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Maunal Handling Training Course

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Introduction

Manual Handling Training Course. Module 1: The law as it relates to patient handling Part VI of the Safety, Health and Welfare at Work (General Application) Regulations 1993 transposes EU Council Directive 90/269/EEC on the minimum health and safety requirements for the manual handling of loads into Irish Legislation. The regulation is titled the Manual Handling of Loads Regulation. The main requirements of the 1993 Manual Handling of Loads Regulation are that employers must: ?Make efforts to avoid manual handling activities that present a risk of injury, if possible. ? Where it is not possible to avoid the manual handling activity, an assessment of the manual handling activity must be carried out with reference to the factors identified in the Eight and Ninth Schedule to the regulations. ?? Efforts must then be made to reduce the risk of injury, particularly back injury, by applying appropriate control measures. ?? where possible the weight of the load being handled and the centre of gravity of the load should be available for employees handling the loads. The Regulations set no specific requirements such as weight limits. However numerical guidelines are available in guidance documents that take into account the weight of a load, the repetition of the task and the location of the load during the lift, as a means of identifying handling activities that involve risk (HSA 2005). ...read more.

Middle

Twisting and bending together is perhaps the greatest stress on the spine, especially the disc. The earliest changes that occur in the disc are tears in the annulus portion of the disc, which is a large round ligament. These tears will heal by scar formation. Scar tissue is not as strong as normal tissue; the repeated cycle of many annular tears leads to damaged scar tissue, which means that the disc finally begins to degenerate. As the degeneration progresses the nucleus loses some of its water content, it becomes stiff and loses the ability to act as a shock absorber. Examples of risk factors that can contribute to back injury include: Gradual wear and tear caused by frequent or prolonged periods of manual handling activity Increased wear and tear or sudden damage caused by intense or strenuous manual handling or awkward lifts. Bending or reaching forward puts strain on the back Movement which may result in injury to the lumbar spine during handling include repetitive back bending, pulling and lifting from overhead, forward bending and twisting. Module 3: Personal Fitness for Patient Handling Practical exercises for fitness, flexibility and muscle tone. Exercises to increase strength and fitness have been part of low back pain treatment programs for many years, but only recently have strength and fitness programs been advocated in industry to reduce or prevent the onset of back pain. ...read more.

Conclusion

Gait Belt- Fits snugly around patients waste and has hand straps for caregiver to grasp while assisting during transfers or walking. Rails- Wooden or metal rails are fixed to walls or equipment to allow patient to help support themselves during transfer. Hoyer Lift- Hydraulic lift that consists of metal frame and heavy canvas swing. This is used for lifting and suspending during transfer. Sliding Boards- Smooth board with tapered ends made of wood or plastic. This is used for patient transfer from one surface to another. Draw/ Sliding Sheet- Flat sheet, which is placed under person in bed, which can later be used for moving patient. Standing Hoist- This is used for lifting a sitting patient and transferring them to another seat E.G Wheelchair- toilet- wheelchair- bed. Turntables- this is 2 discs rotating against each other. The person can stand on one and be rotated near another area. Effective use of this handling equipment minimizes patient handling while maintaining patient dignity. Module 8: The wearing of Suitable Footwear and Clothing. Clothing should be loose and comfortable with trouser uniforms. Footwear should be flat and non-slip with no open toes or open laces and good grip. Module 9: Ensuring passageways, lights and floors allow safe patient handling. Conditions of floors, pathways etc should be suitable for patient handling. Lighting should be adequate. Beds and trolleys should be at a safe height and adjustable. ...read more.

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