SPH Training Series Session 2 Facility and Equipment Assessments and Hands-on Equipment Training Western New York Council on Occupational Safety & Health (WNYCOSH) This material was produced under grant number SH-24926-13 from the Occupational Safety and Health Administration, U.S. Dept. of Labor. It does not necessarily reflect the views or policies of the U.S. Dept. of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government.
Equipment and Environmental Needs Assessment AGENDA: Patient/Resident Handling Equipment and Devices Equipment Needs Assessment Facility Environment Assessment Hands-on Demonstrations of Equipment
Equipment, Environmental and Organizational Needs Assessment OBJECTIVES: SPH/SRH Team participants will be able to understand What equipment and devices are available to eliminate high-risk patient/resident manual handling tasks How to assess your equipment needs and match your purchases to your census How to assess your facility environment How to assess your organizational capacity to achieve buy-in How to use SPH/SRH Equipment
Section 1 Equipment Engineering Control Strategies Mechanical Lifts Ambulation Assists Transfer Devices Friction-reducing Devices Height-adjustable Devices
Section 1: Equipment WHAT S WRONG WITH THIS PICTURE? What s this manual lift called? What s the risk to the worker? patient/resident? How could we eliminate the risk?
Section 1: Equipment ENGINEERING CONTROL STRATEGIES The Preferred Control Method: Eliminate the need to do the hazardous activity Redesign the activity to reduce the hazard: equipment and other assists
Section 1: Equipment MECHANICAL LIFTS Full Mechanical Lift Sit-to-Stand Lift Source: OSHA
Section 1: Equipment CEILING LIFTS Source: OSHA
Section 1: Equipment AMBULATION ASSIST Source: OSHA
Section 1: Equipment FRICTION-REDUCING DEVICES Source: OSHA
Section 1: Equipment CONVERTIBLE WHEELCHAIR Source: OSHA
Section 1: Equipment VARIABLE POSITION CHAIR Source: OSHA
Section 1: Equipment TRANSFER BOARDS Source: OSHA
Section 1: Equipment LIFT CUSHIONS AND LIFT CHAIRS Source: OSHA
Section 1: Equipment GAIT BELTS Source: OSHA
Section 1: Equipment ELECTRIC HEIGHT ADJUSTABLE BED Source: OSHA
Section 1: Equipment REPOSITIONING DEVICES Source: OSHA
Section 1: Equipment HEIGHT ADJUSTABLE BATHTUBS & EASY-ENTRY BATHTUBS Source: OSHA
Section 1: Equipment BUILT-IN OR FIXED BATH LIFTS Source: OSHA
Section 1: Equipment SHOWER AND TOILETING CHAIRS Source: OSHA
Section 1: Equipment BATH BOARDS AND TRANSFER BENCHES Source: OSHA
Section 1: Equipment TOILET SEAT RISERS Source: OSHA
Section 1: Equipment GRAB BARS AND STAND ASSISTS Source: OSHA
Section 2 Equipment Needs Assessment Inventory Maintenance Quantity Purchasing
Section 2: Equipment Needs Assessments EQUIPMENT USE INVENTORY Name of equipment/device Do you have it in your facility? If yes, how many on each unit? What s the weight limit (if applicable)? Is it in good working order? How often is it used on each shift?
Section 2: Equipment Needs Assessments EQUIPMENT USE INVENTORY CHECKLIST GROUP ACTIVITY #1 Page 3 of Student Workbook Guide
Section 2: Equipment Needs Assessments EQUIPMENT MAINTENANCE
Section 2: Equipment Needs Assessments PATIENT/RESIDENT CENSUS & EQUIPMENT NEEDS Number of Independent Patients/Residents Number of Supervision/Limited Assist Patients/Residents Number of Extensive Assist Patients/Residents Number of Dependent Patients/Residents
Section 2: Equipment Needs Assessments HOW MUCH EQUIPMENT DO WE NEED? EQUIPMENT TYPE Full Mechanical Lifts AMOUNT PER patient/resident/resident OF NEED ON THE UNIT 1 per 8 patients/residents of need Sit-to-Stand Lifts 1 per 8 patients/residents of need Gait Belts w/ Handles Slip Sheets/Phil-E-Slide, Maxi Slide/Surehands Hover Mat/Air Assists Ceiling Lifts/Tracks 1 per 2 patients/residents of need 1 per 8-10 patients/residents of need Look at what your need is and where you d use them # of fully-dependent and bariatric patients/residents, tub and specialty rooms
Section 2: Equipment Needs Assessments HOW MUCH EQUIPMENT DO WE NEED? EQUIPMENT TYPE Electric Control Beds Slings Hygiene Mesh Universal Padded Quick Fit Full-Body Hammock Bathing Sit-to-Stand Amputee Positioning AMOUNT PER PATIENT/RESIDENT OF NEED ON THE UNIT 1 per 8 patients/residents of need 1 per patient/resident (Note: Sling needs should be determined by patient/resident case load and needs)
Section 2: Equipment Needs Assessments PURCHASING EQUIPMENT Questions: Have you made a big purchase in your life recently? What were you looking for? How did you decide to choose what you did? Does anyone regret his/her purchase? Why? How might your experience apply to the equipment you purchase?
