outline sph new hire training - ucla health hire sph orientation packet.pdfproper body mechanics...

OUTLINE SPH NEW HIRE TRAINING

INTRODUCTION OF SPH TEAM

CURRENT INJURY GRAPHS

BACKGROUND OF SAFE PATIENT HANDLING AB1136

AREAS OF BODY EXPOSURE

LIFTING POLICY

REFUSAL TO PERFORM PATIENT MOBILITY

TRAINING REQUIREMENTS

ANNUAL ON-LINE TRAINING MODULE

NEW HIRE HANDS-ON TRAINING

ANNUAL DEPT/UNIT SPECIFIC REFRESHER TRAINING

UNIT LEVEL RESPONSIBILITIES

ROLE OF SPH COORDINATORS

UD, RN, LIFT CHAMPIONS

ROLE OF LIFT TEAM

REHAB. SERVICES

SAFE PATIENT HANDLING

EQUIPMENT AVAILABLE

LOCATION

CLEANING

DOCUMENTATION

BMAT ROOM DOCUMENTATION

RN INSTRUCTION

-VERBAL, SUMMARY PAGE, ROOM DOCUMENTATION

GENERAL BODY MECHANICS

FUNCTIONAL TASKS APPLICATION USING EQUIPMENT

TRAINING REQUIREMENTS

Initial Training Requirements

• On-line training module (mednet home page) • New Grad Orientation (hands-on) • Experienced staff New hire training scheduled by unit (hands-on)

Annual Requirements

• On-line training module • Dept. specific refresher training ( hands-on)

HR TRACKING

• Safe Patient Handling Training on HR tracking • Print certificate of completion for file

UNIT LEVEL SPH RESPONSIBILITIES (WHO IS IN CHARGE? WHO DOES WHAT?)

UNIT DIRECTORS

-Annually complete a Clinical Area Patient Handling Hazard Evaluation and Plan to identify the area’s

unique hazards.

-UD should collaborate with safe patient handling coordinator to develop corrective actions to control

patient mobility & handling hazards identified through injury/accident investigations, unit hazard

evaluations, refusal to lift events, and staff reported hazards. Ensure all unit staff complete training in

accordance with the training requirements outlined in this policy.

-Ensure sufficient trained staff are available to perform mobility & handling activities at all times in your

clinical area in accordance with the performance of Mobility & Handling Activities.

-Provide necessary resources to support SPHM operations in your clinical area, including the supply and

replacement of equipment, slings, and attachments used by staff in your area.

-Designate equipment, sling, and attachment storage locations, which allow equipment to be readily

available & accessible for use by staff, and ensure that equipment is stored correctly.

-Encourage employee feedback and participation in the completion of the Clinical Area Patient

Handling Hazard Evaluation and Plan. Encourage staff reporting of hazards and adhere to the

Employee Right to Refuse Statement & Guidelines.

RN-COORDINATOR OF CARE

-Assess the mobility of all patients upon admission or transfer to your unit and as patient condition Changes thereafter.

-Outline SPHM instructions for all anticipated mobility & handling activities after completing each patient’s mobility assessment.

-Communicate your SPHM instructions to other involved staff, the patient &/or their representatives.

-Direct all movements of your assigned patients through your SPHM instructions, including movements through a transfer of care to another clinical area or unit.

-Provide assistance or designate a responsible person to assist in complex patient handling tasks Mentoring existing staff in proper use of equipment located on unit.

SPH UNIT CHAMPIONS

Annual refresher training on equipment located on unit

Maintaining competency records in SPH for unit staff

Providing feedback to unit at staff meetings on injuries related to patient handling

Encouraging staff to embrace safe patient handling practices, and ensure that equipment and supplies are available and in working order.

Proper Body Mechanics

Allow the patient to safely assist with his/her own movement, whenever

possible.

If pushing or lifting over 35lbs. of force, use assistive device, get additional

assistance and lift team.

Maintain a straight back with a wide stable base and avoid trunk rotation.

Keep your shoulders, spine and hips in line. Keep elbows tucked in and wrists

facing down.

Adjust beds, gurneys or other surfaces to waist height and as close to you as

possible.

When providing care or repositioning patients in bed/gurney, put the bed at

hip or waist level of the shortest assisting person. Taller staff remember to

separate legs, bend knees and maintain a neutral spine to appropriate surface

level.

When boosting, move the patient shifting your weight from one foot to the

other. If not contraindicated, place bed in Trendelenburg to assist with

transition.

