Moving and Handling

1. Moving and Handling NHSGGC, Moving and Handling Team NHS GGC, Acute Service Statutory and Mandatory Training Program, 2016 (V4)

2. Moving & Handling in NHSGGC Overview • Meet the team • Moving & Handling Education • Competency & self assessments

3. The Moving and Handling Team Head of Health & Safety Kenneth Fleming Moving and Handling Service Lead Cameron Raeburn Moving & Handling Lead Practitioner Moving and Handling Lead Practitioner (Acute North) (Acute South) Val Val Cuthill – 0141 211 4809 (24809) Jillian McDonald - 0141 201 0455 (80455) Moving & Handling Practitioners (North) Moving & Handling Practitioners (South) South North Selina Rodgers Christine Hepburn Mandy Reekie 0141 211 4809 (24809) Tom O’Connor 0141 201 0533 (80533) Melanie Grier Tom O ’ Maureen Nugent Alasdair Crook Ciara Aitken

4. Moving & Handling Education • Training • Induction, skills updates and coaching • E-Learning • Load and people handling modules • Aimed at new starts in jobs with lower MH risks • HR Connect / StaffNet • Guidance on MH handling, user guides & safety briefings • Bariatric guidance & equipment • Order details for slings and sliding sheets

5. Moving & Handling Assessments • Competency assessments • For staff in jobs with higher MH risk • To allow support to be provided where its needed most • Self Assessments • For all staff • Can be used as part of PDP/KSF review • Information on HR Connect

6. Today – MH Learning Outcomes At the end of this session, delegates will be able to : • Demonstrate an understanding of legislation relating to manual handling • Understand the risks associated with manual handling activities • Describe the differences between efficient and inefficient movement patterns • Describe a pattern of efficient personal movement • Identify efficient and inefficient movement patterns as they are applied to manual handling tasks

7. Overview Legislation Movement Handling scenarios

8. What is Moving & Handling? The Manual Handling Operations Regulations(1992) define it as: “any transporting or supporting of a load (includes the lifting, putting down, pushing, pulling, carrying or moving thereof ) by hand or by bodily force”. In other words: Lifting up a load or putting it down Holding or supporting a load Pushing or pulling a load Carrying a load

9. Legal Duties Employers Avoid Assess Reduce Review Employees Follow system of work Assess & plan Use equipment / training Report any problems

10. Risk Assessment Considerations • Framework – TILEO • Task - does it need to be done, do you need equipment to help? • - is the task repetitive or sustained? • - How far do you have to go, does everyone know what to do? • Individual - how familiar are you with the equipment / task? - are you fit for the task? • Load - how heavy / stable / awkward is the load, do you need help? • Environment - is there enough room, what is the lighting / flooring like? • - is the weather a factor? • Other - do I have the right clothing? • - are there any psychological factors to consider?

11. Overview Legislation Movement Handling scenarios

12. Line of Gravity Line of Gravity Inefficient Movement - Unbalanced Efficient Movement - Balanced Inefficient vs. efficient movement

13. Efficient Movement Pattern • Get close • Get in on an angle • Relax your knees • Off set your feet • Elevate, relax and allow movement of your spine • Take an indirect hold • Lead with the head

14. Overview Legislation Movement Handling scenario 1

15. Identify the problems

16. Over stretching Tension Top Heavy Locked Knees

17. Solutions Raise bed height Get Help Up right Keep Close Soft Knees

18. Overview Legislation Movement Handling scenario 2

19. Identify the problems

20. Top Heavy Increased Tension Spine Rotated Locked Knees Unbalanced, weight all on heels

21. Solutions Raise Height Change Angle Weight even over both feet

22. Overview Legislation Movement Handling scenario 3

23. Identify the problems

24. Excessive effort causing tension Lifting Patient Weight Spine Rotated Spine Rotated Sliding sheets do not go under patient’s heels causing shearing force.

25. Solution Less effort through arms Sliding rather than lifting patient weight Angle of approach to eliminate torsion of spine Increase height of bed Sliding sheets now under patient’s heels reducing shearing forces

26. Overview Legislation Movement Handling scenario 4

27. Identify the problems

28. Boxes unsteady Top Heavy posture Cage overfilled Cannot see route ahead Excessive effort through arms to push Far away from load

29. Solution Can see route ahead Reduce weight of cage Closer to load Boxes more stable

30. Overview Legislation Movement Handling scenario 5

31. Identify the problems

32. Monitor too high Tension Stretching to keyboard Clutter Rotated Obstruction No support Feet not stable

33. Monitor lowered Tension reduced Back supported Keyboard closer Rotation eliminated Obstruction removed Feet supported

34. Today – MH Learning Outcomes At the end of this session, delegates will be able to : Demonstrate an understanding of legislation relating to manual handling Understand the risks associated with manual handling activities Describe the differences between efficient and inefficient movement patterns Describe a pattern of efficient personal movement Identify efficient and inefficient movement patterns as they are applied to manual handling tasks

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36. Associated KSF Dimensions Associated KSF Dimensions C2 – Personal & people development C3 – Health, safety and security C4 – Service improvement C5 - Quality C6 – Equality & diversity HWB1 – Promotion of health & wellbeing…. HWB2 – Assessment of care…. HWB3 – Protection of healthand wellbeing