Welcome to, Moving & Handling & Ambulance Transfers. Helen Habgood RN, Ba (Hons), cert. ICU Nursing. Transfer Nurse Whakatane Hospital, Core trainer Moving and Handling.

Goals Describe the different stretcher types Explain issues with the York stretcher Explain the solution i.e new protocol The Auckland bariatric ambulance Transporting children and infants A brief look to the future

York Stretcher

Stollenwerk Stretcher

Stryker Stretcher

Which stretcher has which safe working load ? 180 Kg B 150 kg 225 Kg C

York Stretcher - SWL 150 Kg

Stollenwerk Stretcher- SWL 180 Kg

Stryker Stretcher - SWL 225 Kg

What are the problems with the York Stretcher ?

Video clip of York Stretcher

Problems with the York Stretcher ! Very low height for pulling Very low height for transferring Manual lift to raise, ie patients weight + weight of stretcher- not safe !! Requires physical pushing in and out of ambulance up and down ramp !

Video clip of Stryker Stretcher

Benefits of the Stryker Hydraulic lift and lower mechanism. Travels at good height for pushing. Can be raised to good height for transferring. Slides into back of ambulance with legs folding underneath, ie. no pulling up ramps.

Creation of new DHB policy 1. Mobile patients. Loading and unloading of patients who can freely mobilize; use wheelchair to take patient to ambulance.

Creation of new DHB policy 2. Immobile patients. York stretcher - keep in lowest position and either hoist on and off or slide patient across.

Creation of new DHB policy 2. Immobile patients. Stollenwerk and Stryker stretchers – Ambulance officer only to raise and lower these stretchers to height of bed and lateral transfer or hoist patient on and off.

Our lovely new transfer ambulance

What do we do if our patient weighs more than 225 kg ?

Auckland Bariatric Ambulance

What is the SWL A - 500 KG B - 725 KG C - 1,000 KG

Auckland Bariatric Ambulance - 725 Kg Auckland Bariatric Ambulance -

Bariatric stretcher is winched into back of ambulance.

SWL For ambulance stretchers. York stretcher ……...…150 kg Stollenwerk………........180 kg Stryker……….……........225 kg Auck. bariatric ambulance…725 kg  

Bariatric Considerations. Stryker and Stollenwerk are good when greater SWL required Using a maxi taxi with a bariatric wheel chair for bariatric patients who can tolerate sitting up.

Ambulance transfer of Infants and Children Based on the Starship hospital paediatric transfer guidelines This information is for non critically ill children Determinants are child's weight, physical condition, length of journey, car seat trail

Child greater than 18.1 Kg. Use – adult ambulance stretcher with normal seatbelt.

Pedi-mate restraint for infants and toddlers. 4.5 - 18.1 kg, 10-40 lb

How do you transfer an infant less than 4.5 Kg ? Unable to maintain own temperature without warming Requires direct observation with no clothes Transport Incubator

How do you transfer an infant less than 4.5 Kg ? Able to maintain own temperature without warming Does not require direct observation, ie wearing clothes Journey time more than an hour Hasn’t passed car seat trial How do you transfer an infant less than 4.5 Kg ? Infant transport pod secured to stretcher

How do you transfer an infant less than 4.5 Kg ? Able to maintain own temperature without warming Does not require direct observation, ie wearing clothes Journey time less than an hour Has passed car seat trial How do you transfer an infant less than 4.5 Kg ? Infant capsule

A look to the future St John’s plan is to replace the York stretchers with Stryker stretchers, so each ambulance has a Stryker.

A look to the future A new stretcher made by Stryker is now available called the Stryker power pro. It has a mechanical hydraulic lift that raises the stretcher from ambulance to ground and loads it into ambulance

CONCLUSIONS York stretchers pose many hazards to health care staff Stryker stretchers have many advantages Need to be aware of weights of our adult, child and infant patients Accurate assessment of patients needs including weight will lead to correct transport method