital room. Determine the SPHM for this individual.
Thank you rguest@kaleidahealth.org