Presentation to support the: Immediate actions following an adult in-patient fall flow-chart: familiarisation with flat-lifting and use of Hoverjack Vulnerable Adults Risk Management Group June 2014
Aims of session Familiarisation with: Immediate actions following an adult inpatient fall guidance and flowchart flat-lifting equipment (Hoverjack and scoop) triple immobilising log-rolling Understanding responsibilities and working within competencies
Immediate actions Correct actions following a fall will: promote safe and quality care reduce harm from a fall screen for injury and escalate comply with National drivers Translating evidence into practice
How to Immediate actions flowchart gives: the assessment and screening process how to escalate for assistance to triple immobilise and flat-lift information eg neurological observations
Immediate actions following an adult in-patient fall illustration of the flowchart on each ward wall
Where to find information Flowchart - laminated A3 poster on ward wall Written supporting guidance on intranet and hard copy on ward E-learning programme available on LED intranet site
Assess the situation Keep patient still
Ask the screening questions on flowchart: Escalate if concerns
Escalate For medical assistance fast-bleep or H@N UHW/L call site practitioners For equipment (Hoverjack and scoop via porters) Collar/head blocks/tape local CB arrangements Know what is where and who!
Hoverjack and scoop Obtained via the porters Check Hoverjack before use in case of damage and that valves are not leaking Do not place on sharp objects Move using handles - not straps Do not let patient roll off H-Jack
Obtain collar, head blocks and tape: responsibility of each Clinical Board
Care of patient with actual/possible spinal injury Only competent staff trained in triple immobilising to: hold head in neutral position measure and attach collar tape forehead and chin apply head blocks and lead log-rolling
Familiarisation with measuring a collar
Measure collar
Attach collar
Place scoop alongside patient to measure length of scoop required
Click out to lengthen scoop as required
Push both buttons out to split scoop into 2 halves
Log-rolling The competent lead person supports head and neck at all times Ward staff team in height order 1 manages scoop Lead gives the orders to roll
Competent lead holds head and shoulders Ward team organised in height order
One method of log-rolling by crossing hands Lead decides method
Change sides to log-roll onto other side. When patient on back, click scoop buttons in well top and bottom
Triple immobilising Lead holds head at all times until patient is immobilised onto scoop Triple immobilising = collar, tape on chin and forehead attached to the scoop with head blocks Strap onto scoop Competent staff undertake procedure
In scoop with head and shoulders held prior to tape and blocks in place
Tape on chin and forehead with rolled towels. Ferno head blocks are preferred means to immobilise
Hoverjack placed with valves at patient's feet
Ensure all 4 red deflation caps are screwed in firmly
Patslide in place for move onto Hoverjack
High to low kneeling manual handling technique to transfer #1
High to low kneeling manual handling technique to transfer #2
Attach Hoverjack straps loosely round patient
Air supply into valve 1 and hold in place
Inflate other valves in correct numerical order
Inflate to level required and ensure all white inflation caps are screwed in firmly
Bring trolley/bed near to inflated Hoverjack with Patslide
Patslide and glidesheet to transfer onto trolley
When on trolley log-roll off scoop. Continue immobilisation process with patient on trolley
Flat lifting suspected lower limb fracture, including hip Keep limb immobilised and comfortable Escalate for medical assistance Request Hoverjack only (scoop not necessary) Use Patslide and glidesheet to transfer
Hoverjack post-use Deflate Hoverjack release air from all 4 red deflation valves Clean when inflated (following instructions attached to the trolley); ensure Hoverjack is dry and then fold Replace Hoverjack with air supply into trolley and return via porters
Fold up Hoverjack carefully after cleaning as per instructions
Pack Hoverjack onto trolley
Pack air supply onto trolley and return via porters
Thank you for viewing! and thanks to all the staff who star in this presentation and Media Resources who took the photos