session 4 compass team session 4: take a load off with tools · looking at the caregiving tasks...

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SESSION 4

Materials needed for this session:

•Slideboard •Gimme-a-Lift •Transferbelt •Ergonomicmop •Turningdisk

COMPASS TEAM SESSION 4: TAKE A LOAD OFF WITH TOOLS

KEY TO SYMBOLS

ItemforTeamtoreadaloud

Itemreadaloud byTeamLeader

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Welcomeback,everyone!Ifyouhaven’talready,pleasewriteyourWorkLifeCheckInratingsontheboard.Whenwecheckinandexplainourratings,onlysayacoupleofsentencesaboutyourratings.Iwillgofirstandthenwecangodownthelistandshare.

Iamnowgoingtotakeattendance. Ourteamgoalfromlastsessionwastoimproveourdailyphysicalactivitybygettingintotwogroups(oddandeven)andrecordingourstepsusingourstepcounters.Then,wereportedourstepstoourgroupcaptain.

Let’shaveourgroupcaptainsgiveareportonhowwedid.WillthecaptainfromtheOddsandEvensteamspleasewritethetotalstepcountforyourteamontheTeamPosterinthewindowlabeled3?

Doyouthinkyourwalkingwasaffectedbythestepcountersorrecordingyoursteps?Didanyoneoutdotheirscoresfromthefirsttime?(Discuss).

Wealsochoseanindividualgoal.Option1wastodoascavengerhuntwherewetriedthe“AnywhereCoreExercises”listedonourlanyardcards,Option2wastobuddyupwithateammateandtryanactivitytogether,andOption3wastotryanactiveclassorresourceinyourcommunityandthensharewithuswhatyoudid.

ACTIVITY 2 - Follow Up on Take Home Goals

ACTIVITY 1: WorkLife Check In

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As Icallyourname,pleasesayyesornowhetheryoucompletedyourindividualgoalorgoals.

Didanyonefindgoodplacestodothe functionalfitnessexercises?Did theABLE stickers help?(Discuss).

ForthosewhodidOption2or3,whatdidyoudo?

Pleasehandinyourlanyardcardswhereyoutrackedtheseactivities.Wewill add them to the teampostertotrackourachievements.

Wecancontinuetoworkonpreviousgoals.Eatingatleast5servingsoffruitsandvegetableseachday,practicingneutralspinepositions,andstrivingfor30minutesofmoderateexerciseonmostdaysoftheweekwillhelpusbehealthierandpreventinjuries.

Aswelearnthematerialineachsession,weshouldthinkaboutwaystomakethese,andothersafeandhealthybehaviors,permanentpartsofourlives.

ACTIVITY 2 - Continued

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What will be learned or accomplished

Duringthissession,theteamwill:

• Learnaboutsafetytrapsthatlureusintoworkingwithouttools • Learnthebiggestinjuryhazardsforhomecareworkers

• Handleandsharetoolsandtipsforhousekeepingandassisting consumeremployers

• Practiceusingmobilityassisttools:transferbeltandslideboardor Gimme-a-Lift • Setpersonalgoalsforidentifyinghazardsandsharingtoolideaswith theteam

ACTIVITY 3 - Safety Traps

Today’slessonisabouttoolsthatmakephysicalworkeasier.Toolsalsocanmakeiteasiertokeepaneutralspinepositionwhenworkingandhelpusfeellesstiredorsoreafterwork.Inotherwords,wearegoingtolearnabout“takingaloadoffwithtools.”

Ifweaddtoolusetooureffortstoeathealthfully,beactive,andbuildfunctionalfitness,thiswillhelpustostaywellandinjuryfree.

Workinginhomecarewithoutthepropertoolsisarecipeforaches,pains,or even a disabling injury. However, learning about the best way to dosomethingisn’talwaysenough.

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Itisourhumannaturetotakeriskssometimes,evenwhenweknowbetter.Knowingaboutsafetytrapsthatlureusintodangercanhelpusovercometemptation.

