Moving and handling of people 6hr v4 0 1

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  • *NACHEMSON, A. 1966, The load on lumbar disks in different positions of the body, Clinical Orthopaedics and Related Research, vol 45, pp 107 - 122


  • 1. Moving and Handling of People
  • 2. Creating safer working environments with people who care
  • 3. Housekeeping • Fire Exits • Fire Alarms • WC • Refreshments • Mobile Phones
  • 4. Aim To recognise the principles of safe moving and handling and the importance of risk assessment prior to any moving and handling task
  • 5. Learning Outcomes • Have an understanding of legislation relating to moving and handling • Understand basic anatomy and physiology of the spine • Understand and practice the principles of safer moving and handling • Assess moving and handling operations, reducing the risk where reasonably practicable • Understand the principles of safer moving and handling of people
  • 6. Changing Attitudes We need to change attitudes that: • Back pain is an accepted part of the job • The client / service user always comes first • The doctor will make it better
  • 7. Related Legislation • Health and Safety at Work Act 1974 • Management of Health and Safety at Work Regulations 1999 • Manual Handling Operations Regulations 1992
  • 8. Health and Safety at Work Act 1974 • To ensure, so far as is reasonably practicable, the health, safety and welfare at work of his employees • Provision of necessary information, instruction, training and supervision General Duties of Employers
  • 9. Duties of Employees • To take reasonable care of their own health and safety and the health and safety of anyone who may be affected by their acts and omissions • Must cooperate with their employers or any person to enable legal obligations to be met Health and Safety at Work Act 1974
  • 10. Management of Health and Safety at Work Regulations 1999 Risk assessment Every employer shall make a suitable and sufficient assessment of the risks to the health and safety of: • His employees • Persons not in his employment
  • 11. Manual Handling Operations Regulations 1999 Employers have a duty to:- • Avoid a hazardous task taking place where reasonably practicable • Make a suitable and sufficient assessment of all such manual handling operations to be undertaken • Take appropriate steps to reduce the risk of injury to the lowest level reasonably practicable • Take appropriate steps to provide those employees with precise information
  • 12. Manual Handling Operations Regulations 1999 Duty of employers:- Any assessment shall be reviewed by the employer if: • There is reason to suspect that it is no longer valid • There has been a significant change in the manual handling operations to which it relates or • There has been a moving and handling incident relating to that task
  • 13. Manual Handling Operations Regulations 1992 (as amended) Duty of employees Each employee while at work shall cooperate with the employer and use anything that is provided within the interests of Health and Safety
  • 14. Lifting Operations and Lifting Equipment Regulations 1998 The employer must ensure that any lifting equipment provided for use by employees at work is suitable for the activity and complies with the LOLER
  • 15. Provision and Use of Work Equipment Regulations 1998 Summary: The regulations apply to the provision and use of all work equipment, including mobile and lifting equipment Employers must: • Purchase equipment that is suitable for the job • Provide training and instruction in the use of the equipment
  • 16. RIDDOR • Death • Major injuries, such as amputation, fractures, dislocation of the shoulder, hip, knee or spine, loss of sight (temporary or permanent) • Over 7-day injuries • Work related diseases • Dangerous occurrences The Reporting of Injuries, Disease and Dangerous Occurrences Regulations 1995 requires certain events to be reported to the HSE or local authority
  • 17. Anatomy & PhysiologyAnatomy & Physiology
  • 18. Vertebral Discs Fibrous outer layer Soft jelly-like inner layer
  • 19. The Spine and Spinal Cord
  • 20. Load on the 3rd Lumbar disk in a 70KG man
  • 21. Prolapsed Disc
  • 22. Manual Handling Related Injuries
  • 23. Cost of Manual Handling Injuries • 31% of all reported incidents in the workplace are due to manual handling • Highest reported cause of workplace injury • 37,842 RIDDOR reported incidents in 2009/10 • 4 out of 5 people suffer from back pain at some time in their lives • In any one day 230,000 people are off work because of back pain • Back pain alone costs the British economy over £3 billion per year HSE statistics 2011 for 2009/10
  • 24. Cost of Manual Handling Injuries Group Work • Group 1 – imagine the impact on your life if you receive a manual handling injury • Group 2 – imagine this is your business – what will be in impact of one of your staff receiving a manual handling injury?
