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Principles of Manual Handling

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Any activity requiring the use of force exerted by a person to lift, lower, push, ... To prevent overuse of small muscle groups such as upper traps and biceps. ... – PowerPoint PPT presentation

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Title: Principles of Manual Handling


1
Principles of Manual Handling
  • To introduce you to the principles of and issues
    involved with manual handling relevant to field
    practice

2
Manual Handling
  • What is manual handling?
  • Any activity requiring the use of force exerted
    by a person to lift, lower, push, pull, carry or
    otherwise move, hold or restrain any person,
    animal or thing (OHSW (Manual Handling)
    Regulations, 1990)
  • You need to comment on manual handling in your
    field practice workbook any policies, training
    or experiences you have on field practice

3
Manual Handling
  • More than lifting
  • How you use your body in the most effective and
    safe way in relation to a load may involve
    lifting, carrying, pushing, pulling, lowering or
    sustained postures
  • You have a duty of care and legal obligations to
    work safely

4
Manual Handling
  • Back injuries represent 25 of work related
    injuries in SA
  • As a student, you may encounter circumstances
    that could place you at risk of a back or other
    type of injury
  • setting up materials for a treatment session
  • assisting with transfers and mobility including
    using a mechanical lifter
  • moving equipment into and out of a vehicle
  • poor posture when making a splint

5
Principles of MH
  • Safety of yourself and your client
  • Work within your capabilities
  • NEVER attempt a transfer or other activity if you
    are not confident that you know exactly what is
    expected of you and that you have the skills and
    capability required
  • Number 1 rule
  • STOP AND THINK

6
Assessing risk factors
  • Stop, look and think
  • Can you minimize the need for and risk involved
    by
  • Modifying the object
  • Modifying the environment

7
Assessing risk factors
  • Stop, look and think
  • Can you minimize the need for and risk involved
    by
  • modifying the object and/or the environment?
  • Person (you)
  • Strength, fitness, health, MH skills, body
    position
  • Environment
  • Start and finish, help available
  • Occupation (what you will be moving)
  • An object, a person

8
Planning for transfers
  • Consider the following rules
  • Evaluate the task
  • (Assess the patient)
  • Organise assistance
  • Check environmental safety factors
  • Arrange furniture / other environmental aspects
  • Care of your own body position
  • PLANNING TAKES UP 90 OF MH TIME

9
Evaluate the task
  • What needs to be done?
  • Is there anyway the task can be made easier (eg
    take wheelchair apart)
  • What is in the way?
  • Is there any equipment needed?
  • Will you need help?

10
Evaluate the task
  • What can the patient/client do for themselves?
  • Never help more than you need to try verbal
    instructions, demonstration
  • Understanding normal biomechanics of a task is
    important
  • Eg assisting someone from sit to stand

11
Check environmental safety factors
  • Environment
  • Adequate space available? surface (eg sloping
    driveway, water on floor)? Adequate length of
    attachments, obstacles in the way
  • Brakes on beds and chairs
  • Prepare environment
  • Start position (brakes on chair moving from)
  • End position (brakes on, chair in suitable
    position and prepared, eg with sheet on it)
  • If the patient has a distance to walk, you might
    want to place chairs at convenient places in case
    breaks are required as well.

12
Looking after yourself
  • Maintain natural spinal curves
  • In standing
  • When getting lower down
  • When bending forward

13
Looking after yourself
  • STABLE CORE
  • Abdominal bracing
  • A little anatomy revision transversus abdominus
  • Scapula bracing
  • To prevent overuse of small muscle groups such as
    upper traps and biceps. Also helps to keep load
    close
  • Use large muscle groups
  • Quads, gluts ie bend the knees

14
Looking after yourself
  • Wide and stable base of support
  • feet position, weight shift
  • Keep load close to you
  • Hand placement
  • Listen to your body and be aware of early warning
    signs of injury

15
Looking after yourself
  • These principles apply to
  • all types of MH including using assistive devices
  • all movement and sustained postures

16
Lets practice!
  • In pairs, move your bag/chair/table the way you
    usually would. Critique each other using the
    effective MH principles.
  • Now do it again, consciously using the effective
    MH principles. Critique each other again.
  • What areas of your own technique do you need to
    work on?

17
Manual Handling - scenario
  • In order to accompany a client from hospital to
    home to assess the home environment, you need to
  • (a) assist her from the wheelchair into the car
    and
  • (b) load her folding wheelchair into the boot of
    the hospital sedan
  • What are the potential risks in this situation?
    Use PEO to help identify them.
  • How can you achieve this while minimising your
    risk of a manual handling injury?

18
Remember planning is 90 of all MH
19
Conclusion
  • You will encounter manual handling on FP
  • You have a duty of care and legal obligations to
    work safely
  • Stop, look and think and use PEO to assess risk
    factors
  • Use your skills to modify the task and
    environment
  • Dont do anything you are not confident to do

20
Conclusion
  • You will see examples of good and bad MH
  • Use your workbook to reflect on both and learn
    from the bad as well as the good
  • For more information about field work in OT,
    including general information about OHSWIM
  • http//www.unisanet.unisa.edu.au/learn/HSCPlacemen
    ts/?PATH/Resources/hsc2Dplacements/Students/def
    aultWelcome.htm
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