1. Reproduced with permission from HumanFit, LLC © 2014. Unit Based Safety Leader/Champion Programs Presented by Lynda Enos, RN, BSN, MS, COHN-S, CPE Ergonomics Consultant, HumanFit, LLC. Tel: 503-655-3308 Email: HumanFit@aol.com Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

2. Reproduced with permission from HumanFit, LLC © 2014.  Management Commitment (visible program champion)  Employee Involvement (inc. Labor)  A Business Plan (strategic & tactical)  Program Management (program facilitator)  Worksite Analysis  Hazard Prevention & Control (SPH equipment and safe work practices)  Education & Training  Disability Management (After Action Review)  Culture (Behavior change re equipment use and sensitivity)  Planning for Sustainability Components of Sustainable & Effective Safe Patient Handling Programs Multifaceted programs are more effective than any single intervention. (NIOSH, 1997; OSHA 1991 & 2003; VAH 2010) 2 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

3. Reproduced with permission from HumanFit, LLC © 2014. Unit Based Safety Leader/Champion Programs  Unit based champion programs play a key role in sustaining patient and staff safety initiatives and programs A unit base champion is a staff person that:  Has advanced training and expertise about a specific safety issue e.g. using patient handling equipment and best work practices  Supports the facility and the unit leadership to meet program goals e.g. successful implementation and maintenance of the SPH program 3 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

4. Reproduced with permission from HumanFit, LLC © 2014. Unit Based Safety Leader/Champion Programs A unit base champion assists to meet the SPH program goals by:  Assisting to integrate evidence based practice that achieves effective and safe care and thereby facilitating culture change on a unit  Acting as a leader, mentor, advocate to promote and raise the collective awareness of a program e.g. SPH to peers and other staff  Performing as a coach that will demonstrate and assist coworkers in using patient handling equipment and troubleshoot issues  Advocating new ideas or initiatives and working diligently to promote them. 4 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

5. Reproduced with permission from HumanFit, LLC © 2014. Unit Based Safety Leader/Champion Programs  Evidence base supporting the use of unit based champion programs: –Skin champions –Patient safety champions –Safe patient handling –Other industries 5 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

6. Reproduced with permission from HumanFit, LLC © 2014. Challenges With Implementing and Sustaining a Champion Program  Recruitment and retention  Time for education/training  Time to perform champion activities  Resources to manage/support a champion group  Keeping the program ‘fresh’ 6 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

7. Reproduced with permission from HumanFit, LLC © 2014. Champion Program Structure  Unit based –At least 1 champion per shift –Could be RNs and CNAs on patient care units –Technicians e.g. for Imaging depts. –Transporters  Facility Wide –May be beneficial for larger hospitals  Must have clearly defined program plan and management, champion roles and responsibilities 7 Unit Based Safety Leader/Champions Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

8. Reproduced with permission from HumanFit, LLC © 2014. Characteristics of Effective Champions  Creative, energetic, and enthusiastic about champion role  Strong communication and interpersonal skills  Ability to influence others to practice evidence- based care/serves as a role model (is respected by peers on unit) 8 Unit Based Safety Leader/Champions Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

9. Reproduced with permission from HumanFit, LLC © 2014. Characteristics of Effective Champions  Is willing to take the time to educate, elicit feedback from, and provide regular updates to unit staff members about the SPH program and progress on the unit  Recognized as credible by those with whom they work and senior management (Bergquist-Beringer et al 2009)  May have had a previous work related injury from patient handling 9 Unit Based Safety Leader/Champions Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

10. Reproduced with permission from HumanFit, LLC © 2014. Recruiting Champions  Hand picked by SPH or Safety coordinator and/or unit managers or volunteers (preferred)  Recruit at staff training for SPH and/or unit staff meetings  Be careful if choosing staff who are already volunteered for many committees of other champion roles  Define role and ‘what is the benefit for them’ 10 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

11. Reproduced with permission from HumanFit, LLC © 2014. Training  Competency based Example –Foundation and evidence base for SPH –Facility SPH program/policy information –How to teach and coach –Hands on equipment training –Return demonstration and teaching of other champions in class –Assist to teach a staff SPH class with trainer –Follow-up by SPH coordinator on unit to review skills, processes and answer questions 11 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

12. Reproduced with permission from HumanFit, LLC © 2014. Activities Performed Example from SPH programs  Review safe and appropriate use of SPH equipment and processes with new and existing unit staff  Coaching staff and review use of SPH processes e.g., –Patient assessment tools –Documentation and communications  Assist to design SPH marketing initiatives on unit to facilitate staff engagement in program 12 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

13. Reproduced with permission from HumanFit, LLC © 2014. Activities Performed Example from SPH programs  Troubleshoot equipment & supply issues e.g. lift battery is dead, lift slings needed  Conduct ‘real time’ competency based audits of equipment use, processes and patient experience  Identify barriers to equipment use  Actively participate in Daily Safety Huddles 13 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

14. Reproduced with permission from HumanFit, LLC © 2014. Activities Performed Example from SPH programs  May be involved in after Action Review of patient handling related injuries on the unit  Assist staff and unit leaders to address specific SPH related issues e.g. safe care of a dependent bariatric patient  Educates patients, families and other non unit staff about the SPH program and use of equipment  Communicate ideas/program feedback to unit leader, SPH coordinator, committees etc. 14 Unit Based Safety Leader/Champion Programs Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

15. Reproduced with permission from HumanFit, LLC © 2014. Ongoing Champion Support  Give the safety champion the power to come up with quick solutions to certain problems, such as getting equipment fixed or replaced.  Champion group meetings  Linkage to other champion groups  Regular communications –Email group –Newsletter –Rounding by SPH coordinator 15 Unit Based Safety Leader/Champions Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

16. Reproduced with permission from HumanFit, LLC © 2014. Ongoing Champion Support  Periodic Refresher training  Periodic review of champion effectiveness  Recognition & celebration of successes unit/facility wide 16 Unit Based Safety Leader/Champions Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

17. Reproduced with permission from HumanFit, LLC © 2014. 17 Questions & Discussion Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

18. Reproduced with permission from HumanFit, LLC © 2014. Selected References  Bergquist-Beringer et al (2009). Embracing the use of skin care champions. Nursing Management, 40(12): 19-24  Champions Improve Staff Education and Compliance with Pressure Ulcer Prevention Strategies (2013). Onslow Memorial Hospital Jacksonville, North Carolina, USA and  Appoint a Safety Champion for Every Unit (2014). Retrieved from the Institute for Health Care Improvement http://www.ihi.org  Nelson, A. Matz M, Chen F, Siddharthan K, Lloyd J, Fragala G (2006). Development and Evaluation of a Multifaceted Ergonomics Program to Prevent Injuries Associated with Patient Handling Tasks. International Journal of Nursing Studies, 43(6):717–733. 18 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14

19. Reproduced with permission from HumanFit, LLC © 2014. Selected References  Patient Care Ergonomics Resource Guide: Safe patient handling and movement. Nelson, A.L. (Ed). (2001 rev 2005). Tampa, FL: Veterans Administration Patient Safety Center of Inquiry.  Safe Patient Handling and Movement: A Practical Guide For Health Care Professionals (2006). Audrey Nelson Editor. Springer Publishing http://www.springerpub.com/  Veterans Health Administration (VHA) Directive 2010-032 June 28, 2010 - Safe Patient Handling Program and Facility Design 19 Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14