When pushing, keep load close to your body. Use an upright neutral posture,

push with your whole body and keep elbows tucked in.

When rolling patient, if not contraindicated, bend both legs or far leg of

patient and rotate in direction of roll. Roll trunk by extending arms and use

body wt. leaning back instead of shoulders and arms. Second person assisting

by pushing trunk from opposite side.

When lowering or lifting, use legs while maintaining hip and spine alignment.

With any manual group lift in an emergency, first designate a team member to

lead the turn/lift. Second, ensure team members know their roles. Lastly,

ensure the objective is clearly communicated to all team members and the

patient. Manual group lifting requires a minimum of 4 people or more.

Depending on the patient’s weight, a 2 layer sheet under patient works best

when mechanical lift is not appropriate. Avoid lifting with just upper

extremities.

CLEANING AND STORAGE

PROCEDURE FOR LIFT

EQUIPMENT

-Before and after use

-Clorox wipes for C-diff or Spore precautions

(Contact time 3min. wet)

-Peroxide wipes for all other cleaning

(Contact time 5min. wet)

-EVS wipe down weekly to prevent dust

collection

REMEMBER TO CLEAN ENTIRE MACHINE

STORAGE OF LIFT EQUPMENT

In use- use within 30 minutes

Not in use- stored in designated areas

BMAT- Pediatrics

Recommended patient population: Patients age > 4 years of age with ability to follow directions

Ensure activity order in place and safety screening clearance before assessing with BMAT

ASSESSMENT LEVEL 1 SIT AND SHAKE

From a semi-reclined position, ask your patient to sit upright and rotate to a seated position at the side of the bed. Ask patient to reach across midline to shake your hand

MOBILITY LEVEL 1 DEPENDENT

ASSESSMENT LEVEL 2 STRETCH AND POINT

Ask patient to extend leg forward until it is straight at the knee. Ask the patient to point and flex foot/toes. Repeat with other leg if appropriate.

MOBILITY LEVEL 2 MODERATE ASSIST

ASSESSMENT LEVEL 3 STAND

Ask your patient to elevate off the bed or chair using an assistive device if needed. Patient should be able to raise buttocks off bed and hold for a count of five.

MOBILITY LEVEL 3 MINIMAL ASSIST

ASSESSMENT LEVEL 4 WALK

Ask your patient to march in place at bedside. Then ask patient to advance step and return each foot.

MOBILITY LEVEL 4 MODIFIED INDEPENDENCE

SAFE PATIENT HANDLING TIPS

MaxiMove

-REMEMBER MAXIMOVE SLINGS ARE DISPOSABLE AND SINGLE PT. USE

-DO NOT LOCK BRAKES ON MAXIMOVE WHEN LIFTING A PATIENT

FROM BED OR FLOOR

-USE SLING ONE SIZE LARGER WHEN DOING A FALL RECOVERY LIFT

-REMEMBER SMALL AND XXL SLINGS ARE AVAILABLE IN MATERIALS

MANAGEMENT

-REMEMBER TO TURN OFF LIFT AFTER EVERY USE

-CHECK BATTERIES ONCE A SHIFT (8 HRS. TO CHARGE EMPTY BATTERY)


TENOR BARIATRIC LIFT

PURPLE SLING WITH BLACK EDGES

REMEMBER SLINGS ARE LAUNDRY ONLY

704 LBS WT LIMIT

LEGS OF SLING MUST BE CROSSED WITHIN LOOPS

DO NOT LOCK BRAKES ON TENOR WHEN LIFTING A PATIENT

FROM BED OR FLOOR

USE ONE SIZE LARGER WHEN DOING FALL RECOVERY LIFT

SLINGS ARE AVAILABLE IN XL & XXL IN LIFT TEAM DEPT

NOTIFY LIFT TEAM WHEN NEEDED

REMEMBER TO TURN OFF LIFTS AFTER EVERY USE

CHECK BATTERIES ONCE A SHIFT (8HRS. TO CHARGE EMPTY

BATTERY)


LIKO GOLVO

GREEN SLINGS WITH COLORED EDGES NEAR SHOULDERS

SLINGS ARE LAUNDRY ONLY OR SINGLE PATIENT USE

440 LBS WT LIMIT

LEGS OF SLING MUST BE CROSSED WITHIN LOOPS

BRAKES REMAIN UNLOCKED WHEN LIFTING A PATIENT FROM BED

OR FLOOR

USE ONE SIZE LARGER WHEN DOING FALL RECOVERY LIFT

CAN BE USED FOR CAR EXTRACTIONS

SLINGS ARE AVAILABLE IN L, XL & XXL

KEEP LIFT PLUGGED IN AFTER EVERY USE

CHECK BATTERY ONCE A SHIFT (MAXIMUM CHARGE REACHED

AFTER 6HRS)

