Download - Transferring Lifting Repositioning (TLR). Accountability What does accountability mean to you?
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Transferring Lifting Repositioning (TLR)
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Accountability
What does accountability mean to you?
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Legislation/policies
• All employers and workers must follow the laws developed for working safe
• Policies are in place to support this
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TLR Theme
Training for all staff, focusing on risk identification and management
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TLR Theme
Step by step process for all moving tasks
Step 1: Clarify the nature of the moving taskStep 2: Identify the moving techniqueStep 3: Conduct an assessmentStep 4: Select the moving techniqueStep 5: Prepare for the moveStep 6: Perform the moveStep 7: EvaluateStep 8: Communicate
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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
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Anatomy & Physiology
Gentle "S" Moves to Avoid
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Vertebrae
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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
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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
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3 Areas of Assessment
• self (you)
• environment (including equipment)
• client or object
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TLR Theme
Empowerment of staff to make healthy and safe choices
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TLR Theme
Teamwork, Communication, 1-2-3-command
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TLR Theme
Zero lift requires minimal manual effort with maximum equipment use
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TLR Theme
Think Twice, Move Once
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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
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Violence
How common is violence in your job?
How do clients display violent/assaultive behaviour?
What causes aggressive/assaultive behaviour?
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Client Assessment
• communication
• cognition
• emotional/behavioural
• medical
• physical/functional
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Hands-on Assessment
• Handshake
• Leg lifting
• Foot movement
• Rolling
• Sitting abilities
• Standing abilities
• Walking abilities
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TLR logos
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Levels of Assessment
• General Client Mobility Assessment (GCMA)
• Ongoing Client Mobility Assessment (OCMA)
• Specialized Client Mobility Assessment (SCMA)
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TLR Theme
TLR is always in the moment, at this time
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Client Moving Techniques
• Repositioning – with assistive device
• Transferring – with transfer belt
• Lifting – with equipment
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Equipment
• equipment – training of workers
• sling – use and care
• maintenance schedule for equipment and slings
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TLR Theme
Zero lift requires minimal manual effort with maximum equipment use