Whenwetakeagamblebymovingbigphysical loadslikeourconsumer-employer or heavy objects, it is because most of the time nothing badhappens.However,whenthingsgobad,theygobadwithacapitalBforBackinjury!Thisisagamble trap.Drivingwithoutasafetybelt isanexample.Carcrashesarerare,butifyougetinonewithoutabelton,astudyfromOhio foundthat theriskofbeingkilled is46 timeshigher than ifyouhadbeenbelted!

Sneaky traps, on the otherhand,creepuponusslowly.Thisiswheresmallrepetitivestresses cause chronicpain or injury over time.Injuries like this are called“cumulative disorders.” Anexample would be cleaningabathtubwithoutakneepador long handled brush. Youmightnotfeelbadafterdoingthis once, but kneeling andbending formonthscould lead toseriousbackandkneepain.Repeatingworktasksthatplaceusinawkwardpostures,suchasbentatthewaistorwithourarmsoverheadmaycauseinjuryorstrainovermonthsoryears.

Did You Know? Obesity isasneakytrap. Ifapersonis just100caloriesoutof

energybalanceeachday,heorshewouldgainabout30poundsin3years!


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Looking at the body map on page86,circlewhatyouthinkarethetop3bodypartsthathomecareworkersinjurebadlyenough that theyhavetomisswork.

Lookingatthecaregivingtaskslistedbelowcirclethetop3tasksthatyouthinkotherworkersratedascausingthemthemostconcernforpersonalinjury?

Cleaningbathroom

Cleaningfloors

Supportingaconsumer

employerwhilewalkingor

catching/falling

Push/pullwheelchair

Drivingforconsumeremployer

Bathingaconsumeremployer

Cleaningkitchen

Movinghouseholdobjects

Prolongedstanding

Consumeremployerlift/

transferwithoutassistanceofa

device

Ifyouhadtoguess,howdohomecareworkersspendmostoftheirtime? A.Housekeeping B.Consumeremployerlift/transfer C.Prolongedstanding

Whatdidyoumark?

ACTIVITY 4 - Injury Hazards

Body map used and altered with labeling and arrows by Oregon Health & Science University staff with permission from The Skin

Cancer Foundation.

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OnepurposeofourCOMPASSteamistolearnfromeachothertoprotectouroverallhealthandsafety.Todaysomesimple,low-techtoolsarebeingprovidedforus. In the future,anyofuscanbringandshareanythingwediscoverthatmightbevaluabletotheteam.

NowI’mgoingtopassaroundtwotoolsthatcanhelpushelpourconsumeremployers.Thefirstisakneepadandthesecondisaturningdisc.Let’staketurnsreadingaboutbothoftheseaswepassthemaroundthecircle.Whilewe’redoingthis,thinkaboutahousekeepingtoolortipthatyoumightliketosharewiththegroup.Wewillsharethoseafterwelearnaboutthesetwoitems.

Thistoolisakneepad.It’ssmallandcompact,yetveryhelpful.It’sgreattouseforanyhousekeepingtaskthatrequireskneelingontheground.Whetherit’s cleaning the bath tub with a longhandledbrush,orkneelingtoassistyourconsumeremployerwithgettingdressed,usingthiskneepadasabarrierbetweenyouandthehardgroundrelievesmuchofthepressurethatyouwouldotherwisefeelwhilekneelingforanyamountoftime,butespeciallyforprolongedperiods.

Aturningdiscisatoolforreducingfrictiontohelpapersonrotateinasittingposition,likerotatinginacarseattogetoutofthecar and into a wheel chair. The bottomof thedisc isgrabbyandsticks inplace,andthetoppartslidesorspinslikea“lazysusan.” There are also turning disks forturning someone in a standing position,suchaswhenmovingthemfromabedtoawheelchair.

ACTIVITY 5 - Low Tech Tool Show and Tell

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Doesanyonehaveatiportoolthatthey’dliketosharewiththegroup?Forexample, some people use regular kitchen tongs to reach those hard togetsocksatthebackofthedryerratherthanstoopingoverandpracticallyclimbinginthemachine.

Thankseveryone for sharing.We’vebeenprovidedwith a fewadditionaltoolsthatwecanhandleandinvestigateduringourfoodbreak,andthereisalongerlistofexampletoolsintheExtrassectionforthislesson.

