ALL WALES PASSPORT SCHEME.
•All Wales NHS manual handling group took place in June
2000
•Implemented in 2003
•Every trust in Wales and the Health and Safety Executive was invited to join the group
•The largest risk assessment ever carried out in Wales
•Based on accidents stats of 80,000 NHS employees
• Transfers from trust to trust (Passport)
•Adopted as ‘Best Practice’ document for care standards.
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Question?
CQ
What is a hoist used for and why?
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Hoists
Hoists can transfer non-weight-bearing service-user on and off a chairs, beds, baths, toilets or the floor.
There are handling aids for a wide range of needs
(many are listed in the Disabled Living Foundation guide 1994).
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CQ
What if a patient refuses to be moved with equipment?
Write down the steps that you should take.
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Assessment
This is unusual, but it can happen. Such situations can almost always be prevented by engaging the service-user and their family / carers in the assessment process, taking their views into account and securing their agreement to the chosen handling technique.
If there is a failure to agree, someone with particular assessment and communication skills should be brought in, for example, a moving & handling trainer/coordinator to review the assessment and proposed handling techniques.
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Assessment
The benefits to the service-user should be pointed out and the health & safety of the care workers explained.
Sometimes staff have transmitted their own insecurity over the use of equipment, or the service-user has been hurt in the past by the clumsy application of slings.
Perhaps another method or piece of equipment can be used in such instances.
If all attempts at persuasion fail, then a manager must decide whether care can be adequately provided by other means, e.g. by nursing the service-user in bed. They will have to weigh up the risk of injury to staff against the risk to the service-user if a particular procedure is not carried out.
In practice this difficult situation is rare. In cases that have cropped up in the community, it has usually been feasible to nurse the service-user in bed while steps are taken to persuade them to be moved by a hoist.
The Task
Factors to be considered:
● What is the task?
● Is the task necessary?
● Is there a risk assessment? ● How many people required? ● Are those involved trained? 11
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Moving a person
Factors to be considered:
● Capabilities of the person
● Size and weight
● Co-operation
● Safety
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Environment
Factors to be considered:
● Space constraints
● Fixed hazards
● Moveable hazards
● Temperature
● Hygiene
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Design a Bedroom
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Bed
Wardrobe
Chest Drawer
Bedside Table
Bedside Lamp
Call Bell
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Mirror
2 chairs
Table
Radiator
Commode
Access for a hoist
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Equipment
Factors to be considered:
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Is equipment required?
Equipment available
Is equipment suitable?
Is equipment working and maintained? 15
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Case Study for Risk Assessment
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Unsafe lifts
Drag lift
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Hands around neck
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Unsafe lift
Top and tail
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Encouraging Standing
● Circulation
● Prevention of skin breakdown ● Maintains quality of life ● Maintains mobility
● Values, choice, dignity and independence 19
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● Improves/maintains bone density
● Decreases functional incontinence ●
