No Lift Manual Handling

1
No Lift Manual Handling
2
Manual Handling

• 1. Pushing
• 2. Pulling
• 3. Holding / carrying
• 4. Lifting (not allowed)

3
7 No Lift Manual HandlingPrinciples

• 1. Reduce manual handling tasks
• 2. Handler should exert force as close as
  possible to his/her own body
• 3. Push and pull rather than lift

4
7 No Lift Manual HandlingPrinciples

• 4. Reduce forward flexion, lateral flexion,
  twisting of spine and shoulder abduction
• 5. Transfer at same level or to lower level

5
7 No Lift Manual HandlingPrinciples

• 6. Maximize patients independence by encouraging
  the patient to assist whenever possible

6
Patient Risk Assessment Categories

• Patients are assessed as
• 1. Able to assist or
• 2. Not able to assist
• in the following tasks

7
Types of tasks

• On bed procedures
• 1. Up and down the bed
• 2. Rolling / turning
• 3. Sitting up in bed

8
Types of tasks

• Off bed procedures
• 1. Bed to trolley
• 2. Bed to chair
• 3. Chair to chair
• 4. Floor to bed

9

• It is most important that we need to assess
  patients able to assist, communicate with other
  nurses, record in nursing care plan, and apply
  the 7 principles in handling patients

10
Equipment used in NoLift Manual Handling

• Hoists
• The sling hoist transfers patients not able to
  weight transfer or with minimal sitting and
  standing balance from bed to chair to bed, chair
  to chair and from floor to bed.

11
Equipment used in NoLift Manual Handling

• The standing hoist
• it is used to transfer patients with some
  standing balance from chair to chair.

12
Equipment used in NoLift Manual Handling

• The Jordan frame lifter
• it is used to transfer patients with suspected
  fractures from the floor or unstable fractures
  from the bed.
• The Jordan frame is attached to the sling hoist

13
Equipment used in NoLift Manual Handling

• Slide Sheets
• slide sheets replace draw sheet lifts, shoulder
  lifts, cradle and bridging lifts and the blue
  lifting slats.
• They are used to move patients up and down the
  bed, across the bed and to turn patients.

14
Equipment used in NoLift Manual Handling

• Shower trolley
• It enables the patient be slide transferred
  directly onto the trolley from the bed without
  the need for hoisting.

15
Equipment used in NoLift Manual Handling

• Pat Slide
• it is used as a slippery bridging board between
  the trolley and bed when transferring patients
  from bed to trolley to bed. They may be used in
  conjunction with a slide sheets

16
Equipment used in NoLift Manual Handling

• Walk belts
• They assist patients assessed as able to assist
  for off bed tasks by providing support and
  replacing the hood under the arm.

17
List of handling procedures

• Patient able to assist
• On bed procedures
• 1. Sitting the patient up in bed
• 2. Transferring the patient up the bed
• 3. Transferring the patient from lying position
  to side of bed using patients body mechanics

18
List of handling procedures

• 4. Transferring the patient from side of bed to
  lying position using patients body mechanics
• 5. Transferring the patient from lying position
  to side of bed using bed mechanics
• 6. Transferring the patient from side of bed to
  lying position using bed mechanics

19
List of handling procedures

• Off bed tasks
• 1. Transferring the patient from bed to chair
  using walk belt or other aide
• 2. Transferring the patient from chair to bed
  using walk belt or other aide
• 3. Side pivot transfer

20
List of handling procedures

• Patient not able to assist
• Off bed procedures
• 1. Transferring the patient bed to trolley
  using pat slide and slide sheet

21
List of handling procedures

• 2. Transferring the patient bed to chair using
  mechanical hoist
• 3. Transferring the patient from chair to bed
  using mechanical hoist
• 4. Transferring the patient from floor to bed
  using mechanical hoist

22
List of handling procedures

• 5. Transferring the patient off the bed using the
  Jordan frame lifter
• 6. Transferring the patient using the standing
  hoist

23
List of handling procedures

• On bed tasks
• 1. Sitting the patient up in bed
• 2. Rolling the patient
• Using patients body mechanics
• Using draw sheet
• Using the rolling frame

24
List of handling procedures

• 3. Transferring the patient up the bed using the
  slide sheet
• 4. Turning the patient in the bed using the slide
  sheet

25
Patient handling procedures

• 1. Wash hands
• 2. Assess patients ability to assist (Yes / No)
• 3. Explain the appropriate procedure to the
  patient
• 4. Prepare the area and remove clutter
• 5. Collect necessary equipment
• 6. Adjust the height of the bed to an appropriate
  work level