Forourlastactivity,wearegoingtogetingroupsofthreeorfourandpracticeusingothermobilityassisttools.ThetoolswearegoingtotryoutaretheGimme-a-Liftandaslideboardtobeusedwithatransferbelt.


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Weareabout to practiceusing tools formobility assistance.This is not enough training to start safely using them with a consumer employer. Using tools can take a load off our bodies, but they also introduce newhazards.Forexample,a ladder isareallyusefultool inconstruction,butwhennotusedcorrectlyitcancauseseriousinjury.

Ifyouthinkyoucouldbenefitfromusingamobilityassisttool,caseworkersandtheOregonHomeCareCommissioncanhelpyourconsumer-employerobtainthetoolandhelpgetbothofyouone-on-onetraininginhowtouseit.TheOregonHomeCareCommissionalsooffersatrainingclasscalledDurableMedicalEquipment.

Gimme-a-Liftandtheslideboardusedwithtransferbeltareexamplesoflowtechtoolstohelptransferaconsumer-employerfromsittingtostanding,orfromoneseatedlocationtoanother.Thesetoolsshouldonlybeusedunderthefollowingcircumstances.

To really know if a tool like Gimme-a-Lift can be used with a consumeremployer,wemayneedmoretraining.Wemightneedtolearnhowtotellifapersonhasenoughupperbodystrength.AdocumentfromWorkSafeBCandalistofOregonHomeCareCommissionclassdescriptionsareincludedintheExtrassection.

• Consumeremployercannottransferalone• Consumeremployerhasenoughupperbodystrengthtopullhimor

herselfup• Consumeremployeriscooperativeandunderstandsthetask• Evenwiththetool,weshouldn’tbelifting/supportingmorethan35lbs

oftheconsumeremployer’sweight,whichistheweightoffourgallonsofmilk,orofanaverage3-yearoldchild.Theconsumeremployerneedstobeabletosupportalmostallofhisorherweight.

• For theslideboard,surfaces for transferare locked inpositionandsurfacesarenomorethan2”differentinheight

• Thetooliscleanandsanitized

ACTIVITY 6 - Low Tech Tool Practice

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Beforebreakingintogroupsofthreeorfourtopracticewiththetools,wearegoingtoreadabouteachone.

The Gimme-a-lift isa lever-like tool forlifting, lowering, andtransferring individualswho are ambulatory orable to bear their ownweight. Itcanbeusedbyconsumeremployerswho weigh up to 350lbs.Todaywearegoingtopracticeusingthetoolto help a personmovefromsittingtostanding.

A slide board and atransfer belt can beused together to helpa consumer employermove from one seatedlocation to another. Atransfer belt makes a slide boardtransfer safer and is worn by aconsumer employer around his orherwaist.Thebeltprovideshandlesfor us to hold onto to assist. It canprevent consumer employers fromdoingdangerousthingslikereachingaround our necks. The slide boardtransfer method has been ratedfavorablybyhomecareworkersandsafercomparedtootheralternatives.


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Transfer belts commonly usedare 2 incheswide andare placedaroundthe consumer employer’swaist.Theydonot allowa very good interfacebetweentheconsumeremployerandthecaregiver.Bettertransferbeltsarewider,sotheyaremorecomfortablefortheconsumeremployer.Theyhavepaddingandhavehandlesthatallowthecaregivertoguidetheconsumeremployer.

Oncewegetintogroupswewillhavetopickwhichtoolswearegoingtopractice.Astep-by-steppictureguideisprovidedonthefollowingpagesforeachtool.Ifwearemovingfasttodayandaheadofschedule,theremaybetimeforustoalltrybothtools.

Duringthepractice,onepersonwillreadtheinstructions.Thisisthecoachrole.Onepersonwillbetheconsumeremployerandtheotherwillbetheworker.Everyoneshouldtrybeingboththeworkerandtheconsumeremployertolearnhowitfeelsfrombothsides.Whenwe’refinishedpracticing,comebacktothetable.

Nowlet’sgetinourgroups,pickourtools,andpractice.


