Ehrenfried, Holly, OTR/L, CHT

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineSafe Patient Handling and MovementPrograms:Implications for Occupational TherapyHolly Ehrenfried OTR/L, CHTLehigh Valley Health Network, Holly.Ehrenfried@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtEhrenfried, H. (2011). Safe Patient Handling and Movement Programs:Implications for Occupational Therapy. LVHN ScholarlyWorks. Retrieved from http://scholarlyworks.lvhn.org/medicine/50Lehigh Valley Health Network, Allentown, PennsylvaniaAs hospitals implement Safe Patient Handling and Movement (SPHM) Programs, the Occupational Therapist must learn to lift and move patients using mechanical devices rather than use traditional manual lifting techniques. Occupational Therapists must embrace this lifting technology and learn how to use it in their daily treatment as a partner not an adversary that can assist them to achieve their patient’s goals. The Occupational Therapist needs to understand the role that technology plays not only in the prevention of therapist injury, but also keeping the patient safe during mobility. Safe Patient Movement technology can also enhance treatment by allowing the Occupational Therapist to focus on the patient and the treatment activity opposed to the physical assistance being provided. This area also allows the Occupational Therapist to step into the role of performing job analysis in order to identify risk factors and recommending the best technology to lift and move patients for safety of patients and staff.Safe Patient Handling and Movement Programs: Implications for Occupational TherapyPurpose:Rationale:References:1	 	Bureau	of	Labor	Statistics	(2009)	2007	nonfatal	occupational	injuries	and	illnesses	case	and	demographics.	Retrieved	April	12,	2009	from	http://www.bls.gov/iif/oshwc/osh/case/osch0038.pdf2	 	Darragh,	A.R.,	Huddleston,	W.,	&	King,	P.	(2009).	Work-related	musculoskeletal	injuries	and	disorders	among	occupational	and	physical	therapists.	American	Journal	of	Occupational	Therapy,	63,	351-3623	 Marras,	W.	(2008).	The	working	back	a	systems	view.	New	Jersey:	John	Wiley	&	Sons,	Inc.4	 	Nelson,	A.,	Motacki,	K.,	&	Menzel,	N.	(2009)	The	illustrated	guide	to	safe	patient	handling	and	movement.	New	York:	Springer	Publishing5	 	Nelson,	A.	(2001).	Patient	care	ergonomics	resource	guide:	Safe	patient	handling	and	movement.	Patient	Safety	Center	of	Inquiry.	Retrieved	September	15,	2008,	from	http://www1.va.gov/visn8/patientSafetyCenter/resguide/ErgoGuidePtOne.pdf	6	 	Nelson,	A.	(2006).	Safe	patient	handling	and	movement:	A	practical	guide	for	health	care	professionals.	New	York:	Springer	Publishing7	 	NIOSH	Publication	No.:	2009-127	(2010)	Safe	patient	handling	training	for	schools	of	nursing	Developed	by	NIOSH,	American	Nurses	Association	and	Veterans	Health	Administration	Holly Ehrenfried, OTR/L, CHTManual Techniques vs. Use of Safe PatientMovement Technology in Occupational Therapy Treatment•  According to research, manual lifting and handling of patients increases risk of injury for the caregiver and the patient•  Research conducted by NIOSH concluded that it is not possible to manually transfer a patient without sustaining damaging forces on the body.•  Occupational Therapists move patients in a way to assist in the restoration of functional independence.•  Therapists were educated in school to move patients using manual treatment techniques•  Many therapists self-treat or seek treatment from colleagues for musculoskeletal injuries•  Therapists are at risk of developing musculoskeletal disorders related to the manual handling and lifting of patients•  Nine states currently have safe patient handling legislation and there is pending federal legislation in the form of the Nursing and Healthcare Worker Protection Act. •  Therapist focus is primarily on the physical assistance not the activity•  Therapist is in an awkward position risking injury•  Unable to communicate with patient face to face•  Need 2 clinical staff•  Patient is a risk for a fall in standing task•  Therapist is able to focus on the patient and the activity opposed to the physical assistance•  Therapist can communicate with patient face to face•  Patient and Therapist are in a neutral position reducing risk of injury•  Use of ceiling lift allows for graded levels of assistance, so patient can still participate in functional standing and mobility tasks.•  Fall risk is reduced•  Number of clinical staff is reduced to oneConclusions:•  Use of safe patient movement technology does not limit therapy treatment or inhibit patient participation. On the contrary, it makes it safer and the clinician can focus more on the patient and the activity.•  Hospitals are implementing SPHM programs which will make it policy to lift and handle patients using technology opposed to manual techniques. Occupational Therapists must learn how to use this technology and implement it in their treatment to assist patients in achieving their goals•  Injuries occur to healthcare workers as a result of manually handling patients; using technology can reduce the rate of injuries.•  Physical Therapy and Nursing schools are seeking to alter curriculums and begin teaching safe patient movement to students. Occupational Therapy must follow suit.•  Occupational Therapists can perform ergonomic analysis to determine appropriate methods of patient movement technology on hospital nursing units to reduce injury among nursing staff.Manual Techniques Safe Patient MovementTechnology

Safe Patient Handling and Movement Programs:Implications for Occupational Therapy

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Safe Patient Handling and Movement Programs:Implications for Occupational Therapy

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