Section 2: Equipment Needs Assessments PURCHASING EQUIPMENT: HOLD AN EQUIPMENT FAIR Contact vendor references Invite a few vendors Involve direct care staff/patients/residents Evaluate, select and pilot use of equipment
Section 2: Equipment Needs Assessments PURCHASING EQUIPMENT: SELECTION CRITERIA Appropriate to Task Fits in Facility Environment Safe for Patient/Resident Caregiver Easily Kept Clean Comfortable for Patient/Resident Cost-Effective Easy to Understand Time-Efficient (not too many steps)
Section 2: Equipment Needs Assessments PURCHASING EQUIPMENT: KEY VENDOR QUESTIONS Reliability: established in our state? Customer Service: repair/replacement? Turnaround time? Training: initial and periodic? All shifts? Maintenance: length of battery charge? Battery life span? Vendor maintenance? Vendor s Responsibilities?
Section 2: Equipment Needs Assessments PURCHASING EQUIPMENT: VENDOR QUESTIONS Equipment Functionality? Infection Control? Bariatric Equipment? Slings? Ceiling Lifts? Equipment Product Support?
Section 2: Equipment Needs Assessments PREVENTIVE EQUIPMENT MAINTENANCE Your SPH/SRH Ergo Team should ensure procedures are developed to: Log and tag equipment when it enters the building Use the log and tags to monitor the equipment Develop a process to get the repaired equipment on the floor quickly 48 hours is a good turnaround time Maintain a log book of when the equipment was broken and returned
Section 3 Facility Environmental Needs Assessment Building Layout Storage Park and Charge Areas Ceiling Lift Installation Floors and Doors patient/resident/resident Rooms Bathrooms Tub and Shower Rooms
Section 3: Facility Environmental Needs Assessment Slide Ceilings Tub Rooms Long Hall ways FACILITY ENVIRONMENTAL ASSESSMENT Equipment Storage Areas Carpets/ Thresholds/ Narrow Doorways Park & Charge Areas Room Layouts Electrical Outlets
Section 3: Facility Environmental Needs Assessment BUILDING LAYOUT
Section 3: Facility Environmental Needs Assessment BAD STORAGE AREAS How likely is it that this equipment will be used?
Section 3: Facility Environmental Needs Assessment PARK AND CHARGE AREAS Designated area when not in use Sufficient electrical outlets to recharge Involve direct care staff in selecting site Alcoves in hallways possible sites May need more than one area
Section 3: Facility Environmental Needs Assessment FIXED CEILING LIFT INSTALLATION Important Considerations: Structural Load Limits Lighting Fixtures Protruding Sprinkler Heads Air Conditioning Vents Asbestos Ceiling Height
Section 3: Facility Environmental Needs Assessment FLOORS AND DOORWAYS Your equipment needs to be compatible w/: Doorway width Doorway handles (catch on beds/gurneys?) Thresholds/other obstructions in bathroom, shower and patient/resident rooms Floor surfaces (carpeted? Uneven? Slippery?) Steep floor ramps (over 10% pitch?)
Section 3: Facility Environmental Needs Assessment Patient/Resident ROOM LAYOUT Private? Semi-private? Bathroom in room? Room dimensions (small or large)? Room clutter? Space under beds? Closet (for storage or personal items)? Bedside medical or electrical outlets?
Section 3: Facility Environmental Needs Assessment BATHROOMS Will your equipment fit?
Section 3: Facility Environmental Needs Assessment TUB AND SHOWER ROOMS Do any of your tub and shower rooms look like this? How would you improve accessibility?
Section 3: Facility Environmental Needs Assessment TUB AND SHOWER ROOMS What s the likelihood that direct care staff will be able to easily access the tub?
Section 3: Facility Environmental Needs Assessment GROUP ACTIVITY #2 Page 14 of Student Workbook Guide Facility Environmental Assessment: Equipment & Your Work Environment
Section 4: Hands-on Equipment Demonstration Activity Repositioning in Bed: Soft Goods - Tri-turner - Split Sheet - Full body - Limb Straps Lateral Transfers Evacuation Equipment Getting someone off the floor - Easy Glide Boards - Limb Straps - Sling