Painting the Safer Handling Picture – not just training! Sue Alexander Ergonomics Advisor MHANZ Conference March 2012
Overview• Training issues• Support and understanding of managers• Using scenarios as a reality check• Outcomes and steps to get there• The Safer Handling picture
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?
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?
“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
“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
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?
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
Painting the picture• Clear and simple• Interaction of components• Based on a framework of principles• Connection with other initiatives
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!