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SPHM LEAPT Initiative at Ascension Health Bob Williamson LEAPT Project Director April 24, 2014

SPHM LEAPT Initiative at Ascension Health Bob Williamson LEAPT Project Director April 24, 2014. Presentation Objectives. Explain why Ascension Health is addressing patient handling injuries as a LEAPT initiative

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SPHM LEAPT Initiative at Ascension Health Bob Williamson LEAPT Project Director April 24, 2014

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  1. SPHM LEAPT Initiative at Ascension HealthBob WilliamsonLEAPT Project DirectorApril 24, 2014

  2. Presentation Objectives Explain why Ascension Health is addressing patient handling injuries as a LEAPT initiative Demonstrate the importance of aligning patient and associate safety objectives related to mobilization Answer questions about adopting a SPHM program at your hospital

  3. This is not a new topic… • “Occasionally the complaint is made that a nurse has injured her back or strained herself in some way in moving a patient. • This will generally be because she has failed to do the lifting properly.” • (Nursing: It’s Principles and Practices, 1898)

  4. Slide 4 • 62% of RNs indicated that suffering a disabling musculoskeletal injury was one of their top 3 safety concerns (ANA 2011) • 80% of nurses reported working despite experiencing frequent musculoskeletal pain

  5. Slide 5 • 12% of RNs leave annually due to back pain or injury • 20% transfer to a different department, position, or area of employment due to pain or injury

  6. SPHM LEAPT Goals: • Aim: • To reduce the incidence of injuries to associates related to manual handling and lifting of patients by 50% against baseline • To create a sustainable SPHM program and culture of safety as a result of program adoption

  7. Additional Considerations • Change the mind set of “sacrificing my safety to care for my patient” to… “Quality care starts with my safety” • Accepting that safe associates = safer patients • Language of Caring • Common language which empowers staff with scripting on how to discuss both patient and personal/associate safety 5

  8. Objectives of our SPHM Initiative Establish a Culture of Safety – Define your “Burning Platform” Implement and sustaina SPHM program - SmartMOVES Incorporate ergonomic design elements utilizing Human Factor principles Select and adopt SPHM technology (low & high technology) Establish an evidence based model for education, training and maintaining competence Integrate patient centered mobilization checklists, definitions, and interventions Establish a comprehensive evaluation program Engage Leadership and assure sustainability

  9. Interventions to date: • Introduce curriculum on patient mobilization • Adopted “low tech” approaches and use of existing equipment at each hospital • Selected “Facility Champs” at each Pilot Hospital • Selected “Super Users” at each Pilot Hospital • Conducted three tiers of mobilization education • Two day Boot Camp for Facility Champions • Four hours of education for Super Users • Two or four hours for direct care providers

  10. Interventions planned: • Monitor compliance and competency with all care providers • Define the elements for ongoing orientation & associate competency • Establish place-holders for reoccurring budget requests • Integrating Leadership Methods (Daily Safety Huddles, Rounding to Influence, 5:1 Feedback, etc.) • Logistics, logistics, logistics…

  11. Lessons Learned Low tech approaches are well received Provide adequate resources of time and equipment Engage care providers & emphasize ownership

  12. Lessons Learned Old habits are hard to break… Associate education is expensive so do it well! Leadership engagement is a non-negotiable item

  13. Questions Bob Williamson LEAPT Project Director rwilliamson@ascensionhealth.org Margie Berviller LEAPT Project Manager mberviller@ascensionhealth.org

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