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Manual Handling

Manual Handling. Load Handling Including Induction. Who Are We? LINDA CURSON Back Care Advisor Ext 2107, Bleep 401 KATHERINE HOPKINSON Manual Handling Trainer Ext 5457, Bleep 031. The Back Care / Manual Handling Team. What Do We Do? Includes: Training for all levels of staff

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Manual Handling

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  1. Manual Handling Load Handling Including Induction

  2. Who Are We? LINDA CURSON Back Care Advisor Ext 2107, Bleep 401 KATHERINE HOPKINSON Manual Handling Trainer Ext 5457, Bleep 031 The Back Care / Manual Handling Team

  3. What Do We Do? Includes: Training for all levels of staff Follow up manual handling & related RIDDOR incidents Carry out / assist with risk assessments for manual handling Organise trials for new equipment Assist with any manual handling problems you may be having in your department The Back Care / Manual Handling Team

  4. Intervertebral Disc

  5. The way our bodies move Biomechanics

  6. Compression Side View Front View The pattern of injury to the spine is a function of the type and size of forces present at time of injury. Lifting excessively heavy loads may result in damage to the disc structures.

  7. Herniated Disc

  8. Tension Side View Front View Overstretching may result in tearing of ligaments and consequently low back pain.

  9. Shear Shear forces, as a consequence of forward bending of the spine, may result in disc prolapse or herniation.

  10. Torsion Twisting movements of the spine may cause soft tissue damage.

  11. Key factor when avoiding injury Posture

  12. Any transporting or supporting of a load including the lifting, putting down, pushing, pulling, carrying or moving thereof by hand or by bodily force Manual Handling Operations Regulations 1992 Manual Handling THIS IS PART OF HEALTH AND SAFETY LAW – ALL HEALTH AND SAFETY LAW IS CRIMINAL LAW

  13. Single legal framework Statutory functions Inspectors can and do enter premises without warning If they are not satisfied by H&S standards they can Issue Improvement notices – requiring problems to be put right in a specified time Issue Prohibition notices – immediate or deferred Prosecute for the most serious failings Health and Safety Executive H.S.E.

  14. Health and Safety At Work Act 1974 Management of Health and Safety at Work Regulations 1999 Lifting Operations and Lifting Equipment Regulations 1998 Provision and Use of Work Equipment Regulations 1998 Manual Handling Operations Regulations 1992 The Law

  15. Health And Safety At Work Act Employer’s Responsibilities …to look after the health, safety and welfare at work of all employees as far as is reasonably practicable …to provide (amongst other things)…training Employee’s Responsibilities …to take reasonable care of their own health and safety and that of others by what you do or don’t do …to allow the employer to comply with his Health & Safety duties Management of Health and Safety at Work Regulations Must carry out risk assessments Employees shall use equipment appropriately, in accordance with the training and instruction provided

  16. P.U.W.E.R. Provision and Use of Work Equipment Regulations 1998 Covers nearly any equipment which is used by an employee at work And says it has to be: suitable for the intended use; safe for use & maintained in a safe condition L.O.L.E.R. Lifting Operations and Lifting Equipment Regulations 1998 Includes any equipment used at work for lifting or lowering loads – includes HOISTS Requires that lifting equipment provided for use at work is: subject to ongoing thorough examination and, where appropriate, inspection by competent people strong and stable enough for the particular use and marked to indicate safe working loads

  17. Employee’s Responsibilities Each employee while at work shall make full and proper use of any system of work provided for his use by his employer Manual Handling Operations Regulations

  18. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  19. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  20. The falls prevention policy does cover slips, trips and falls of staff as well as patients.

  21. The falls prevention policy does cover slips, trips and falls of staff as well as patients.

  22. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  23. Everything has a “Safe Working Load”

  24. AVOID ASSESS REDUCE Manual Handling Operations Regulations

  25. Risk Assessment Guidelines

  26. Task Risk Assessment T.I.L.E

  27. A comparison between, on one hand the extent of the risk and on the other the sacrifice (cost, time and effort) in taking the necessary measures to advert the risk. (Stranks 1994) Reasonably Practicable RISK SACRIFICE

  28. Does it involve… Twisting or stooping? Holding load away from the body? Strenuous pushing, pulling, lifting or lowering? Carrying the load for a distance? Frequent or prolonged physical effort? Reaching upwards? Does it.. Require unusual capability? Require specialist knowledge? Hazard those with a health problem? Hazard those who are pregnant? TASKINDIVIDUAL

  29. Risk Assessment Guidelines

  30. Does it involve… Twisting or stooping? Holding load away from the body? Strenuous pushing, pulling, lifting or lowering? Carrying the load for a distance? Frequent or prolonged physical effort? Reaching upwards? Does it.. Require unusual capability? Require specialist knowledge? Hazard those with a health problem? Hazard those who are pregnant? TASKINDIVIDUAL

  31. Is it… Heavy? Bulky? Difficult to grasp? Unstable or unpredictable? Potentially dangerous? Are there… Obstructions? Poor floors – slippery, uneven? Extremes of temperature? Poor lighting conditions? LOADENVIRONMENT

  32. 1/3 of all reported injuries resulting in 3 or more days off work are caused by manual handling accidents In the NHS manual handling accounts for 40% of all sickness absence The cost to the NHS in accident and sickness absence is £500 million a year 4 out of 5 adults will suffer from back pain during their working lives Effects can be devastating and life changing 1 in 4 nurses have at some time taken time off work with a back injury sustained at work Back & musculo-skeletal problems are no respecter of position, age, gender or experience It Could Happen To You

  33. Reporting Incidents

  34. REPORTING OF INJURIES, DISEASES AND DANGEROUS OCCURENCES REGULATIONS 1995 Employer must report by law:- Fatal and specified major injuries Over 7 day injuries Injuries resulting in hospital admission > 24hours Plus: Employers must keep a record of all accidents. Employer & Managers must investigate the cause of an accident. Employees must:- Inform your manager a.s.a.p. after an accident at work Complete an accident form Advise manager if off sick for more than 3 days with a work related injury R.I.D.D.O.R.

  35. The study of physical and behavioral interaction between humans and their environment. “Fitting the task to the man” Ergonomics

  36. Ergonomics

  37. Policy (including the assessment checklist) can be found here: http://intranet/health_and_safety_policies/HS00403-Display%20Screen%20Equipment.pdf Checklist only: http://intranet/health_and_safety_policies/DSESelf-AssessmentForm.doc

  38. Ergonomics

  39. The Science Bit! THE WAY WE USE OUR BODIES Centre of gravity Levers & fulcrums Biomechanics

  40. Levers Centre of Gravity Centre of Gravity

  41. Musculo-Skeletal Injuries

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