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For step 1, Worker get the Gimme-‐a-‐Li3 tool and, while standing, place the bo:om “step-‐on” pad on the floor so the tool is straight up and down. Worker doesn’t step on the tool. Consumer employer, you should sit down in a chair and place one foot on the “step-‐on” pad of the Gimme-‐a-‐Li3 tool. Your other foot should be about 12 inches (1 foot) to the side, not on the “step-‐on” pad.

1

This prac6ce requires three people: 1.  A Coach, who will read each step, and then show team

mates the pictures while the step is pracJced. 2.  Worker 3.  Consumer employer

COACH: Show the worker this picture. When the body posiJons look right, go to next step.

Now, the consumer employer holds on to the top two hand grips, keeping arms bent and close to their body. Worker should hold the palm grip on the top of the Gimme-‐a-‐Li3 tool with both hands. Next, stagger your feet, so that one foot is about 12 inches (1 foot) in front of the other. Slightly angle the Gimme-‐a-‐Li3 tool towards the consumer employer.

2

COACH: Show the worker the pictures for this step. When the body posiJons look right, go to next step.

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3 Now that you are in posi0on, the Worker will tell the consumer employer, “on the count of three, please stand up using your legs.” On three, the worker pulls gently backward keeping neutral spine posture. Worker should put weight on back leg to keep balance as client stands up. Consumer employer, be sure to use your legs while standing up.

COACH: Show the worker this picture. When the body posi0ons look right, say “one, two, three, liD!”

Worker, once the liD is complete, make sure that the consumer employer is stable before removing the Gimme-‐a-‐LiD tool. Keep in mind that this tool works because of the power of leverage. The consumer employer and worker hands must always be in the correct posi0on for this liD to work.

4

COACH: Show the worker the picture for this final step.

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Seated transfer with transfer belt and slide board

This prac*ce requires three people: 1.  A Coach, who will read each step, and then show team

mates the pictures while the step is prac6ced. 2.  Worker 3.  Consumer Employer

OK, for step 1, worker please get the transfer belt and stand up. Consumer employer, you should be seated. Worker, start by placing the gait belt around the consumer employer’s waist. Clip the belt of the buckle and adjust the strap to fit the consumer employer. When the belt looks right, proceed to the next steps. COACH: Show the worker these pictures. When the belt looks right, go to next step.

1

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In step 2, worker please posi.on a second chair next to your consumer employer. Align the slide board so it bridges to two chairs. Consumer employer, please li< one bu=ock while the worker posi.ons the board under you.

2

For step 3, consumer employer, please place your hand on the other end of the board toward the other chair.

3

COACH: Show the worker and client this picture. When they are in right posi.on, go to next step.

COACH: Show the worker and consumer employer this picture. When they are in right posi.on, go to next step.

COACH: Show the worker and consumer employer the pictures of the move below. When they say they are ready to do the move, go to next step.

Step 4 is preparing for the transfer. When I count to three, I want the consumer employer to use her upper body to li< and take one or two scoots across the slide board to the other surface. The worker should bend his or her knees, keep neutral spine posture, and hold the transfer belt on two sides as the client scoots over. Worker, please DON’T li<. Just guide and support your consumer employer as she moves.

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COACH: Say “On the count of three, do the move. One, two, three!”

To finish, consumer employer, please raise to one side while the worker removes the board.

5

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I hope youenjoyed trying thesenew tools and learned something in theprocess.

Usingtoolscantakealotofstrainoffofourbodyandhelpusavoidsafetytraps.This includesbothhigher risk taskssuchasaconsumeremployertransfer(gambletraps)andwithfrequentsmallertaskssuchasbathingaconsumeremployerorhousecleaning(sneakytraps).Theycanalsohelpuskeepaneutralspine.Itisimportantthatwelearnhowtouseatoolcorrectlybeforeusingit.

ACTIVITY 7 - Take Home GoalsTeam and Individual Goals

Team Goal In preparation for the next lesson on communicating with our consumeremployersabouthazardsandtools,ourteamgoalisforallofustocompletethehomehazardchecklistonpage142oftheExtras sectionbeforewemeetnexttime.Bepreparedtosharewiththeteamthespecifichealthandsafetyhazardsinyourworkenvironments.

