Upload
tim
View
80
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Ergo Blitz!. How To Establish A Zero Lift Policy That Works. Lessons. BLITZ! Nursing home ergonomic problems can be addressed QUICKLY Payback is fast Management commitment/employee involvement is the key to success. OSHA Intervention? . - PowerPoint PPT Presentation
Citation preview
Ergo Blitz!How To Establish A
Zero Lift Policy That Works
Lessons BLITZ! Nursing home ergonomic
problems can be addressed QUICKLY
Payback is fast
Management commitment/employee involvement is the key to success
OSHA Intervention? Nursing Home Administrator
attended OSHA Outreach Activity Thereby motivated to avoid OSHA
Nursing Home Programmed Inspection
State of Illinois OSHA On Site Consultants were used
No inspection by Federal OSHA
The Facility 207 bed long term care skilled nursing
facility in Aurora, IL 160 employees (65-70 aides)
2002 injury/illness rate was high - 24.0! Many lifting injuries
Beds Chairs Toileting
The Process, Step By Step Evaluate Injuries and Costs Obtain Approval For Funding Establish A Lifting Committee Evaluate and Select Equipment Resident/Family Notification Receive and Prep Equipment Training Resident Assessment Coordination with Other Staff Enforcement Performance Measurement Evaluate Efforts Regularly
Evaluate Injuries and Costs
OSHA recordables and non-recordables
Cost data from workman’s comp carrier
Resident injuries such as skin tears
Employee turnover rate and costs of turnover
Obtain Approval For Funding
Present injury/cost data to owner Ballpark estimate for buying lifting equipment Note other expected results
Reduced risk of OSHA inspections/penalties Reduced employee turnover, better morale Injury reduction from dropping residents Increased admissions from improved PR Overall better resident care
Establish A Lifting Committee
CNA based committee Select outgoing CNAs 45 minute meeting per week Food, fun, praise Leader has budget
authority, is committed to project, and is a motivator
Evaluate Equipment Hold open house for several different vendors Demo equipment never seen before CNAs test equipment in the facility/provide
feedback
Four inchextendersadded to bed legsso lift willfit underlowboybed.
Equipment Selection Equipment feedback list from CNAs Identify all different accessories needed
for lifts such as scales and extra slings Decision meeting with lifting committee Final budget approval and purchase
Set date for zero lifting policy
Resident/Family Notification
Send letter to families advising of change
Advise Resident’s Council
Equipment Prep
Copy manufacturer instructions, laminate, and attach to equipment
Attach a warning sign that each lift must be checked prior to use
Charge battery operated equipment Develop competency checklist on
use of equipment
Equipment Location Right number of lifts in the
appropriate locations
Lifts need to be available to aides, NOT the residents moved to be accessible to the equipment!
Training
CNA one-on-one training for each employee Employees competency checked on each
piece of equipment Competency check signed off by aide Not use equipment until competency
checked 3 day suspension for not using lift
Resident Assessment Needs to identify the type of
equipment needed for each resident Develop assessment sheet Review assessment sheet with staff
Coordination Maintenance staff – new equipment
maintenance info
Laundry staff – sling cleaning information (some slings can’t be laundered).
Rehab staff – info on lift type(s) used with each resident (because lifts require use of muscles)
5 Sit to Stand Lifts
4 Hoyer Lifts
3 Pivot Disks
Equipment Selection by this Nursing Home
Sit To Stand Lift
Equip one sit-to-stand lift with a scale for weighing residents
Hoyer Lift Decision: Electric or Hydraulic
Purchase extra slings
Equip one lift with weigh scales to eliminate extra handling for resident weighing
Pivot Disk Like a Lazy
Susan with handles
Great for bathrooms, can be rotated using little space
Enforcement 3 day suspension for not using lift
Policed by Lifting Committee members, empowered to recommend suspensions
Nine suspensions were levied here
Pick suspension days for best use of facility resources and less impact on employee’s paycheck at one time
Results: Costs and Savings
Costs at this facility $24K for lifting devices and slings Time: 45 minutes weekly X approx 10 aides Team leader time of approx 1 hour/week in
addition to above meeting
Claims paid by comp carrier 1/1/02 - 8/15/02 $67.5K paid 31 recordables 1/1/03 - 8/15/03 $1215 paid 3 recordables
Employee Testimonials “I have much more energy at the end of
the day. My quality of life is so much better when I am home.”
“If interviewing at another nursing home, I would ask them about the equipment they have and their lifting policies.”
Performance Measurement Worker’s comp costs OSHA recordable
and nonrecordable injuries
Employee satisfaction
Number of resident transfer injuries
Evaluation Continue regular committee
meetings and solicit feedback
Make changes in equipment, procedures, or training where necessary
Lessons Learned Hazard Resolved: nursing home
ergonomic problems addressed in less than 3 months!
Payback: almost immediate from a comp payout standpoint
Safety Management: Administrator involvement and employee lifting committee were the key to success.
Contact October 2003
[email protected] J. Shields, MS, CIH, CSPU.S. Department of Labor – OSHA 365 Smoke Tree PlazaNorth Aurora, IL 60542630-896-8700
Six Year Anniversary of Aurora Area Office Electronic Mail Newsletters