Patient Care Ergonomics Resource Guide: Safe Patient .
Ergonomics Technical Advisory GroupAnnexPatient Care Ergonomics Resource Guide:Safe Patient Handling and MovementDeveloped by the Patient Safety Center of Inquiry (Tampa, FL), Veterans Health Administrationand Department of DefenseOctober 2001 (rev 8/31/05)
Patient Care Ergonomics Resource Guide: Safe Patient Handling & MovementDepartment of Veterans AffairsTable of ContentsTable of Contents. iAcknowledgements. viiChapter 1:Guidebook OverviewPurpose . 1Target Audience. 1Overview of Content . 1How to Use this Guidebook . 3Chapter 2: BackgroundIntroduction . 5Background . 5Ergonomics Standards. 6Common Myths and Facts. 6Case Studies of Successful Implementation Strategies . 13Chapter 3:Ergonomic Workplace Assessments of Nursing EnvironmentsIntroduction . 17Potential Benefits of an Ergonomics Program . 17Ergonomic Systems Approach . 18Step 1: Collect Baseline Injury Data. 20Step 2: Identify High-risk Units. 21Step 3: Obtain Pre-Site Visit Data on High-risk Units. 21Step 4: Identify High-risk Tasks . 29Step 5: Conduct Team Site Visit for Ergonomic Assessment . 31Step 6: Analyze Risk. 35Step 7: Formulate Recommendations . 35Step 8: Implement Recommendations . 43Step 9: Monitor Results and Continuously Improve Safety on the Unit . 45i
Patient Care Ergonomics Resource Guide: Safe Patient Handling & MovementChapter 4:Department of Veterans AffairsTechnology Solutions for Safe Patient Handling and MovementEquipment Categories for Safe Patient Handling and Movement . 47Equipment Evaluation Process. 50Evaluation Team. 51Sources of Information . 51Preliminary Equipment Evaluation Process . 52Selection of Products for Field or Laboratory-Based Evaluation. 53Field Evaluations . 54Laboratory-Based Evaluation. 55Purchasing Decision . 56Tool: Criteria for Selection of Lifting and Transferring Devices. 56Challenges in Bariatric Care . 56Bariatric Equipment Providers. 58Tool:Product Feature Rating Survey (Caregiver) . 59Tool:Product Ranking Survey (Caregiver) . 61Tool:Product Feature Rating Survey (Patient) . 63Tool:Product Ranking Survey (Patient) . 65Tool:Incidence, Maintenance, and Adverse Events for Patient Handling Equipment and Device . 67Chapter 5:Patient Assessment, Care Planning, & Algorithms for Safe Patient Handlingand MovementPurpose of Patient Assessment Criteria. 69Background. 69Key Points for Caregivers . 69Key Assessment Criteria . 70Care Plan Considerations . 70Process for Using Assessment and Planning Criteria. 70Form: Assessment Criteria and Care Plan for Safe Patient Handling and Movement . . 71Purpose of Algorithms . 72Background of Algorithms. 72Algorithm #1:Transfer To and From: Bed to Chair, Chair to Toilet,Chair to Chair, or Car to Chair . 73Algorithm #2:Lateral Transfer To and From: Bed to Stretcher, Trolley. 74ii
Patient Care Ergonomics Resource Guide: Safe Patient Handling & MovementDepartment of Veterans AffairsAlgorithm #3:Transfer To and From: Chair to Stretcher or Chair to Exam Table. 75Algorithm #4:Reposition in Bed: Side-to-Side, Up in Bed. 76Algorithm #5:Reposition in Chair: Wheelchair and Dependency Chair . 77Algorithm #6:Transfer a Patient Up From the Floor. 78Bariatric Algorithms (Chapter 12)Chapter 6:Developing a No-Lift PolicyIntroduction . 79Implementation of a Safe Patient Handling and Movement Policy. 79Tool: Template of a Safe Patient Handling and Movement Policy . 81Chapter 7:Back Injury Resource NursesBackground . 85Description of Program. 85Limitations of Program . 85Obtaining Buy-In from Management . 86Monitoring Progress . 86Tools and Strategies for Implementation . 86Chapter 8:Lifting TeamsBackground . 93Description of Program. 93Benefits of Program . 94Limitations of Program . 95Tools and Strategies for Implementation . 96Lifting Team Program Policy Components. 97Monitoring Progress . 98Chapter 9:After Action Review ProcessBackground . 101Description of Program. 102Guidelines for After Action Reviews . 102Benefits and Limitations of Program . 103iii
Patient Care Ergonomics Resource Guide: Safe Patient Handling & MovementDepartment of Veterans AffairsTools and Strategies or Implementation. 104Monitoring Progress . 106Chapter 10: Competency Program to Prevent Musculoskeletal Injuries in CaregiversA. Why Training Alone is Not Effective . 107B. Designing an Effective Training Program. 107C. Prevention of Injuries in Floats/Students . 108D. Tool Kit . 108Chapter 11: Evaluating OutcomesA. Introduction . 113B. Evaluation Design . 113C. Measuring Outcomes . 114D. Evaluation Tools . 115Incidence/Severity of Injuries . 115Musculoskeletal Pain and Discomfort. 117Job Satisfaction . 117Provider Acceptance . 118Patient Acceptance. 118Adherence . 118Cost Effectiveness of Safe PatientHandling and Movement Technology. 119Intangible Benefits . 120Attachment 11-1: Standard Injury Rate Statistics . 121Attachment 11-2: Injury Collection Data . 123Attachment 11-3: Index of Caregiver Satisfaction . 129Attachment 11-4: Site Coordinator Monthly Log . 135Attachment 11-5: Patient Care Equipment Use Survey. 137iv
