EDUCATION DEPARTMENT The Ayrshire Hospice Moving and Handling EDUCATION DEPARTMENT The Ayrshire Hospice

Learning outcomes Define the term ‘Manual Handling’ Awareness of Legislation governing moving and handling. State the reasons for reporting accidents, incidents and near misses Explain the reasons for back pain and injury Explain the principles of safer manual handling Demonstrate or describe the correct approach to the base movement State why a risk assessment must be carried out prior to undertaking a manual handling operation

Manual Handling- The transporting or supporting of a load

STATISTICS On any one working day, there are over 90,000 people in the UK with back problems 5.5 million working days are lost in Britain every year as a result of back, or Manual Handling-related, injuries or disorders Absence from work due to back pain costs the UK £356 million per year

Moving and handling Legislation Health and Safety at work Regulations 1974 The management of Health and Safety at work regulations 1999 Workplace (Health,Safety and Welfare) 1999 Manual Handling regulations 1992 (MHOR)

Legislation The Reporting of Injuries, Diseases and Dangerous Occurances Regulation 2013 (Riddor) Provision and use of work Equipment Regulations (1998) Lifting Operation and Lifting equipment Regulations 1998 (Loler)

Manual handling incidents For employees it can mean: Disability Pain Loss of employment/career Loss of earnings Psychological illness Strain on family, friends and colleagues Incontinence

The Manual Handling Operations Regulations 1999 (MHOR) Avoid hazardous manual handling tasks so far as is reasonably practical Assess any task which cannot be avoided Reduce risk to reasonably practical level Information general or specific Review the steps taken to avoid the risk of injury should be monitored and changed if necessary

What must you do to comply with the law? You must follow the policies and procedures set up by your employer. You must use equipment provided by your employer, and follow instruction and training you have been given. You must take reasonable care of your own health and safety and of other people who may be affected by your acts or omissions. You must co-operate with your employer to enable him to comply with his health and safety obligations. You must report all accidents and incidents according to the procedure in the employer’s health and safety policy You must not do anything to interfere with equipment provided for your health and safety.

Guidelines for lifting and lowering – average man

Guidelines for lifting and lowering – average woman

Guidelines for more than one lifting and lowering Number of staff and their COMBINED capacities One person Two persons Three persons MEN 25kg 3 stone 13 lb 33.3 kg 5 stone 3 lb 37.5 kg 5 stone 12 lb WOMEN 16.6 kg 2 stone 8 lb 22.2 kg 3 stone 7 lb 25kg 3 stone 13 lb THESE FIGURES ARE FOR LIFTING IN THE IDEAL POSITION –ELBOW HEIGHT

Understanding your back How it works And How to keep it Healthy

Posture- Spine is S shaped made up of bones, ligaments.

Ligaments and discs

Prolapsed ‘Slipped’ Disc Compressed Disc Prolapsed ‘Slipped’ Disc

Common Causes of back pain Injury Ageing Disease of the spine Psychological Other

What are the Risk factors? Posture Force Repetition Personal risk factors

Helpful tips to prevent back problems Get plenty of rest Avoid standing or sitting for too long in one position Lift within your capabilities Avoid or minimise potentially hazardous lifting and apply the correct techniques Adopt a good posture Stop smoking Consider body weight eat a balanced diet Take regular exercise Use warm up exercises wherever possible

Safer Moving and Handling The Basic Principles Refresher

Centre of gravity- middle of a box

Centre of gravity in a person-pelvis

Effects of movement on centre on gravity

Effects of movement on centre on gravity

Basic principles of safer handling Create a wide and stable base Bend your knees and use your leg muscles Keep arms close to the body Keep your spine in line and avoid twisting and stooping Keep your head upright Hold the load close Consider the effects of friction

Base Movement

Assessing the Risk A Basic Guide

Hazards and Risks A HAZARD can be defined as something which has the potential to cause harm, while RISK is an expression of probability of injury, in relation to the severity of the hazard

Risk Assessment – The Process “TILEE” Task Individual Load Environment Equipment

Task What is the task, does the move go through vertical and horizontal distances, how often do I have to perform it? Where am I moving to and from? Will the distance to be travelled create a risk of fatigue? What is the urgency of the task? How much of the task is controlled by the handler?

Individual Am I the best person to do this? Does my height/size/strength meet the requirements of the task? Have I any medical or physical limitations, which would affect my ability to perform the task i.e. pregnancy? Have I had the training and do I know enough to perform the task? Do I need assistance to undertake the task? Am I and any assistants wearing appropriate clothing and footwear for the task (no loose jewellery or loose long hair), do we need to wear Personal Protective Equipment? Can all the team members do the task within their capability i.e. in a relaxed and comfortable manner? Are there enough people to consider undertaking the task this way?

Load- patient or object What is the weight of the load? Where is the centre of gravity of the load? How easy is it to manage, is it a difficult shape? How easy is it to grasp, what is the surface, what is the temperature of the surface? Are there any sharp edges, is it a stable load, does it have hand holds? Is the load able to assist movement (or will it resist)? Can the load be unpredictable – people and animals?

Environment What space constraints are there? Is the route to the destination as free from obstruction and risk as possible? Is the floor uneven or slippery? What is the temperature, too hot will cause fatigue, too cold may affect the grip? Is there sufficient light, poor visibility increases risks of slips and falls? Is there sufficient ventilation, poor ventilation will cause fatigue? What is the weather like, important for out of doors handling conditions? What changes of height are involved in the move? Are there any other hazards such as traffic, people, animals?

Equipment Limited availability of equipment Has it been well maintained? Is it appropriate for the task, client, carer, environment? Have the staff been trained to use it? Is the equipment accessible/safely stored? Do you have to wear protective clothing: gloves, apron etc.?

Four ‘P’s’ of Lifting

Avoid Controversial Techniques The drag Lift- Hooking underneath a patients arms and interlocking with your own. Displaces both your shoulder joints. Bear hug- Often known as a cuddle lift placing patient arms round your neck. Pulls on your neck and spinal column. And Finally……..

Before any Manual Handling Action. Stop Think – Is It Necessary To Move This Load? If Yes – Carry Out A Risk Assessment (Tilee) Decide Whether It Is Safe To Proceed Plan Your Move Prepare Apply Good Manual Handling Principles Throughout