ALWAYS PERFORM WITH 2 STAFF FOR SAFETY


TOLLOS BARIATRIC STEDY AID (SIT TO STAND)

REMEMBER TO LOCK BRAKES TO LIFT PATIENT AND UNLOCK BRAKES TO SIT PATIENT

ALWAYS HAVE SOMEONE HOLDING LIFT TO CONTROL MOVEMENT DURING DESCENT

750 LBS WT LIMIT

BRIGHT BLUE SLING W/COLORED LOOPS

REMEMBER SLING IS WIPE DOWN/REUSABLE

ALSO AVAILABLE IN WHITE DISPOSABLE SLINGS W/COLORED EDGES

NOTIFY LIFT TEAM WHEN NEEDED

SLINGS ARE AVAILABLE IN XL & XXL IN LIFT TEAM DEPT

REMEMBER TO TURN OFF LIFT AFTER EVERY USE

CHECK BATTERIES ONCE A SHIFT (8HRS. TO CHARGE EMPTY BATTERY)


SARA STEDY

-REMEMBER THE SARA STEDY IS NOT A WALKING DEVICE

-PATIENT MUST HAVE SITTING BALANCE

-PATIENT MUST BE ABLE TO FOLLOW COMMANDS

-PATIENT MUST BE ABLE TO PERFORM SIT TO STAND WITH MINIAML

ASSISTANCE

-PATIENT MUST BE AT LEAST WT BEARING AS TOLERATED OR FULL WT.

BEARING WITH BOTH LE’S AND AT LEAST ONE UE


RoWalker

REMEMBER TO ENTER ROOM WITH ROWALKER AT THE LOWEST

HT. REMEMBER TO TAKE OFF SAFETY LOCKS WHEN ADJUSTING

REMEMBER TO TAKE OFF SAFETY LOCKS BEFORE ADJUSTING HT.

AND SECURE LOCKS BEFORE USAGE

REMIND PATIENT THE HT. ADJUSTING GRIP IS NOT A BREAK

ROWALKER ABLE TO ACCOMMODATE PATIENTS FROM 5’1” AND

ABOVE.

WT. REQUIREMENT <400 LBS


QUICKMOVE WALKER

SIT TO STAND TRANSFER AND WALKING DEVICE

REMEMBER TO ENTER ROOM WITH QUICKMOVE WALKER AT LOWEST HT.

PATIENT MUST BE ABLE TO PULL SELF UP TO STAND

REMEMBER TO LOCK DEVICE PRIOR TO MOBILIZING PATIENT

QUICKMOVE WALKER CAN ACCOMMODATE PATIENTS FROM 5’1’’ AND

ABOVE

WT. REQUIREMENT < 375 LBS

FOOT PLATE IS USED FOR SIT TO STAND TRANSFER

FOOT PLATE IS REMOVEABLE FOR AMBULATION

CLEAN ENTIRE LIFT BEFORE AND AFTER USE


SEATED POSITIONING SYSTEM

REMEMBER TO KEEP HIPS IN LINE WITH CHAIR

USE BODY WT. AND SHIFT WT. BACKWARDS WHEN

REPOSITIONING PATIENT

ALWAYS PERFORM WITH 2 STAFF FOR SAFETY

SEATED POSITIONING SYSTEM SHOULD BE IN DIRECT CONTACT

WITH CHAIR (DO NOT PLACE CHUX OR SHEET BETWEEN CHAIR

AND SEATED POSITIONING SYSTEM)


SAGE TAPS 2.0

REMEMBER EACH COMPONENT OF THE SYSTEM CAN BE

REPLACED SEPERATELY AND IS LOCATED ON SUPPLY CART

TOP SHEET PLACED AT PATIENTS SHOULDER

WEDGES ARE TO BE USED BLACK SURFACE UP AND ANCHOR

WEDGE BENEATH THE PATIENTS THIGHS

REMEMBER TO MONITOR SKIN AT ALL AREAS OF CONTACT WITH

WEDGES AND ANCHOR

TAPS CAN BE USED FOR LATERAL TRANSFERS IF ACCOMPANIED BY

A SLIDE BOARD OR ROLL BOARD

REMEMBER TO ADJUST BED TO HIP LEVEL OF SHORTER PERSON,

TIGHTEN ABDOMINAL AREA, STRONG WRIST (PALMS FACING

DOWN), ELBOWS INTO BODY AND WT. SHIFT DURING

REPOSITIONING OF PATIENT.

