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NHSGGC, Moving and Handling Team
NHS GGC, Acute Service Statutory and Mandatory Training Program, 2016 (V4.1)
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Moving & Handling in NHSGGC
Overview Meet the team Moving & Handling Education Competency & self assessments
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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 – (24809) North Moving & Handling Practitioners (North) Selina Rodgers Mandy Reekie Ciara Aitken (24809) South Tom O ’ Moving & Handling Practitioners (South) Christine Hepburn Tom O’Connor Maureen Nugent (80533) (Acute South) Jillian McDonald (80455) Moving and Handling Lead Practitioner 3
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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
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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
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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
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Overview Legislation Movement Handling scenarios 7
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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
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Legal Duties Employers Avoid Assess Reduce Review Employees
Follow system of work Assess & plan Use equipment / training Report any problems 9
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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
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Overview Legislation Movement Handling scenarios 11
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Inefficient vs. efficient movement
Line of Gravity Efficient Movement - Balanced Inefficient Movement - Unbalanced
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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
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Overview Legislation Movement Handling scenarios 1 – 5. 14
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1. Identify the problems
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Over stretching Tension Top Heavy Locked Knees
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Solutions Raise bed height Get Help Up right Keep Close Soft Knees
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2. Identify the problems
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Top Heavy Increased Tension Spine Rotated Locked Knees Unbalanced, weight all on heels
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Solutions Raise Height Change Angle Weight even over both feet
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3. Identify the problems
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Excessive effort causing tension
Lifting Patient Weight Spine Rotated Spine Rotated Sliding sheets do not go under patient’s heels causing shearing force.
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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
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4. Identify the problems
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Boxes unsteady Top Heavy posture Cage overfilled Cannot see route ahead Excessive effort through arms to push Far away from load
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Solution Can see route ahead Reduce weight of cage Closer to load
Boxes more stable
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5. Identify the problems
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Monitor too high Tension Stretching to keyboard Clutter Rotated Obstruction No support Feet not stable
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Monitor lowered Tension reduced Back supported Keyboard closer Rotation eliminated Obstruction removed Feet supported
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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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For more information please visit our pages on
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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
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