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Manual Handling for Nurses
AM Rajinikanth
1:
Anatomy and Physiology of Spine
INTRODUCTION
SPINAL COLUMN
SPINAL CURVES
CERVICAL VERTEBRAE (C1 - C7)
Atlas (C1)
Axis (C2)
CERVICAL VERTEBRAE AND SUPPORTING STRUCTURES
SPINAL CORD AND CERVICAL NERVE ROOTS
THORACIC VERTEBRAE (T1 - T12)
LUMBAR VERTEBRAE (L1 - L5)
SACRAL SPINE
PURPOSE OF THE VERTEBRAE
LIGAMENTS, TENDONS OF SPINAL COLUMN
SPINAL JOINTS
ANATOMICAL PLANES
Anatomical Terms
SPINAL NERVE CENTER
CENTRAL NERVOUS SYSTEM (CNS)
PERIPHERAL NERVOUS SYSTEM (PNS)
OTHER SPINAL CORD AND NERVE STRUCTURES
Cerebrospinal Fluid (CSF)
Meninges
Dermatomes
VASCULAR SYSTEM OF THE SPINE
Arteries Supplying Spinal Column
Veins Supplying Spinal Column
INCIDENT RATE OF SPINAL INJURY
RISK FACTORS FOR BACK INJURY
Disk Degeneration - Gradual
Assessment Questions
2:
Postures
GOOD POSTURE
POOR POSTURE
FACTORS INFLUENCING POSTURE
COMMON CAUSES OF POOR POSTURE
Structural Misalignments
Functional Misalignments
POOR POSTURE ON HEALTH
Nervous System
Endocrine (Hormone) System
Digestive System
Circulatory System
GENERAL GUIDANCE FOR REDUCING HEALTH RISK
Working at a Desk
Going to Sleep
NURSES AND BACK PAIN
CONCLUSION
Assessment Questions
3:
Ergonomics
OVERVIEW
Five Aspects of Ergonomics
Domains
History
Applications
Ergonomics in the Workplace
FIELDS OF ERGONOMICS
Engineering Psychology
Macroergonomics
Assessment Questions
4:
Safe manual Handling
INTRODUCTION
Meaning of Manual Handling
MANUAL HANDLING BASIC PRINCIPLES
Limitations
Posture
Moving
Avoid
GUIDELINES FOR SAFE MANUAL HANDLING
Anticipate the Weight
Injuries can be Prevented by Seeking Mechanical Means
Lifting Ability
OTHER POINTS TO CONSIDER
Three Steps to Safe Manual Handling
Step 1: Identify Risks
Step 2: Assess Risks
LIFTING AND TRANSFERING
Principles of Lifting
GUIDELINES FOR THE MOVING AND HANDLING OF PATIENTS
Principles of Safe Lifting Practice
Before You Start
Lifting Technique
Moving the Load
PUSHING AND PULLING
Lifting and Handling Loads
HANDLING EQUIPMENTS IN NURSING HOMES
Transfer from Sitting to Standing Position
Description
When to Use
Points to Remember
RESIDENT LIFTING―I
Description
When to Use
Points to Remember
RESIDENT LIFTING―II
Description
When to Use
Points to Remember
AMBULATION
Description
When to Use
Points to Remember
LATERAL TRANSFER; REPOSITIONING―I
Description
When to Use
Points to Remember
LATERAL TRANSFER; REPOSITIONING—II
Description
When to Use
Points to Remember
REPOSITIONING IN CHAIR
Description
When to Use
Points to Remember
LATERAL TRANSFER IN SITTING POSITION
Description
When to Use
Points to Remember
TRANSFER FROM SITTING TO STANDING POSITION—I
Description
When to Use
Points to Remember
TRANSFER FROM SITTING TO STANDING POSITION—II
Description
When to Use
Points to Remember
WEIGHING
Description
When to Use
Points to Remember
TRANSFER FROM SITTING TO STANDING POSITION; AMBULATION
Description
When to Use
Points to Remember
REPOSITIONING—I
Description
When to Use
Points to Remember
REPOSITIONING―II
Description
When to Use
Points to Remember
REPOSITIONING―III
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—I
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—II
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—III
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—IV
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—V
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—VI
Description
When to Use
Points to Remember
BATHTUB, SHOWER, AND TOILETING ACTIVITIES—VII
Description
When to Use
Points to Remember
STORAGE AND TRANSFER OF FOOD, SUPPLIES AND MEDICATIONS
Description
When to Use
Points to Remember
MOBILE MEDICAL EQUIPMENT
Description
When to Use