Roll board Slide board

SAFE PATIENT HANDLING TIPS SAGE TAPS XL/XXL

ORDER FROM MATERIALS MANAGEMENT

COMES AS AN ENTIRE SYSTEM

REMEMBER TO PLACE MATTRESS COVER PRIOR TO GLIDE SHEET

TOP OF GLIDE SHEET IS PLACED AT PATIENT’S SHOULDER

ATTACH GLIDE SHEET STRAPS TO MATTRESS COVER

REMEMBER TO MONITOR SKIN AT ALL AREAS OF CONTACT WITH WEDGES

AND ANCHOR

XL/XXL TAPS CAN BE USED FOR LATERAL TRANSFERS IF ACCOMPANIED BY A

SLIDE BOARD OR ROLL BOARD AND ADDITIONAL ASSISTANCE

REMEMBER TO ADJUST BED TO HIP LEVEL OF SHORTER PERSON, TIGHTEN

ABDOMINAL AREA, STRONG WRIST (PALMS FACING DOWN), ELBOWS

INTO BODY AND WT. SHIFT DURING REPOSITIONING OF PATIENT

Roll board Slide board


MAXI AIR & PUMP

REMEMBER TO ORDER FROM MATERIALS MANAGEMENT WHEN

ANTICIPATING A PATIENT APPROPRIATE FOR DEVICE

REMEMBER TO CENTER PATIENT ON MAXI AIR MATTRESS

REMEMBER TO SNAP HOSE IN AND CLOSE VELCRO TAB FOR

EFFICIENT MATTRESS INFLATION

REMEMBER TO LOCK BRAKES ON BOTH SURFACES, RAISE BOTH

RAILS ON BED AND TIGHTEN SAFETY STRAPS LOOSELY PRIOR TO

INFLATION.

TIGHTEN SECURELY PRIOR TO MOBILIZING PATIENT

http://www.bing.com/images/search?q=maxi+air+arjohuntleigh+images&id=EF805BCB93EAB186BBBE40ED5BF2F8C8EEF2FEB7&FORM=IQFRBA#view=detail&id=EF805BCB93EAB186BBBE40ED5BF2F8C8EEF2FEB7&selectedIndex=0


MAXISLIDE FLITES

FLITES ARE FOR REPOSITIONING PATIENT UP AND DOWN IN BED,

SLIDING LATERALLY AND CAN ASSIST WITH TURNING

2 FLITES ARE NEEDED TO PERFORM REPOSITIONING

FLITES ARE DISPOSABLE AND SINGLE PATIENT USE

WHEN PERFORMING LATERAL TRANSFER, STAFF WILL PUSH AT

SHOULDER/HIP OF PATIENT FROM DEPARTING SURFACES AND

PULL FROM RECEIVING SIDE USING HANDLES AND APPROPRIATE

BODY MECHANICS

FLITES MUST BE REMOVED AFTER USAGE


SLIDE BOARD & ROLL BOARD

REMEMBER TO CLEAN THE BOARD BEFORE AND AFTER USE

ENGAGE BRAKES ON BOTH TRANSFER SURFACES

ADJUST DEPARTING SURFACE TO HIP/WAIST LEVEL OF SHORTEST

ASSISTING PERSON.

REMEMBER TO ROLL PATIENT OVER COMPLETELY BEFORE

PLACING SLIDE BOARD/ROLL BOARD

USE A SLIDE SHEET BETWEEN PATIENT AND SLIDE BOARD

PRIOR TO SLIDING PATIENT, ENSURE PATIENT’S HEAD AND FEET

ARE SUPPORTED

USE SLIDE SHEET TO SLIDE PATIENT TO RECEIVING SURFACE

RECEIVING SURFACE SHOULD BE SLIGHTLY LOWER

MINIMAL 2 PERSON ASSIST REQUIRED

TRANSFER BOARDS SHOULD REMAIN HUNG WHEN NOT IN USE

SAFE PATIENT HANDLING TIPS Limb Clip Disposable Sling

Designed for single patient use

Assists the caregiver with lifting, supporting and positioning

the limb for easier access when performing activities such as

dressing, foot care, wound care and venous wrapping

Compatible with the Maxi Move lift

Remember to fold plastic clip down and away from patient’s

skin when sliding under patient’s limb

Can use Maxislide/flite between patient and sling to assist

with sliding

Available in standard size only

Sling’s limb weight capacity 154 lbs

Floors at RR Location of Lift Equipment 8 North Core 8 East Core 8 West Core 7 North Core 7 East Core 7 West Core 6 North Core 6 East Core 6 West Core 5 PEDS Core 5 East Alcove near room 5137 5 L&D Removed 4 North Core 4 East Located in 4 North 3F Mattel Alcove across from room

