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Painting the Safer Handling Picture - Not just training!
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Painting the Safer Handling Picture - Not just training!


Sue Alexander …

Sue Alexander
Ergonomics Advisor, Canterbury District Health Board
(P48, Wednesday, NZI 5 Room, 4-4.30)

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  • 1. Painting the Safer Handling Picture – not just training! Sue Alexander Ergonomics Advisor MHANZ Conference March 2012
  • 2. Overview• Training issues• Support and understanding of managers• Using scenarios as a reality check• Outcomes and steps to get there• The Safer Handling picture
  • 3. Training – the issues?• Visible and measurable• “Silver bullet”• Time consuming (skill development)• Content and duration debate• Simulation or “on the job”?• Ineffective in isolation – multi-factorial issues How to embed into everyday work? Why doesn’t this happen?
  • 4. Leaders and decision-makers• Preconceived ideas of entry level knowledge and skills of new staff• Familiarity with current best practice• Other priorities Budget constraints, productivity, patient safetyUnderstanding and support?
  • 5. “Big picture” – scenario 1: Reality Check• New grad nurse – stroke ward 6 weeks• Hurt back lifting patient in hoist – ACC claim $40k (surgery)• Sling incorrectly attached – mismatch of sling to hoist• Limited space around bed – twisted• Skin tear for patient – extended stay
  • 6. “Big picture” – scenario 2: The future …• Standardised equipment• E-learning of principles• Local champion• Team approach for managing individual patient handling needs• Manager proactively manages issues Consistent, coordinated, sustainable approach
  • 7. Outcomes and benefits• Patient safety and comfort• Reduced injury costs• Efficiency and productivity• Best practice strategies used• Improved moraleWhat are the steps to get there?
  • 8. Steps or “building blocks” Application of safer handling best practice principles – “the way we do it here” Equipment Facility design Training CommunicationAccountability Assess tasks Trainers and Employee and policies (risks) resources participation Commitment and Incident Hazard Leadership Management Mangement
  • 9. Painting the picture• Clear and simple• Interaction of components• Based on a framework of principles• Connection with other initiatives
  • 10. Safer Handling Programme overview
  • 11. Summary• Managers are pivotal to success• They need to be aware of the real situation• Agreement on outcomes – the challenge is how to get there?• Require appropriate equipment, suitable facilities, champions, integrated systems• Paint the picture – it’s not just training!