  • 25. Cost of Manual Handling Potential costs to the employee: • Disability • Pain • Loss of employment or career • Loss of earnings • Psychological illness • Strain on family life and social activities • Strain on colleagues due to staff shortages • Stress
  • 26. Cost of Manual Handling Injuries Potential costs to the employer: • Disruption of normal work activities • Increased sickness pay and associated benefits • Temporary staff costs • Compensation claims • Prosecution and fines • Increased insurance costs • Loss of reputation • Loss of experienced staff • Low morale amongst staff
  • 27. Common Manual Handling Injuries • Back pain • Prolapsed disc • Hernia • Sprains and strains • Cuts, bruises and abrasions • Fractures • Work related upper limb disorders (WRULD’s)
  • 28. Back Pain Causes of back pain: • Poor physical condition • Poor posture • Poor manual handling techniques • Straining • Excessive weight • Old age and disease • Pregnancy • Muscle imbalance
  • 29. Hernia Rupture of the cavity in the abdomen Causes protrusion of part of the intestine
  • 30. Sprains and Strains Tissue being stretched beyond its normal capability Common sites include the back, arms and wrist
  • 31. Other Common Injuries • Cuts, Bruises and Abrasions Usually caused by handling loads with unprotected corners or edges • Fractures Usually caused by dropping loads • Work related upper limb disorders Usually caused by bad practice or repetitive strain
  • 32. Manual Handling Risk Factors Examples of risk factors: • Force • Repetition • Poor posture • Personal risk factors • Poor lifting techniques • Dropping a load • Lifting sharp-edged or hot loads • Lifting a load too heavy or cumbersome
  • 33. Risk Assessment
  • 34. Ergonomics Ergonomics means ‘fitting the task to the person’ Design and arrange the area to fit the task • Environment • Equipment • Work organisation • Training
  • 35. Risk Assessment – Hazards and Risks Hazard • Anything which can harm or injury • To clients, carers, other persons or property Risk • The probability of a hazard causing harm or injury • How bad that injury or harm is likely to be
  • 36. Risk Assessment A risk assessment should be performed before any manual handling task is carried out T - Task I - Individual L - Load E - Environment
  • 37. Risk Assessment Every risk assessment must be balanced and care taken to consider all of the individuals involved: resident / patient / client, carers and staff as well as any legislative requirements before coming to a workable solution accepted by all
  • 38. Risk Assessment - TASK Factors to consider: • Frequent repeated or prolonged work • Excessive lifting, lowering or carrying distances • Holding or moving at a distance • Twisting, stooping or reaching up • Insufficient rest or recovery periods • Sense of urgency • Possibility of sudden movement of load • Imposed high rate of work, or exceptional circumstances
  • 39. Risk Assessment – INDIVIDUAL Factors to consider: • Need for unusual strength or height • Health problems or pregnancy • Experience • Special information or training required • Clothing and footwear • Loose hair / Jewellery • Safeguarding issues
  • 40. Risk Assessment – LOAD (General) Factors to consider: • Weight • Centre of gravity • Size, shape and ease of management • Sharp edges, hot or otherwise hazardous • Stability • Handling aids available
  • 41. Risk Assessment – LOAD (Person) Factors to consider: • What can they do for themselves? • Centre of gravity moves • Body shape • Injuries • Handling aids available • Behaviour – mental capacity • History
  • 42. Risk Assessment – ENVIRONMENT Factors to consider: • Space to move • Obstructions • Floor surface and levels • Temperature • Lighting • Ventilation • Weather • Equipment • Presence of other hazards
  • 43. Risk Assessment – Other Hazards Factors to consider: • Patient’s clothing • Monitor leads / tubes / catheters • Privacy / Modesty • Patient’s feelings • Human rights • Paralysis / spasm / lack of muscle tone
  • 44. Personal Safety and Principles of Safe Handling Techniques
  • 45. Personal Care • Rest and exercise • Gently stretch before and after lifting • Work in a good posture • Avoid bending and stooping • Follow risk assessments and care plans • Get comfortable when working and when standing • Avoid bending and twisting at the same time • Avoid stress
  • 46. Safe Handling P - Plan P - Prepare P - Position P - Perform
  • 47. Safe Handling or Poor?
  • 48. Safe Handling Foot placement Feet to the side of the load Use a lead foot Place feet hip width apart
  • 49. Safe Handling Body positioning Grip load with palms of hands and roots of fingers Tilt load to test weight Relax knees and sink down
  • 50. Safe Handling Body movement Upward movement begins by straightening the head Keep arms close to the body
  • 51. Lifting Techniques of Inanimate Loads Power lift Tripod lift Golfers lift Power lift Golfers lift
  • 52. Team Work Role of the team leader • Identify the best approach • Identify equipment needs • Identify other team members individual needs and capabilities • Plan the whole manoeuvre • Instruct the other team members of their roles • Give commands • Ensure the safety and comfort of all involved
  • 53. Team Work Words of command Clear Authoritive Rhythmical Easily understood Ready - Set - Move
  • 54. Object Handling Practical Exercises
  • 55. Handling People
  • 56. Effective Communication Sensitivity • Seek cooperation and ask permission where appropriate • Consider the client’s feelings • Be patient • Be helpful Respect • Respect the client’s point of view • Maintain dignity • Be polite
  • 57. Effective Communication • Verbal: Use of words, tone, clarity, speed and loudness • Non-verbal: Posture and body language • Behavioural: Communication by actions or inactions Methods of communication
  • 58. Effective Communication • Verbal: language, dialect, accent, meaning of words, speed and volume Barriers to Communication • Non-verbal: Posture and body language, anything . which obscures / hides the mouth
  • 59. Effective Communication • Behavioural: turning / moving away, talking across patient / client to colleague • Environmental: distractions, other activities in room, noisy environment – radio, TV, kitchen noise, cleaners Barriers to Communication
  • 60. Effective Communication Is the client clear about: • Why they are being moved? • Where they are being moved to? • What the move involves? • The proposed method for the move? • What equipment will be used? • Their role? • Your role? • What to do if they feel unsteady? Do we have informed consent?
  • 61. Person Handling Practical Exercises
  • 62. Review of Learning Outcomes • Have an understanding of legislation relating to moving and handling • Understand basic anatomy and physiology of the spine • Understand and practice the principles of safer moving and handling • Assess moving and handling operations, reducing the risk where reasonably practicable • Understand the principles of safer moving and handling of people