Transferring Lifting Repositioning (TLR)

Accountability What does accountability mean to you?

Legislation/policies All employers and workers must follow the laws developed for working safe Policies are in place to support this

TLR Theme Training for all staff, focusing on risk identification and management

TLR Theme Step by step process for all moving tasks Step 1: Clarify the nature of the moving task Step 2: Identify the moving technique Step 3: Conduct an assessment Step 4: Select the moving technique Step 5: Prepare for the move Step 6: Perform the move Step 7: Evaluate Step 8: Communicate

Defining the T, L and R Transferring – moving a client from one surface/location to another; a transfer belt is required Lifting – moving from one surface/location to another; involves mechanical lifts for client who cannot bear their own body weight Repositioning – moving on same surface or between to surfaces of equal height

Anatomy & Physiology Gentle "S"Moves to Avoid

Vertebrae

Personal Health 8 Principles to Good Body Mechanics Brain not back Listen Three Natural Curves Strong Thigh Muscles Grip Stance Weight Transfer Keep Load Close

Checkpoints Checkpoints of Good Body Mechanics For the top (ears over shoulders; shoulders over hips) For the bottom (bend at the knees, bend at the hips, stick your bottom out and tighten tummy) Elbows tucked in Safe effective grip Comfort zone Weight transfer

3 Areas of Assessment self (you) environment (including equipment) client or object

TLR Theme Empowerment of staff to make healthy and safe choices

TLR Theme Teamwork, Communication, command

TLR Theme Zero lift requires minimal manual effort with maximum equipment use

TLR Theme Think Twice, Move Once

Object (General) Moving Techniques Repositioning Diagonal Lift (alternate for EMS) Power Lift (alternate for EMS and for infants/small children) Tripod Lift (alternate for EMS and for infants/small children) Golfer’s Lift Partial Squat Lift

Violence How common is violence in your job? How do clients display violent/assaultive behaviour? What causes aggressive/assaultive behaviour?

Client Assessment communication cognition emotional/behavioural medical physical/functional

Hands-on Assessment Handshake Leg lifting Foot movement Rolling Sitting abilities Standing abilities Walking abilities

TLR logos

Levels of Assessment General Client Mobility Assessment (GCMA) Ongoing Client Mobility Assessment (OCMA) Specialized Client Mobility Assessment (SCMA)

TLR Theme TLR is always in the moment, at this time

Client Moving Techniques Repositioning – with assistive device Transferring – with transfer belt Lifting – with equipment

Equipment equipment – training of workers sling – use and care maintenance schedule for equipment and slings

TLR Theme Zero lift requires minimal manual effort with maximum equipment use