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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 HealthBob WilliamsonLEAPT Project DirectorApril 24, 2014
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
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)
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
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
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
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
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
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
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…
Lessons Learned Low tech approaches are well received Provide adequate resources of time and equipment Engage care providers & emphasize ownership
Lessons Learned Old habits are hard to break… Associate education is expensive so do it well! Leadership engagement is a non-negotiable item
Questions Bob Williamson LEAPT Project Director rwilliamson@ascensionhealth.org Margie Berviller LEAPT Project Manager mberviller@ascensionhealth.org