SlideShare a Scribd company logo
Anne McMahon- Moving and 
Handling Consultant 
‘DHB’s and Beyond’
What is Moving & Handling? 
• Multiple descriptions 
• People vs. Materials 
• Key elements 
• Applied technology, science or art? 
• Personal perspective
In the beginning…… 
• 1992 EU directives 
• 2001 Manual Handling Guidelines- Code of Practice DoL & ACC 
• 2003 Patient Handling Guidelines ACC 
• 2005 Report to Evaluate the impact of the 2003 guidelines 
• 2005 Waitemata District Health Board approached ACC to address programme 
failure 
• 2006 WDHB write and host pilot for training programme funded by ACC and 
reported by University of Auckland
Pilot Aims 
• To measure how well the training was 
delivered 
• To measure how well prepared the trainers 
were to deliver 
• To what extent was the programme 
transferable to other DHB’s
Process 
• Develop a trainer programme 
• Design a learner schedule 
• Evaluation of learning on the day then at 3 
and 6 months 
• Interview trainers 
• Reflect on process with stakeholders
Outcomes 
Start of 
workshop 
(n=87)* 
End of 
workshop 
(n=109)* 
Followup1 
(3-4 months later) 
(n=33) 
Followup2 
(6-8 months later) 
(n=70) 
Overall competence 
using safe patient 
handling 4.44 8.65 8.09 7.93
Outcomes 
• Trainers satisfied with their programme 
• Model transferable 
• WDHB team reported as an expert group
Key components for transfer 
1 Moving and Handling Consultant/Advisor/Co-ordinator 
2 Trainer/Educator group 
3 Adult education component for trainers 
4 Training manual, documentation and core content 
5 Learner programme 
6 Appropriate learning environment 
7 Access to equipment 
8 Active support, promotion and enforcement by middle and senior 
management
WDHB team
Training
M&H Consultant role 
Training / 
Content 
development 
Facility Design 
Equipment 
selection 
provision and 
maintenance 
Manage 
educator group 
Policy and Risk 
assessment. 
Incident 
investigation 
Manual and 
materials 
handling 
Evaluation & 
Auditing
WDHB So Far 
• Co-Author ‘Moving & Handling People: The New Zealand 
Guidelines’ (ACC 2012) 
• Published in American Journal of Safe Patient Handling 
amongst others 
• Significant Reduction in Staff Injury (costs and time) 
attributed to M&H 
• New Zealand based evidence 
• Providing Training & Consultation 
• Collaboration
WDHB Research 
• Objective - To measure the satisfaction and 
perspective of patients moved in WDHB 
• Criteria - Must have been moved with Slide 
Sheets and/or a Hoist 
• Exclusion - Unable to participate in 
interview
100% Satisfaction in Hoisting
Slide Sheets may cause concern 
if rushed
Collaboration and Consultation 
• National and Regional DHB’s 
• ACC 
• HBL 
• Taylors 
• Equipment Providers 
• Education Providers 
• Private Care Providers
What’s Missing? 
• Legislation, Ministry Directives, Funding & 
Leverage 
So we Decided to 
• Develop a Forum (MHANZ) 
• Seek Credentials (AUT Post-Grad Cert) 
• Talk to you all!
MHANZ Current Committee
MHANZ so far 
• New Website (www.mhanz.org.nz) 
• Members Forum 
• Regional Groups 
• International Collaboration 
• Events 
• Education information
OUR LOVELY PATRON!
Michele A’Court 
Want to experience this? Come to the falls retrieval workshop at 2.15
‘Move it NZ’- Moving & 
Handling from the Inside Out 
• Next event 2015 Road show 
• Seminar days around NZ 
• Conference quality 
• Low cost 
• Aim - increase access by reducing common 
problems of airfares, accommodation and 
multiple days off
Moving and handling people in NZ

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Moving and handling people in NZ

  • 1. Anne McMahon- Moving and Handling Consultant ‘DHB’s and Beyond’
  • 2. What is Moving & Handling? • Multiple descriptions • People vs. Materials • Key elements • Applied technology, science or art? • Personal perspective
  • 3. In the beginning…… • 1992 EU directives • 2001 Manual Handling Guidelines- Code of Practice DoL & ACC • 2003 Patient Handling Guidelines ACC • 2005 Report to Evaluate the impact of the 2003 guidelines • 2005 Waitemata District Health Board approached ACC to address programme failure • 2006 WDHB write and host pilot for training programme funded by ACC and reported by University of Auckland
  • 4. Pilot Aims • To measure how well the training was delivered • To measure how well prepared the trainers were to deliver • To what extent was the programme transferable to other DHB’s
  • 5. Process • Develop a trainer programme • Design a learner schedule • Evaluation of learning on the day then at 3 and 6 months • Interview trainers • Reflect on process with stakeholders
  • 6. Outcomes Start of workshop (n=87)* End of workshop (n=109)* Followup1 (3-4 months later) (n=33) Followup2 (6-8 months later) (n=70) Overall competence using safe patient handling 4.44 8.65 8.09 7.93
  • 7. Outcomes • Trainers satisfied with their programme • Model transferable • WDHB team reported as an expert group
  • 8. Key components for transfer 1 Moving and Handling Consultant/Advisor/Co-ordinator 2 Trainer/Educator group 3 Adult education component for trainers 4 Training manual, documentation and core content 5 Learner programme 6 Appropriate learning environment 7 Access to equipment 8 Active support, promotion and enforcement by middle and senior management
  • 11. M&H Consultant role Training / Content development Facility Design Equipment selection provision and maintenance Manage educator group Policy and Risk assessment. Incident investigation Manual and materials handling Evaluation & Auditing
  • 12. WDHB So Far • Co-Author ‘Moving & Handling People: The New Zealand Guidelines’ (ACC 2012) • Published in American Journal of Safe Patient Handling amongst others • Significant Reduction in Staff Injury (costs and time) attributed to M&H • New Zealand based evidence • Providing Training & Consultation • Collaboration
  • 13. WDHB Research • Objective - To measure the satisfaction and perspective of patients moved in WDHB • Criteria - Must have been moved with Slide Sheets and/or a Hoist • Exclusion - Unable to participate in interview
  • 15. Slide Sheets may cause concern if rushed
  • 16. Collaboration and Consultation • National and Regional DHB’s • ACC • HBL • Taylors • Equipment Providers • Education Providers • Private Care Providers
  • 17. What’s Missing? • Legislation, Ministry Directives, Funding & Leverage So we Decided to • Develop a Forum (MHANZ) • Seek Credentials (AUT Post-Grad Cert) • Talk to you all!
  • 18.
  • 20. MHANZ so far • New Website (www.mhanz.org.nz) • Members Forum • Regional Groups • International Collaboration • Events • Education information
  • 22. Michele A’Court Want to experience this? Come to the falls retrieval workshop at 2.15
  • 23. ‘Move it NZ’- Moving & Handling from the Inside Out • Next event 2015 Road show • Seminar days around NZ • Conference quality • Low cost • Aim - increase access by reducing common problems of airfares, accommodation and multiple days off