Safe Patient Handling Committee Formation Nora Goldberg, MS,OTR/L Kelly Moed, MSN, RN-BC,CSPHP Safe Patient Handling/Ergonomics Committee North Shore LIJ-Staten Island University Hospital Staten Island, New York 7 th Annual New York State Safe Patient Handling Conference Saratoga Springs, NY October 29, 2015 1 2 North Shore LIJ Staten Island University Hospital Staten Island, NY 714 Bed tertiary care medical center with two campuses 6,309 Employees 4,000 Employees who handle patients 3 1
Learning Objectives for this Session: Describe an interdisciplinary Safe Patient Handling (SPH) Committee. Identify skills and knowledge needed by members of this committee. List ways to embed SPH in a facility or healthcare system. 4 Interdisciplinary Team Preventing SPH Program Failure 5 New York State SPH Law 2014 Safe Patient Handling Committee Timeline On or Before January 1, 2016 New committee or assigning the functions of a safe patient handling committee to an existing committee, including but not limited to a safety committee or quality assurance committee or subcommittee thereof 6 2
New York State SPH Law 2014 Facility SPH Committee Purpose Design and recommend the process for implementing a SPH program for the health care facility 7 New York State Law Committee shall include individuals: With expertise or experience that is relevant to SPH, Risk Management, Nursing, Purchasing, Occupational Safety and Health Size of team variable Ratio of Labor to Management (equal) Minimum of one (1) non-managerial nurse and one (1) direct care worker on SPH Team LEADERSHIP: Two co-chairs: one (1) management one (1) non-managerial nurse or direct care worker 8 North Shore LIJ Staten Island University Hospital-wide SPH/Ergonomics Committee 2004 2005 2006 2007 2008 9 3
North Shore LIJ-SIUH SPH Committee Members Human Resources Employee Health Services Occupational Health Worker s Comp Case Manager Nursing Administration Radiology Rehab Medicine Infection Control Procurement Staff Development Environmental Services Plant Operations Safety Officer EMS Coordinator Biomedical Engineering Direct Care Workers (subcommittees) 10 Facility SPH Committee Focus Changing Culture of Facility Buy In from all management & frontline staff Education Positive problem solving 11 Skills and Knowledge Needed by SPH Committee Members Understand SPH program goals and be able to articulate to others Interdisciplinary composition of team is vital so that information is readily available 12 4
Networking and Support 13 SPHM Website (intranet) 14 Embedding SPH in a Facility Starting with SPH Committee Make sure that members understand importance of meeting attendance Meet regularly (no cancelling) New or replacement members become knowledgeable of SPH goals 15 5
SPH Committee Functions & Responsibilities Environmental Hazard Assessment Program Evaluation Equipment Safe Patient Handling Committee Incident/ After Action Reviews Patient Assessment, P & P Development Training 16 Environmental Hazard Assessment Hazard Identification Walk Thru by SPH Committee members All patient care areas included (inpatient, outpatient, radiology, morgue,etc.) Equipment Inventory list from biomedical engineering was verified for accuracy Clutter (location and protocol) 17 Equipment Equipment fair (for direct care staff and administration) Evaluation by caregivers: On unit pilots/trials Ongoing - update according to needs/technology Clinical engineering (turn around time, warranty, battery, etc) Storage 18 6
Patient Assessment Policy and Procedure Development Unit Manager participation Caregiver participation Assessment tools 19 Training Who trains: In-house with initial equipment vendor support Staff Educators/Trainers: buy in is important Champions= SPH Committee members When: Orientation and Annual training 20 Training for All Patient Care Staff : Didactic Rationale, injury rates, scenarios, policy, risk assessment and algorithms Demonstration with return demonstration of equipment, scenarios Competency in the patient care area Caregiver feedback/ buy-in 21 7
Training Feedback Helps Embed SPH Regular meetings with Training Team Feedback to Safe Patient Handling Committee as well as Safety Committee Inhouse Trainers for round the clock Dedicated equipment and space 22 Incident/ After Action Reviews New tool developed and revised periodically Each month review staff injury with manager who investigated incident including huddle and debrief Track trends Develop action plans (retraining, new device, procedure) Accountability 23 Program Evaluation Monthly Annually Report to hospital wide Safety/EOC committee 24 8
Further Embedding into Facility Include SPH in organizational goals Align SPH with other initiatives such as Fall Prevention, Early Mobilization, Pressure Injury Prevention, Staff & Patient Satisfaction SPH initiative should be on everyone s radar and reported at other meetings Award and recognition programs 25 26 Thank you! Nora Goldberg, MS, OTR/L Kelly Moed, MSN, RN-BC, CSPHP Safe Patient Handling/Ergonomics Committee Staten Island University Hospital NGolberg3@nshs.edu KMoed@nshs.edu 27 9