3531 1 Gonda Alcove across from 1255x

Floors at SM Location of Lift Equipment 3NW (Ortho)

Service Elevators: Sara Stedy, Sara Plus, Maxi Move

Battery Charger(s): RM 3207

4NW (Med Surg) Near RM 4220: Sara Stedy, Sara Plus, Maxi move, Quick Move


5NW Geri

Service Elevators: Sara Stedy, Sara Plus w/slings, Maxi Move


6NW (Peds)

Service Elevators: (2) Sara Stedys, Sara Plus, Maxi Move

Battery Charger: Treatment RM

4CWICU

Near RM 4326 (Maxi Move)

Near RM 4348 (RoWalker)

Battery Charger: Storage RM

Ante Partum RMs (4) Maxi Air Pumps

2MN (ROF) RM 2431A (belongs to L&D): Sara Stedy

IOF POD 5 (belongs to PACU): Sara Stedy

4MN (Med/Surg)

POD 5: Sara Stedy, Sara Plus w/sling, Maxi Move

Battery charger: RM 4467

5MN (Telemetry)

POD 5: Sara Stedy, Sara Plus, Maxi Move

POD 9: Sara Stedy

RM 5452 (Sara Plus slings)

Battery Chargers: RM 5452

4SW (Onc)

Middle of Unit: Sara Stedy, Sara Plus, Maxi Move

RM 4537 (Sara Plus slings)

Battery Chargers: RM 4537

3SW (PACU/PTU) POD 5: Sara Stedy

2SW (NICU) None. If in need, ask post-partum

IOF POD 5 of PACU: Sara Stedy

2MN (L&D/Antepartum) Area 2431A: Sara Stedy

OR No lifts

ED Outside Ambulance Bay: (2) Sara Stedys

GI Lab/MPU No lifts

1223 16th St. (Surgery Ctr) Storage RM 20: Sara Stedy

1245 16th St. (SMOC) Pathology lab: Golvo lift

MOC RM 207: Sara Stedy, Sara Plus, Maxi Move, (1) Maxi Air Pump

Locating Safe Patient Handling Resources: Step 1:

Step 2:

Step 3:

U-Move SPH Equipment Cheat Sheets: Located just a bit lower:

Then find the Cheat Sheet:

Find your answers here!

Safe Patient Handling

Summary of Available Equipment Mechanicals Lifts

Maxi Move: For BMAT 1, full body lifts, fall recovery

Weight limit 500 lbs

Accessories: Single patient use blue lifting slings (M, L, XL, XXL)

Rechargeable batteries

Tenor: For BMAT 1, bariatric full body lifts, fall recovery


Accessories: Laundered purple slings (XL, XXL)


Maxi Lite: For BMAT 1, full body lift, car extraction


Accessories: Single patient use blue lifting slings (M, L, XL, XXL)


Sling Size EMPAC# MFR’s Product Full Description

EMPAC Description MFR Catalog #

Medium (yellow) 606183 Clip Medium – Standard Flites Clip Medium – Standard Flites MFA1000M-M

Large (green) 606184 Clip Large – Standard Flites Clip Large – Standard Flites MFA1000M-L

X Large (blue) 606185 Clip XLarge – Standard Flites Clip XLarge – Standard Flites MFA1000M-XL

XX Large (orange) 606186 Clip XXLarge – Standard Flites Clip XXLarge – Standard Flites MFA1000M-XXL

Sling Size EMPAC# MFR’s Product Full Description EMPAC Description MFR Catalog #

Medium (yellow)

606183 Clip Medium – Standard Flites Clip Medium – Standard Flites MFA1000M-M

Large (green) 606184 Clip Large – Standard Flites Clip Large – Standard Flites MFA1000M-L

X Large (blue) 606185 Clip XLarge – Standard Flites Clip XLarge – Standard Flites MFA1000M-XL