Patient Care Ergonomics Resource Guide: Safe Patient Handling & MovementDepartment of Veterans AffairsChapter 12: Special Handling and Movement Challenges Related to BariatricsPurpose. 139Defining Obesity. 139Table 12-1Definition of Bariatric by Body Mass Index (BMI) . 139Bariatric Algorithms . 140Algorithm 1 Bariatric Transfer To and From: Bed to Chair, Chair to Toilet, or Chair to Chair . 141Algorithm 2 Bariatric Lateral Transfer To and From: Bed to Stretcher, Trolley. 142Algorithm 3 Bariatric Reposition in Bed: Side-to-Side, Up in Bed . 143Algorithm 4 Bariatric Reposition in Chair: Wheelchair, Chair or Dependency Chair . 144Algorithm 5 Patient Handling Tasks Requiring Sustained Holding of a Limb or Access to Body Parts . 145Algorithm 6 Bariatric Transporting (Stretcher, Wheelchair, Walker). 146Bariatric Equipment . 147Hospital Bed. 147Wheelchair. 147Stretcher. 147Bedside Commode/Shower Chair . 148Scales. 148Walker. 148Bathroom. 148Patient Care Environment . 148Transfer Devices . 148Ancillary Departments . 149Other Patient Care Devices . 149Decision to Buy or Rent Bariatric Eq
Ergonomics Technical Advisory Group Annex Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement Developed by the Patient Safety Center of Inquiry (Tampa, FL), Veterans Health Administration
IIE - Fellow 1990 , Ergonomics Division Award, 1986 HFES - IE Technical Group Award, 1993 Texts Industrial Ergonomics: A Practitioner's Guide The Practice and Management of Industrial Ergonomics Industrial Ergonomics: Case Studies Ergonomics Design Guidelines Applied Ergonomics - Case Studies Volumes 1, 2 & 3 .
ergonomics, engineering project, control centre, case studies 1. Marketing ergonomics 1.1. Ergonomics Ergonomics (or human factors) is described as fitting tasks, workplaces and interfaces, to the capacities, needs and limitations of human beings. The aim of ergonomics is to optimise safety, health, comfort and efficiency for the
Ergonomics 25: 315-322 Das, B. 1987. An ergonomics approach to the design of a manufacturing work system' Int J Industrial Ergonomics 1: 231-240 Das, B. and Grady, R. M. 1983. Industrial workplace layout design: An application of engineering anthropometry. Ergonomics 26: 433-447 Eastman Kodak Company. 1983. Ergonomics Design for People at .
Ergonomics Risk Factor Ergonomic risk factors are characteristics of a job that facilitate ergonomics stress on the body. Risk factors occur at different jobs and tasks. The greater exposed to these risk factors the greater probability of ergonomics. According to [1], ergonomics risk factors can be divided into seven categories as follows:
Industrial Ergonomics Workers Compensation Fund 2 Ergonomics The Science of Fitting the Task to the Worker The goal of an effective Ergonomics Program is to reduce the risk of employee injury and discomfort through better matching of the work station to the employee. 3 Industrial Ergonomics Maintain or improve productivity Maintain or improve .
Ergonomics in the Developing Nations, B. Ghahramani 182 Ergonomics Education and Practice in Thailand: Past, Present and Future, S. Nanthavanij and B. Rurkhamet 186 How to Give a Killer Ergonomics Presentation, J.J. Stemmer 190 Musculoskeletal Ergonomics An Approach to Valid and Reliable Measuring of Postural Stress, H. Janik,
the issues involved in manual pushing and pulling, including ergonomics; cart, wheel, and caster design; and important operating environment factors. I Introduction. Pushing and Pulling Tasks 2 The Ergonomics of Manual Material Handling Wojciech Jastrzebowski, a Polish scholar, first used the term ergonomics in 1857. He derived it from the Greek words ergon (work) and nomos (principle or law .
main idea of the rough paths theory is to introduce a much stronger topology than the convergence in p-variation. This topology, that we now explain, is related to the continuity of lifts of paths in free nilpotent Lie groups. Let G N(Rd) be the free N-step nilpotent Lie group with dgenerators X 1; ;X d. If x: [0;1] !Rd is continuous with bounded variation, the solution x of the equation x(t .
