NHSGGC, Moving and Handling Team NHS GGC, Acute Service Statutory and Mandatory Training Program, 2016 (V4.1)

Moving & Handling in NHSGGC Overview Meet the team Moving & Handling Education Competency & self assessments

The Acute Services Moving & Handling Team Head of Health & Safety Kenneth Fleming Health and Safety Service Manager Cameron Raeburn Val Moving & Handling Lead Practitioner (Acute North) Val Cuthill – 0141 211 4809 (24809) North Moving & Handling Practitioners (North) Selina Rodgers Mandy Reekie Ciara Aitken 0141 211 4809 (24809) South Tom O ’ Moving & Handling Practitioners (South) Christine Hepburn Tom O’Connor Maureen Nugent 0141 201 0533 (80533) (Acute South) Jillian McDonald - 0141 201 0455 (80455) Moving and Handling Lead Practitioner 3

Moving & Handling Education Training Induction, skills updates and coaching E-Learning Load and people handling modules Aimed at new starts in jobs with lower MH risks HR Connect / StaffNet Guidance on MH handling, user guides & safety briefings Bariatric guidance & equipment Order details for slings and sliding sheets

Moving & Handling Assessments Competency assessments For staff in jobs with higher MH risk To allow support to be provided where its needed most Self Assessments For all staff Can be used as part of PDP/KSF review Information on HR Connect

Today – MH Learning Outcomes At the end of this session, delegates will be able to : Demonstrate an understanding of legislation relating to manual handling Understand the risks associated with manual handling activities Describe the differences between efficient and inefficient movement patterns Describe a pattern of efficient personal movement Identify efficient and inefficient movement patterns as they are applied to manual handling tasks

Overview Legislation Movement Handling scenarios 7

What is Moving & Handling? The Manual Handling Operations Regulations(1992) define it as: “any transporting or supporting of a load (includes the lifting, putting down, pushing, pulling, carrying or moving thereof ) by hand or by bodily force”. In other words: Lifting up a load or putting it down Holding or supporting a load Pushing or pulling a load Carrying a load 8

Legal Duties Employers Avoid Assess Reduce Review Employees Follow system of work Assess & plan Use equipment / training Report any problems 9

Risk Assessment Considerations Framework – TILEO T ask - does it need to be done, do you need equipment to help? - is the task repetitive or sustained? - How far do you have to go, does everyone know what to do? I ndividual - how familiar are you with the equipment / task? - are you fit for the task? L oad - how heavy / stable / awkward is the load, do you need help? E nvironment - is there enough room, what is the lighting / flooring like? - is the weather a factor? O ther - do I have the right clothing? - are there any psychological factors to consider? 10

Overview Legislation Movement Handling scenarios 11

Inefficient vs. efficient movement Line of Gravity Efficient Movement - Balanced Inefficient Movement - Unbalanced

Efficient Movement Pattern Get close Get in on an angle Relax your knees Off set your feet Elevate, relax and allow movement of your spine Take an indirect hold Lead with the head 13

Overview Legislation Movement Handling scenarios 1 – 5. 14

1. Identify the problems

Over stretching Tension Top Heavy Locked Knees

Solutions Raise bed height Get Help Up right Keep Close Soft Knees

2. Identify the problems

Top Heavy Increased Tension Spine Rotated Locked Knees Unbalanced, weight all on heels

Solutions Raise Height Change Angle Weight even over both feet

3. Identify the problems

Excessive effort causing tension Lifting Patient Weight Spine Rotated Spine Rotated Sliding sheets do not go under patient’s heels causing shearing force.

Solution Less effort through arms Sliding rather than lifting patient weight Angle of approach to eliminate torsion of spine Increase height of bed Sliding sheets now under patient’s heels reducing shearing forces

4. Identify the problems

Boxes unsteady Top Heavy posture Cage overfilled Cannot see route ahead Excessive effort through arms to push Far away from load

Solution Can see route ahead Reduce weight of cage Closer to load Boxes more stable

5. Identify the problems

Monitor too high Tension Stretching to keyboard Clutter Rotated Obstruction No support Feet not stable

Monitor lowered Tension reduced Back supported Keyboard closer Rotation eliminated Obstruction removed Feet supported

Today – MH Learning Outcomes At the end of this session, delegates will be able to : Demonstrate an understanding of legislation relating to manual handling Understand the risks associated with manual handling activities Describe the differences between efficient and inefficient movement patterns Describe a pattern of efficient personal movement Identify efficient and inefficient movement patterns as they are applied to manual handling tasks 30

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Associated KSF Dimensions C2 – Personal & people development C3 – Health, safety and security C4 – Service improvement C5 - Quality C6 – Equality & diversity HWB1 – Promotion of health & wellbeing…. HWB2 – Assessment of care…. HWB3 – Protection of health and wellbeing