week 2: manual handling

Question 1

What are bariatric patients?

Answer 1

morbidly obese patients

Question 2

Bed mechanics:

know (S__)

ensure patient fits in the bed s__ with room to m__ during o__-b__ tasks

Answer 2

SWL

safely with room to move during on-bed tasks

Question 3

Overhead tracking:

ensure r__ s__ is attached to the h__

know you (S__) & patient w__

p__ equipment to __ patient ‘h__ t__’

Answer 3

right sling is attached to the hoist
SWL & patient weight
prepare equipment to reduce patient ‘hand time’

Question 4

Manual Handling Principles:

1. ___ manual handling wherever possible
2. maximise p__ i__ by encouraging the patient to a__ whenever possible
3. provide s__ h__ a__ to facilitate patient m__
4. do not become l__/c__/h__ to patients
5. use b__ m__
6. transfer at the s__ l__ or to a l__ l__
7. p__ rather than p__ or l__ - use f__ reducing devices

Answer 4

reduce manual handling wherever possible

maximise patient independence by encouraging the patient to assist whenever possible

provide self help aids to facilitate patient movement

do not become linked/connected/hooked to patients

transfer at the same level or to a lower level

push rather than pull or lift - use friction reducing devices

Question 5

Transfer Hoist:

minimum of __ nurses

transferring patient from o__ l__ to a__

consideration given to i__

ensure patient is e__ p__ to transfer

Answer 5

2
one location to another
injuries
educated prior

Question 6

Slide sheets:

minimum of __ nurses

use of __ slide sheets

moving patient __ or __ the bed

Answer 6

2
2
up or down

Question 7

Patient Handling Risk Assessment Tool (PHRAT)

Patients are assessed as:

1. i__
2. r__ s__
3. a__ to a__
4. n__ a__ to a__

within each of these categories, patients are assessed for o__ b__ t__ & o__ b__ t__

Answer 7

independent
requires supervision
able to assist
not able to assist

on bed tasks & off bed tasks

Question 8

what is this called?

Answer 8

Standing Lifter

Question 9

what is this called?

Answer 9

transfer hoist

Question 10

Occupational Health & Safety Act (2004)

Duties of Employees (section 25)
While at work, an employee must:

1. take r__ c__ for his or her own h__ & s__
2. take r__ c__ for the h__ & s__ of o__ who may be affected by the employee’s a__ or o__ at a w__
3. c__ with their employer with r__ to any a__ t__ by the employer to c__ with a requirement imposed by the OHS Act.

Answer 10

1. take reasonable care for his or her own health & safety
2. take reasonable care of the health & safety of others who may be affected by the employee’s acts or omissions at a workplace
3. cooperate with their employer with respect to any action taken by the employer to comply with a requirement imposed by the OHS Act

Question 11

Most back injuries occur from c__ strain

d__ p__ & r__ can occur ___ warning & has l__ consequences e.g.,

p__, s__ d__ & l__ of i__.

Answer 11

most back injuries occur from cumulative strain

disc prolapse & rupture can occur without warning & has lifelong consequences e.g.,

pain, sleep deprivation & loss of income

Question 12

Injuries resulting from manual handling may include:

a__ h__ & w__ a__ m__ from raised i__-a__ p__ from l__

Answer 12

abdominal hernias & weakened abdominal muscles from raised intra-abdominal pressure from lifting

Question 13

Overhead trapezius Bar

ensure device is p__ s__ to the bed

a__ strap l__

enables patient to move __ the bed i__

consider i__

Answer 13

properly secured
adjustable strap length
up, independently
injuries

Question 14

Manual Handling Equipment

1. know what equipment is a__ & r__ a__ equipment if required
2. know your s__ o__ p__ (SOP) for the equipment b__ using it
3. check the equipment is in g__ c__ p__ to use
4. must know the s__ w__ l__ (SWL) of the equipment & the w__ of the patient

Answer 14

available & request additional equipment if required

know your safe operating procedures for the equipment before using it

check the equipment is in good condition prior to use

must know the safe working limit of the equipment & the weight of the patient

Question 15

Injuries resulting from manual handling may include:

injuries to s__ s__ in the b__, including m__, l__ & i__ d__ resulting in s__, s__ & p__ of the i__ d__.

Answer 15

Injuries to supporting structures in the back, including: muscles, ligaments & intervertebral discs resulting in strains, sprains & prolapse of the intervertebral disc.

Question 16

what is this called?

Answer 16

overhead tracking

Question 17

Criteria for Able to Assist:

Off Bed Tasks:
1. must be able to c__ & c__ instructions

2. must be able to s__ u__ (w__ or w__ a__)
3. must be able to maintain b__ (w__ or w__ a__)
4. __ recent history of unexpected f__ in h__ or c__

If the patient does not meet __ criteria, patient is classified as not able to assist and requires a minimum of __ people & a__ e__

Answer 17

must be able to cooperate & comprehend instructions

must be able to stand unsupported (with or without aids)

must be able to maintain balance (with or without aids)

no recent history of unexpected falls in hospital or the community

all, 2 people & appropriate equipment

Question 18

Why comply with Hospital OHS Policy?

