Client Handling Orientation or Refresher

1. Client HandlingOrientation or Refresher Updated August 2016

2. Instructions • This module has three parts: • 1) Review the power point presentation • 2) Watch the videos of client transfers • 3) Complete on-line quiz

3. Work safe for the right reasons Think of reasons you want get home safe from work today Who or What are they?? (take 30 seconds to reflect) We all get busy, we all care about the job we do, we all want our patients to be cared for What can you do to be safe and keep your co-workers safe at work???

4. According to nursing @ GMCH • The most often most demanding tasks: • 1. moving patients up in the bed or repositioning • 2. transfer bed to commode/chair • 3. lateral transfers – stretcher to bed

5. Assessing Your Risk Lifting • Don’t over estimate your ability • The heavier the load, the greater the risk to the back. • If twisting movement is involved in lifting, the greater risk to the back • Situations where a weight shifts suddenly while being lifted can also create ↑ risk (e.g., transferring a patient)

6. Definitions Reposition - Procedure used to move a patient to a new position on the same surface. Transfer - Any procedure used to assist a patient who can bear weight through one leg or both arms. Lift – Any procedure used to lift or carry the entire weight of a person.

7. Minimal Lift Policy GMCH is committed to providing a safe and healthy working environment for all staff and patients. The overall aim of the minimal lift policy is to reduce the risk of injury and to safeguard our patients. All GMCH staff involved in direct patient contact will refrain from physically lifting any patient in all but life threatening situations or unless the use of a patient lifting device is contraindicated (e.g. Fractured hip)

8. Minimal Lift Policy • Review minimal lift policy, on intranet • How does this apply to me? • Review patient transfer and mobility information & document updates as required • Ask for assistance if unsure of patients ability • Take time & plan the transfer

9. Minimal Lift Policy • Please review the new revised Minimal Lift Policy, which is available: • Interdisciplinary Clinical Manual • Intranet under the Clinical tab -> Nursing -> Minimal Lift Policy

10. Reposition Patient in Bed Lower head of bed and side rails Adjust bed height - mid thigh to waist level Position lifter sheet – between mid thigh & mid back Patient’s knee’s bent, feet on bed Grasp lifter sheet with elbows close to sides Prepare patient, ask to assist, count of 3 Good body mechanics

11. Pivot Transfer Sit patient at edge of bed with feet on floor Position chair 90° to bed (strong side), brakes Remove leg rests and/or arm rest closest to bed Reach around patient – hips/waistband Prepare patient – what can they do to assist? Count of 3, rocking motion, block knees/foot? Small steps, cueing-feel for chair, weight shift Patient wearing non-slip footwear Slowly lower patient– good body mechanics

12. Lateral Board Transfer Put rails and head of bed down Move stretcher parallel to bed and brakes are on Adjust bed height to waist/hip level and match Position at least 1 person on each side of the patient Position slider board under lifter sheet to act as a bridge between the two surfaces, grasp lifter sheet, prepare patient, count of 3, can go in stages Good body mechanics

13. Mechanical Lift • Criteria: • Patient is unable to assist due to medical condition, fatigue or lack of coordination • Patient’s weight or size poses a risk to healthcare provider’s safety • Poor head/trunk control; poor sitting balance; significant loss of muscle tone • Unable to bear weight through either both arms or one leg • Environmental factors or destination places staff in awkward/poor body position

14. Bariatric Resources • Expanded capacity equipment is marked with SWL, all mechanical lifts are SWL 600lbs • Refer to reference guide –attached to bariatric bed • Utilize appropriate equipment • Ensure enough staff available for transporting

15. Resources @ GMCH • Mechanical lifts –floor models & ceiling • Sit – Stand devices – Arjo Steady • Lateral transfer, “Mobilizer” stored in ER • Transfer boards • One way sliders & Maxi slides (purple sheets) • Pivot disc, walkers, crutches, canes • Physiotherapy consult

16. Practice Transfers with Co-workers • Reposition patient up in bed • Patient able to assist • Patient unable to assist • Rolling patient to position lifter sling • Arjo Sit-Stand transfer aid

17. Step Two link to videos<<<

18. Step 3 – On line Quiz Link to Quiz>>> www.testmoz.com/804383