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1. Safe Patient Handling in Home Health Anita Biese RN, MS, CNS
St Vincent Hospital Home Health Care
Green Bay, Wisconsin
3. St Vincent Hospital
Started as No Lift Policy
Revised to Low Lift Policy
Train the Trainer approach
4. Hospital Process Instructions to all staff on correct lifting techniques.
Return demonstrations by each staff member
Written Test
5. Home Health Process Must follow the Hospital Process
A PT and an OT are our Trainers
Group training of 4 people over a 2 week period
6. Hospital Training Covering
Principles of Body Mechanics
Choice of Transfer Technique
Hydraulic Lift Transfers
Slide Board Transfers
Pivot Transfers
7. Home Care Considerations Staffing
Types of Patients
Availability of Equipment
Relationships of patients to caregivers
8. Actions Identified current patients who are difficult transfers
Problem solve
Assist with change as needed
9. Case Study
51 yo female with advanced Multiple Sclerosis.
Insured under husband.
Aides have been pivot transferring with increasing difficulty.
Very resistant to change.
10. What to Do
Convince Patient and Husband of need for change.
Discuss available equipment
Assist with finding finances for obtaining equipment
Help with ordering correct equipment to meet patient needs both present and future
Teach husband and staff use of equipment
11. How did we do?
Patient continues at home with our assist.
12. Thank You