Nursing Injury

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CategoriesPatient Handling

Patient Positioning and Nursing Injuries

by sphmedicaladmin

How Patient Positioning and Lateral Transfers Increase Risk of Injury to our Nurses

Patient positioning in a hospital, surgery center, or medical clinic occurs twenty four hours a day and every day. Patients are constantly sliding down in bed and therefore need to be boosted back up, turned, bathed, and transferred. In this article we’re going to review one of the most common and predictable patient positioning tasks, a lateral transfer. Lateral transfers occur in many inpatient hospital units throughout the day. Whether patients are headed into surgery or to the imaging center, numerous departments oversee lateral transfers. In layman’s terms, a lateral transfer consists of transferring a patient from one surface to another. Unfortunately, the unpredictability of this procedure leaves a lot of room for error. As a result, both medical professionals and patients become susceptible to injuries. Specifically, hospital staff are at risk of MSDO’s due to the high frequency of this task and the increasing weight of patients. Lateral transfers have become so dangerous that more constructive alternatives are being developed.

In most cases, nurses perform lateral transfers by using the sheet that’s underneath the patient. If there aren’t enough hands on deck, a plastic board can help offset insufficient manpower. However, this method is far from flawless, and it doesn’t reduce enough friction to prevent a nursing injury or repositioning injury from occurring. Strains and sprains are commonplace but more serious career ending back injuries are occurring. Since a successful lateral transfer hinges entirely on physical effort and effective communication, these practices have been deemed high risk.

In fact, these techniques are so ineffective that medical professionals are over 30 percent more likely to experience musculoskeletal pain.  According to the Bureau of Labor Statistics, Registered Nurses are the number one at risk profession for a back injury with an average of 7 lost work days per injury.  Manual Patient Handling injuries are the primary culprits for this debilitating condition. While occupational injuries aren’t ideal for workers, they can be especially detrimental to hospitals. Not only do injuries leave their personnel indisposed, but these mishaps can also prove costly, requiring hospitals to pay hundreds of thousands of dollars to cover injury costs, and that’s just the direct cost of these injuries.  d

In the hopes of addressing this ongoing issue, the Bureau of Labor Statistics held a study on safe patient handling programs. Their research showed that hospitals with proper lateral transfer procedures were 73 percent less likely to put their nurses or patients at risk. With this compelling evidence, the House made the noble decision to draft the Nurse and Health Care Worker Protection Act in 2015. At its core, this bill seeks to protect nurses from musculoskeletal disorders by requiring hospitals to reinforce their mobility, injury prevention, and patient handling standards.

The Future Of Safe Lateral Transfers

To combat the number of repositioning injuries, companies started introducing air-assisted transfer systems. AirPal is touted as the brains behind this invention and is renowned for being the first to design this revolutionary technology. With the efficacy of air-assisted transfer systems, companies like HoverMatt were eager to make this resource more accessible, leading to increased supply of the disposable or single patient use transfer mattress.

Air Powered Transfer System

In essence, these systems reduce friction while offering unmatched safety for both the patient and the caregiver. As a result, they improve ergonomics, reduce risk of injury to nurses, and improve patient satisfaction and safety during lateral transfers. Thanks to the incredible ability to reduce friction for patients of all sizes, fewer people are needed to oversee lateral transfers. To ensure that patients and staff members remain out of harm’s way, SPH Medical implements air-assisted transfer systems in hospitals all across the country.  SPH Medical is helping to make air assisted lateral transfer systems available to all hospitals at affordable prices.

Reasons To Choose Air-Assisted Transfer Equipment

Air-assisted transfer systems are highly sought-after for their ability to reduce handling injuries, but they offer more benefits than that. In addition to promoting safe practices, this cutting-edge equipment also instills comfort into the patient experience. In other words, patients aren’t as vulnerable to the unease and discomfort that accompanies traditional lateral transfers. With this modern equipment, transitioning a patient from point A to point B is seamless.  This can improve hospital efficiencies and throughput further reducing costs.

According to patients, air-assisted transfer systems give the illusion and feeling that they’re floating from one surface to the next. What’s more, this streamlined process makes patients feel like less of an inconvenience. When caregivers have to exert tremendous energy to move a patient, it can trigger self-consciousness especially for the Bariatric patient.  The dignity and care of Bariatric patients is an important consideration for hospitals across the country.  In her book The Challenges of Caring for the Obese Patient, Sue Gallagher states, “Even the most compassionate caregiver may be reluctant to provide adequate care [to a patient with obesity] because of the threat of caregiver injury.”  Fortunately, air-assisted equipment reduces self-doubt of caregivers and patients alike, bringing patients great peace of mind while allowing medical professionals to provide exceptional care.

