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

2. 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

3. York Stretcher

4. Stollenwerk Stretcher

5. Stryker Stretcher

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

7. York Stretcher -
SWL 150 Kg

8. Stollenwerk Stretcher-
SWL 180 Kg

9. Stryker Stretcher -
SWL 225 Kg

10. What are the problems with the York Stretcher ?

12. Video clip of York Stretcher

13. 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 !

14. Video clip of Stryker Stretcher

15. 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.

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

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

18. 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.

19. Our lovely new transfer ambulance

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

23. Auckland Bariatric Ambulance

24. What is the SWL
A KG
B KG
C - 1,000 KG

25. Auckland Bariatric Ambulance -
725 Kg
Auckland Bariatric Ambulance -

26. Bariatric stretcher is winched into back of ambulance.

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

28. 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.

29. 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

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

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

32. 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

33. 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

34. 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

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

36. 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

37. 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