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

2. 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

3. Manual Handling- The transporting or supporting of a load

4. 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

5. 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)

6. 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)

7. 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

8. 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

9. 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.

10. Guidelines for lifting and lowering – average man

11. Guidelines for lifting and lowering – average woman

12. 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

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

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

15. Ligaments and discs

16. Prolapsed ‘Slipped’ Disc
Compressed Disc
Prolapsed ‘Slipped’ Disc

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

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

19. 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

20. Safer Moving and Handling
The Basic Principles Refresher

21. Centre of gravity- middle of a box

22. Centre of gravity in a person-pelvis

23. Effects of movement on centre on gravity

24. Effects of movement on centre on gravity

25. 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

26. Base Movement

27. Assessing the Risk
A Basic Guide

28. 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

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

30. 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?

31. 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?

32. 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?

33. 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?

34. 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.?

35. Four ‘P’s’ of Lifting

36. 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……..

37. 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