 

References:

Gallagher S. The Challenges of Caring for the Obese Patient. Edgemont, PA: Matrix Medical Communications; 2005

Reduce Nursing Injuries
CategoriesPatient Handling

Reducing Risk of Nursing Injury During Lateral Transfer

by sphmedicaladmin

Nurses Perform Transfers

It is a scenario that plays out in the hospital setting every day. A patient must move from a bed to a gurney for treatment or testing. Once the patient reaches his or her destination, it is time for another lateral transfer. SPH Medical is lowering the risk of nursing injury during lateral transfers.

When a patient is mobile, this is not too difficult. In many cases, nurses and other medical professionals have to move the full weight of the patient without any assistance. According to the American Nurses Association, the average nurse can transfer 1.8 tons during an eight-hour shift. As a result, the most common nursing injury complaint involves musculoskeletal damage. Nursing staff members are almost twice as likely to suffer from back injuries than employees in other industries.

Increased Risk to Nursing Injury

Two trends are making this problem even worse. First, fewer people are going into careers as nurses or nursing assistants. Second, American patients are getting heavier and come to the hospital with lower levels of mobility. The combination of these two developments means that fewer staff members may be trying to move more weight each day. In fact nurses are more likely to manually lift move or transfer a 300 pound patient with little to no assistance. In the construction world, a contractor would get a fork lift or the appropriate hoist to lift this much weight and both OSHA and their safety guidelines may require it!

For the medical staff, this extra effort leads to injuries of the lower back, neck and shoulders. These are not low frequency tasks. In 2017, nursing staff reported almost 20,000 musculoskeletal injuries that required days away from work or lost work days. For the health care industry, injuries lead to increased insurance claims, workers’ compensation costs, and a long list of indirect costs that affect staff morale, patient satisfaction and more.

Legislative Solutions to Reduce Nursing Injuries

In response to this situation, states like California and Washington have passed legislation to prevent workplace injuries in the health care field. These states make it a requirement that every hospital develops a plan for safe patient handling. In 2015, federal legislators introduced the Nurse and Health Care Worker Protection Act in both the House and Senate to make this a national policy. Unfortunately, they have not acted on the bill at this time.

The good news is that facilities that introduce comprehensive safety measures around patient handling and lateral transfer benefit from the program. While there is an up-front cost to the new equipment, there are long-term savings for the institution. An $800,000 safe lifting program implemented by Stanford University Medical Center resulted in a 2.2-million dollar savings over five years. They saw a drop in workers’ compensation claims as well as a lower incidence of pressure ulcers in patients with the resulting treatment costs. Members of SPH Medical’s team were involved with Stanford’s well recognized program from the very beginning.

The Benefits of Air-Assisted Lateral Transfer Systems

Historically, the the most common means to transfer patients from gurney to bed was by using a transfer sheet or plastic slide board. Both of these modalities can cause friction and put undue pressure on the patient and over exertion or physical strain on the medical staff. Thankfully, there are devices available that can ease this process for everyone involved and significantly reduce the risk of nursing injury.

At first glance, an air-assisted device like the Air Powered Lateral Transfer system looks like a regular air mattress. However, there is a fundamental difference. When inflated, air continually blows into the mattress. Small holes in the bottom create a layer of air that minimizes friction. According to the makers of the Hovermatt system, this air cushion reduces the force required to move a patient by 80 to 90 percent and greatly reduces the risk of a nursing injury. A task that needed four medical staff members can be done safely by two.

Because the system can sit underneath a patient at all times, it will also reduce the risk of a repositioning injury. Nursing staff frequently must boost up a patient who has slipped down in his or her bed. An air-assisted transfer system makes this a stress-free task.

Using an air-assisted transfer system is beneficial to overall patient care. Transfers are faster and safer. These qualities matter when a patient is dealing with pain. Minimizing unnecessary motion keeps patients more comfortable.

SPH Medical specializes in equipment to promote handling patients safely and efficiently. Incorporating air powered lateral transfer solutions will benefit patients, staff and the entire medical organization by reducing costs, improving efficiencies, and most importantly improving patient care and patient satisfaction. Contact SPH Medical today to reduce nursing injuries in your facility.

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