XX Large (orange)

606186 Clip XXLarge – Standard Flites Clip XXLarge – Standard Flites MFA1000M-XL

Golvo 7007 ES: BMAT 1, full body lift, car extraction


Accessories: Laundered green sling w/loops (L, XL)

Sara Plus: For BMAT 2 sit to stand, transfer to chair, toilet, commode


Accessories: Green lumbar support (S, M, L, XL)


Tollos Steady Aid: For BMAT 2 sit to stand, transfer to chair, toilet, commode


Accessories: Wipe down blue full back sling w/loops (M, L, XL, XXL)

Single patient use lumbar support sling available (XL, XXL)

Sling Size EMPAC# MFR’s Product Full Description EMPAC Description MFR Catalog #

Medium (yellow)

-- M-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

M-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

3526115

Large (green) -- L-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

L-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

3526116

X Large (blue) -- XL-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

XL-Soft Original HighBack Sling, Polyester, Reinforced Leg and Back Supports

3526117

Sara Stedy: For BMAT 3 sit to stand, transfers to chair, toilet, commode


No accessories

RoWalker: BMAT 3, walking device w/built-in seat

Transfer device from bed to chair

Can hold 02 tank, cardiac monitor

Accessories: wipedown red lumbar walking sling (S, M, L)

Quick Move: BMAT 3 sit to stand transfers

BMAT 3 patient who can walk and needs occasional seated rest breaks


Accommodates patients 5’1” and above

Accessories: none

Lateral Transfer Devices

Prevalon TAPS: BMAT 1 or 2, who need frequent bed repositioning

Lateral transfer with a slide board

Single patient use, stays under the patient

Accessories: 2 wedges, incontinence pad

MaxiSlide: BMAT 1 or 2 boosting, repositioning and lateral transfers without a slide board

Single patient use, do not leave under patient

1 MaxiSlide per package

Use 2 MaxiSlides together with handles facing up

Maxi Air: For bariatric boosting and lateral transfers without a slide board

Single patient use

Accessories: Use w/pump

Size EMPAC# MFR’s Product Full Description EMPAC Description MFR Catalog #

Standard 644093 Prevalon TAP system System Prevalon Turn and Position (For Bed)

5594007200

XL

N/A 605130 Prevalon Micro Tab Body Pads PADS Body Micro Climate (under pads) PK of 5

5594007250

Size EMPAC# MFR’s Product Full Description

EMPAC Description MFR Catalog #

XL 606182 MaxiSlide flite 45” - XL MaxiSlide flite - XL NPAV5260

Size EMPAC# MFR’s Product Full Description EMPAC Description

MFR Catalog #

L (Green handles) 606180 Maxi Air Maxi Air MAS014000-WW

XXL (orange handles) 674101 Maxi Air Maxi Air

-- 606181 Maxi Air Motor Maxi Air Motor

AHAIR

Seated Positioning System

Prevalon Chair Positioning System: Position patient up in the chair

Place on chair prior to transferring patient to the chair

Single patient use

Accessories: Incontinence pad

Limb Sling

Limb Clip: Single patient use

Use w/Maxi Move

Standard size only, weight limit 154 lbs (600 lbs patient)


Standard 605133 Seated Positioning System System Prevalon Seated Position (For Chair)

5594007530


Standard 680078 ARJH Limb Clip Flite Limb Clip Flite VIG22000-L1

REFUSAL TO PERFORM PATIENT MOBILITY

ASSESSMENT FORM

It is the right of each employee to refuse to move a patient, but there must be a clear and

objective reason for the refusal. If patient mobility assistance is part of an employee’s job

description, and the employee refuses to perform this job function, meet with the employee

each time and document their reasons for the refusal. This form should be signed by both

employee and manager, and placed in the employee’s personnel file.

EMPLOYEE NAME: _________________________UNIT: ____________ DATE: _____________

PATIENT: ________________________________________________ MRN: _______________

Assistance from other personnel was not available. Describe attempts made to locate

other personnel: ________________________________________________________

Lifting equipment was not available; describe: _________________________________

Lifting restrictions; physician documentation verified Yes Not on file

Patient impulsive or combative

Lack of training in proper lifting techniques

Faulty or broken equipment; describe: _______________________________________

Other: _________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Signed: _____________________________________________ Date: ___________________

Employee

Signed: _____________________________________________ Date: ____________________

Manager / Supervisor

outline sph new hire training - ucla health hire sph orientation packet.pdfproper body mechanics...

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