Individual Goals Option 1: Attend or sign up to attend an OHCC training class

LookupthescheduleandattendacourseofferedbytheOregonHomeCareCommissionthatisrelevanttothistopic,suchas“DurableMedicalEquipment”or“ProtectAgainstSprainsandStrains.”Ifthescheduleissuchthatyoucannotattenduntilafterournextsession,youmaycompletethisoptionbysigninguptoattendthenextone.Ifyouhaverecentlyattendedtheseclasses,consideroneoftheotheroptions!

Option 2: Tool “Window Shopping” Ifyouthinkthereisaspecifictoolthatisneededfortransferswithyourconsumer-

employerortoassistyouwithhousekeepingtasks,researchitonlineorgotoamedicalsupplystoretocheckitout.Itcanbealoworhightechtool.Atthenextsession,bepreparedtosharewiththegroupwhatyoufoundandsomeprosandconsofthetool.Forourreference,theExtrassectionliststools,someofwhichwerenotdiscussedtoday.

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Option 3: Watch videos on the uses for Gimme-a-Lift or on slide boards Gimme-a-Lift10minvideo: http://www.gimmealift.com/ Slide board transfer: http://www.youtube.com/watch?v=4tP1xqMtSrc (Run

time:7:23)OHCCTraining

ClassToolWindowShopping

WatchToolVideos

ACTIVITY 8 - Healthy Food Break

Wearenowgoingtotakea15minutebreakforamealtogether.Duringthistime,pleaseremembertowriteyourissuelabelandratingontheboard.Wewillreconveneat____ [insert time 15 minutes from current time]. Also,feelfreetolookattheotherequipmentwehaveheretohelpusinourjobs.

ACTIVITY 9 - WorkLife Support

Pleaseturntopage98intheworkbooktotheActionPlanningWorksheet. Nowit’stimetostartourWorkLifeSupport.Theissueswesharecanbeanykindofchallengeoropportunityweneedhelpwith.

Pleaseberespectfulandkeeptheissuessharedinthismeetingconfidential.Itisuptoourteammatewhoseissueisselectedtodecideonanactionplanfortheissue.Therestoftheteamisheretohelp,notdictateordecidewhatourteammateshoulddo.

WeallhaveanActionPlanningworksheettotakenoteson.Iwillmakesuretotakenotesfortheteamandthepersonwiththeissueshouldmakesuretowritedowntheactionplantheychoose.Everyonecantakenotesiftheywanttowhilewetalktogether.

I’dliketoask[insert name of team member]toactasthescribeforthebrainstorm.He/Shewillwritealltheideasweshareonthewhiteboard.

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Step 1: Follow-Up on Issue(s) from Last Time

Teammemberwithissuelasttime:____________________________________Step 2: Issue Selection Teammemberwithissue:___________________________________________

Description:

Action Planning Worksheet

Step 3: Brainstorm Ideas and Share Experiences

Favorite Action Ideas1)

2)

3)

Step 4: Person with Issue Picks Favorite Action Ideas

Step 5: Make an Action Plan

Whatistheaction?

Whenwillitbedone?

Whatfollowupiswanted?

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ACTIVITY 10 - Reflection

Todaywelearnedaboutlowtechtoolstohelpuspreventstrainandinjury.Nexttimewewilllearnskillstoeffectivelycommunicatesomeofourneedstoourconsumeremployer,includingtheneedfortoolsandhazardidentification.

Ourfinalactivityisaquickreflectiononeveryone’sfavoritethingtheylearnedorexperiencedtoday.Thiscanbeafavoriteactivity,funfact,orsomethingreallyhelpful a teammember said. I’ll start and thenwe’ll goaround toeveryonestartingonmyleft.

Beforeweleave,Iwanttoremindyouabouttheteamgoal.Let’sturnbacktopage97toreview.

Remembertocompleteyourchecklistandyourindividualgoalbeforethenextsession.

We’venowcompletedSession4!Pleasemakesuretobringyourworkbook,pedometer,andyourlanyardwithyoutoournextteammeetingon_____.

Whowouldliketovolunteertobetheco-leadernexttime?

session 4 compass team session 4: take a load off with tools · looking at the caregiving tasks...

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