Points to Remember
Oxygen Tanks
Medication Pumps
Transporting Equipment
WORKING WITH LIQUIDS IN HOUSEKEEPING
Description
When to Use
Points to Remember
WORKING WITH LIQUIDS IN KITCHENS
Description
When to Use
Points to Remember
HAND TOOLS
Description
When to Use
Points to Remember
LINEN CARTS
Description
When to Use
Points to Remember
HANDLING BAGS
Description
When to Use
Points to Remember
REACHING INTO SINK
Description
When to Use
Points to Remember
LOADING OR UNLOADING LAUNDRY
Description
When to Use
Points to Remember
CLEANING ROOMS (WET METHOD)
Description
When to Use
Points to Remember
CLEANING ROOMS (ELECTRICAL)
Description
When to Use
Points to Remember
FITNESS OF STAFF INVOLVING IN MANUAL HANDLING
Assessment Questions
5:
Manual Handling Risks
PEOPLE AT RISK
ASSESSING THE RISK
Work Organization
Skills, Experience and Personal Factors
Working Environment
MANUAL HANDLING CHECKLIST FOR GENERAL RISK IDENTIFICATION
High Risk Manual Handling
Significant Risk Manual Handling
Moderate Risk Manual Handling
Low Risk Manual Handling Tasks
Movements, Posture and Layout during Manual Handling
Task and Object
Work Environment
Individual Factors
The Task
The Load
The Workplace
The Individual — Who Handles
Control Risks
Preventing Manual Handling Injuries
Ways to Reduce Injury Risks
LEGAL REQUIREMENTS FOR MANAGING MANUAL HANDLING
The Law
Objectives of Manual Handling Policy
RESPONSIBILITIES OF INDIVIDUAL NURSES
TO ACHIEVE AN ADEQUATE ASSESSMENT
TO KEEP THE RISK AS LOW AS POSSIBLE
WAY TO DO IT
RESPONSIBLE PEOPLE
MAKING A START
IDENTIFYING THE HAZARDS
IDENTIFYING TASKS WITH MANUAL HANDLING RISK
CONTROLLING THE RISK PREHANDED
WHAT CAN BE CHANGED?
Workplace Layout
Changing the Object
Tools and Equipment
Work Organization
Task Design
Reducing Lifting and Carrying
Physical Environment
Individual Factors
Information, Training and Supervision
PUTTING YOUR IDEAS INTO ACTION
USING A MANAGEMENT SYSTEMS APPROACH TO REDUCE MANUAL HANDLING RISK
Roles and Responsibilities
Share Information
When and Who to Consult
Plan, Design and Purchase to Reduce the Risk of Manual Handling Injury
Provide Training and Information
Identify your Hazardous Activities
Complete the Risk Assessments
Control the Risks
Evaluate the Control Measures
Review and Evaluate Your Management System
Evaluate the Control Measures
Review and Evaluate Your Management System
MANAGERS RESPONSIBILITIES
EMPLOYEES RESPONSIBILITIES
OCCUPATIONAL HEALTH DEPARTMENT
TRUST MANUAL HANDLING CO-ORDINATOR AND TRAINER
Hazardous Manual Handling Means Having any of the following Characteristics
Handling Aids
Key Action Steps
About the Standards
The Competencies Describe Workplace Performance
Hospital Trends and Values Affecting Manual Handling Capabilities of Nurses
Culture and Tradition in Nursing Role and Values
Extension of the Boundaries of Professional Nursing Practice
Restructuring of Health Services, Hospitals and Funding Arrangements
Handling Incidents in Public Health Care Facilities
Change the Load
Adopt Good Work Practices
Manual Handling and Stressful Postures
Reducing the Risks from Stressful Postures Redesign the Work Station and Equipment
Adopt Good Work Practices
Manual Handling and Repetitive Work
Redesign the Work Station and Tools
Adopt Good Work Practices
Workplace Design, Storage and Manual Handling
Good Design Principles for Storage
Reduce the Need for Storage
Maximise the Available Storage Area
Adopt Good Work Practices
Assessment Questions
6:
Manual Handling Training
PRINCIPLES FOR MANUAL HANDLING TRAINING
MANUAL HANDLING PRE-TEST
MANUAL HANDLING POST-TEST
Glossary
INDEX
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Index
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