View
214
Download
0
Category
Tags:
Preview:
Citation preview
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
BLR’s Safety Training Presentations
Ergonomics for Healthcare Workers
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Goals
MSDs and an Ergonomics Process Equipment and Safe Work Practices Quiz
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
OSHA Requirements
Nursing Home Guidelines General Duty Clause Minimizing manual
lifting of residents Ergonomics process
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Musculoskeletal Disorder (MSD)
Injury or disorder of the nervous system or soft tissue: Muscles Tendons Ligaments Joints Cartilage Blood vessels Nerves
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Common MSDs
Carpal tunnel syndrome Tendinitis Thoracic outlet syndrome Rotator cuff syndrome Sciatica Epicondylitis
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
MSD Signs and Symptoms
Back and neck: shooting pain, stiffness
Shoulders: pain, stiffness, loss of mobility
Arms and legs: shooting pain, numbness
Elbow and knee joints: pain, swelling, stiffness
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
MSD Signs and Symptoms (cont.)
Hands and wrists: pain, swelling, numbness Fingers: pain, loss of strength or mobility Thumbs: pain at the base Feet and toes: numbness, stiffness,
burning sensation
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Ergonomic Risk Factors
Force—heavy lifting Repetition—same
motion done frequently Awkward posture—
reaching, leaning, twisting
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Employee Involvement
Submit suggestions or concerns Discuss work methods Participate in design of work practices Evaluate equipment Join the ergonomics team
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Identify Problems
Injury and illness reports Near-miss investigations Employee interviews
and surveys Workplace observations
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Implement Solutions
Safe work practices Use of equipment Daily tasks and
emergency situations Individual resident factors
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Reporting Injuries
Early reporting of MSD symptoms
Medical treatment Alternative duty
program Minimize likelihood
of permanent disability Identify problem areas
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Employee Training
Recognize MSD symptoms Identify ergonomic issues Implement control measures Follow safe work practices
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Continuous Evaluation
Sustains ergonomic efforts Identify new problems Follow up on unresolved issues Determine if solutions are effective
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Goals
MSDs and an Ergonomics Process Equipment and Safe Work Practices Quiz
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Resident Assessment
Level of assistance required
Size and weight of the resident
Ability to understand and cooperate
Medical conditions
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Bed-Chair, Chair-Chair, Car-Chair
Assistance not needed Stand and pivot with
transfer belt Powered assist lift Full-body sling lift Seated transfer aid
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Lateral Transfer
Assistance not needed Lateral sliding aid and two caregivers Friction-reducing device and two caregivers Mechanical lateral transfer device
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Chair to Exam Table
Stand by for safety Lower exam table/stretcher Use a nonpowered stand-assist aid Use full-body sling lift and two caregivers
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Reposition in Bed
Use a positioning aid Use a friction-reducing
device and three caregivers Raise bed height to elbows Use a full-body sling
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Reposition in Chair
Take advantage of chair functions Stand by for safety Patient lifts, caregiver
pushes knees Recline chair, use friction-
reducing device Use nonpowered
stand-assist aid Use full-body sling
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Up from the Floor
Determine if patient is injured
Stand by for assistance Use full-body sling
and two caregivers
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Other Activities
Bending to make a bed Lifting food trays Collecting trash Pushing heavy carts
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Other Activities (cont.)
Removing items from a deep cart Lifting and carrying supplies Bending over to crank an adjustable bed Removing laundry from washer and dryer
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Goals
MSDs and an Ergonomics Process Equipment and Safe Work Practices Quiz
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Summary
Recognize MSD symptoms Avoid ergonomic risk factors Participate in the ergonomic process Lifting and repositioning assessment Evaluate all of your tasks
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Quiz
1. Name one of the three main ergonomic risk factors.
2. Give one example of a common MSD.
3. How can employees become involved in the ergonomic process?
4. How can ergonomic problems be identified?
5. Why should you report MSD symptoms early?
6. Name two things to consider when doing a resident assessment.
7. Describe equipment that can be used to move a resident from bed to chair.
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Quiz (cont.)
8. In a lateral transfer, how many caregivers are needed?
9. If a patient is cooperative and fully weight bearing, what does the caregiver do?
10. Even when using a full-body sling, how many caregivers are needed?
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Quiz Answers
1. Repetition, force, awkward posture
2. Carpal tunnel, tendinitis, rotator cuff, sciatica, epicondylitis, lower back pain
3. Submit suggestions, design work methods, evaluate equipment
4. Injury reports, employee interviews, observations
5. Early medical treatment, alternate duty jobs
6. Assistance resident needs, size and weight, cooperation, medical conditions
7. Powered-assist or full-body sling lift
11017130/0312 Copyright ©2003 Business and Legal Reports, Inc.
Quiz Answers (cont.)
8. Minimum of two caregivers
9. Stand by for safety
10. At least two caregivers
Recommended