1. proven to __ risk of i__ & s__
2. stay in the profession __
3. l__ f__ & m__ e__ after completion of shift to enjoy s__ a__
4. helps injured staff get b__ to w__ s__

Answer 18

proven to reduce risk of injury & strain

proven to stay in the profession longer

less fatigue & more energy after completion of shift to enjoy social activities

helps injured staff get back to work sooner

Question 19

what is this called? (2 options)

Answer 19

HoverMatt & HoverJack

Question 20

Standing Lifter:

must be able to bear s__ w__ through l__

must be wearing a__ f__

must be able to f__ i__

should not be used if the patient is f__

Answer 20

some weight through legs
adequate footwear
follow instructions
fatigued

Question 21

Criteria for Able to Assist:

On Bed Tasks:
1. must be able to c__ & c__ instructions

2. must be able to move o__ b__ w__ in bed (w__ or w__ the use of a__ d__)

If the patient does not meet __ criteria, patient is classified as not able to assist and requires a minimum of __ people & a__ e__

Answer 21

1. must be able to cooperate & comprehend instructions
2. must be able to move own body weight in bed (with or without the use of assistive devices)

both, 2 people & appropriate equipment

Question 22

Occupational Health & Safety Act (2004)

Duties of Employers (section 21)
An employer must, so far as is r__ p__:
p__ & m__ for employees of the employer, a w__ e__ that is s__ & w__ r__ to h__

Answer 22

An employer, so far as reasonable practicable:

Provide & maintain for employees of the employer, a working environment that is safe & without risk to health

Question 23

What is this called?

Answer 23

overhead trapezius bar

Question 24

Label the Diagram.

What is this and what is it an example of?

Answer 24

Question 25

When can the No-Lift Policy be modified?

Answer 25

life threatening situations

Question 26

HoverMatt & HoverJack minimum of __ nurses transfer patient from o__ l__ to a__ r__ the patient to b__ following a f__ to the f__

Answer 26

2 one location to another return the patient to bed following a fall to the floor

Question 27

A bariatric patient is defined as one with a weight that is in excess of __ kg special consideration should also be given to those patients who have a BMI in excess of __ Other must know important factors: w__, h__, w__

Answer 27

120kg 35 weight, height, width

Question 28

Injuries resulting from manual handling may include: Injuries to s__ t__ such as n__, l__ & t__ in the w__, a__, s__, n__ or l__

Answer 28

injures to soft tissue such as nerves, ligaments & tendons in the wrists, arms, shoulders, neck or legs

Question 29

not all tasks involving manual handling are hazardous. true/false? what does it depend on? depends on the d__, f__ & c__ of the task risk of injuring __ when manual handling involves patients as they are u__

Answer 29

true depends on the duration, frequency & complexity of the task risk of injury increases when manual handling involves patients as they are unpredictable

Question 30

manual handling covers a wide range of activities including: 1. l__ 2. p__ 3. p__ 4. h__ 5. t__ 6. c__ 7. r__ 8. m__ a__ p__

Answer 30

``` lifting pushing pulling holding throwing carrying restraining maintaining awkward postures ```

Question 31

Why comply with Hospital OHS Policy? 1. d__ a__ may be taken for n__-c__ 2. p__ c__ is i__ 3. encourages patient i__ & reduces hospital induced d__

Answer 31

disciplinary action may be taken for non-compliance patient care is improved encourages patient independence & reduces hospital induced deconditioning

Question 32

MSD's may include: 1. r__ s__ i__ (RSI) 2. o__ o__ s__ (OOS) 3. c__ t__ d__ (CTD

Answer 32

repetitive strain injury occupational overuse syndrome cumulative trauma disorder

Question 33

Injuries resulting from manual handling may include: c__ p__ conditions as a result of the various injuries sustained through manual handling activities

Answer 33

chronic pain conditions

Question 34

Manual Handling Principles: 1. keep your natural spine curve by reducing f__, s__ b__ or t__ of the spine 2. reduce s__ b__, o__ s__ h__, o__ & o__ 3. avoid s__/u__ movements 4. s__ u__ about p__ p__

Answer 34

keep your natural spine curve by reducing forward, side bending or twisting of the spine reduce shoulder abduction, one sided handling, overreaching * overexertion avoid sudden/unexpected movements speak up about poor practive

Question 35

Musculoskeletal disorder (MSD) is defined as: An i__, i__ or d__ that arises in w__ or in p__ from m__ h__ in the w__ p__, whether occurring s__ or over a p__ p__ of t__

Answer 35

an injury, illness or disease that arises in whole or in part from manual handling in the work place, whether occurring suddenly or over a prolonged period of time