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Risk assessment – identifying the best options

Risk assessment – identifying the best options. Carole Johnson Freelance Manual Handling Adviser. Evidence. Well designed meta analysis of >1 randomised control study Randomised control study Well designed control study without randomisation

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Risk assessment – identifying the best options

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  1. Risk assessment – identifying the best options Carole Johnson Freelance Manual Handling Adviser

  2. Evidence • Well designed meta analysis of >1 randomised control study • Randomised control study • Well designed control study without randomisation • Well designed non experimental control studies (correlational and case studies) • Expert committee report, consensus conference, clinical experience of respected authorities Scottish Intercollegiate Guidelines Network

  3. Aim To inspire us to make our manual handling decisions making more measurable.

  4. Evidence • What were you doing 15 years ago? • What decisions were you making? • Where did you get your evidence from?

  5. Decision Making • The Question • The Evidence • Assessing the Evidence • Have I missed anything? • Making the Decision • Evaluation

  6. DIY Assessment Template

  7. Encouraging Good Practice The Tools • Effort (Handler) • Risk Matrix (person) • Risk Matrix (handler) • Body map • Considerations • Alternatives

  8. The Tools – Child Ability (FIM)

  9. The Tools – Skill (Drefus)

  10. The Tools – Comfort

  11. The Tools – Effort

  12. The Tools – Risk Matrix

  13. The Tools – Body Map

  14. Case Study - Empowering Staff • Andrew • Child size E • FIM (for personal care transfers) 1 • Anti-spasm sling supplied by OT but previously used ‘walking harness’ type sling • Single (angled) overhead hoist with delayed start/stop and tensioner • New staff

  15. Andrew • Task – transfer from wheelchair to height adjustable change bed • Previous manual handling risk assessment completed, no problems reported by staff • Andrew distressed in new class – now taking 5 staff to transfer, leaving only one person in the class

  16. Assessment Nr 2: 3rd September 2012

  17. Assessment Nr 1: 20th April 2012

  18. Drivers - pain

  19. Drivers – number of staff

  20. Drivers - time

  21. Drivers – Effort

  22. Issues The Date….

  23. Issues

  24. Issues

  25. Julie Julie, age 5 recent diagnosis (within last 18 months) of a muscular dystrophy Underweight (16 kg) 94 cm Shuffles around home on her bottom Head and trunk control if remains in the mid line.

  26. The Question How will Julie transfer from the floor to her wheelchair?

  27. ‘Evidence’ • Manual Handling of Children (NBE 2011) • The HOP’s (BackCare 2005, 2011) • Local Policies • Manual Handling Adviser • Colleagues

  28. Collecting your own evidence • Comparison of options

  29. Comparison • Repeated 20 + times per day • Needs to encourage independence

  30. Comparison

  31. Comparison

  32. Comparison

  33. Comparison

  34. References Manual Handling of Children, NBE 2011 Handling of People, (5th Edition) BackCare 2005 Handling of People, (6th Edition) BackCare 2011 Handle with Care, Scottish Commission for Children and Young People 2008 Moving And Handling SEN Magazine July 2009 Back Care - Looking after the Workforce PIR Magazine April 2011

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