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Roles and Resources

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Employed on unit for at least six months or a PL in another area previously ... determine problem areas. Suggest: Develop web-based data base with reporting ... – PowerPoint PPT presentation

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Title: Roles and Resources


1
Peer Leaders
  • Roles and Resources

2
Peer Leaders Roles and Resources
  • Mary Willa Matz, MSPH
  • VHA Patient Care Ergonomics Program
    Manager/Consultant
  • Occupational Health Science Researcher
  • Industrial Hygienist
  • VISN 8 Patient Safety Center of Inquiry
  • James A. Haley VA Hospital
  • Tampa, Florida
  • (813) 558-3928 (813) 558-3990 fax
  • mary.matz_at_va.gov

3
Peer Leaders
  • Peer Leaders are the Key to Program Success…
  • Implement Program
  • Maintain Program

4
PL Roles/Responsibilities
  • Peer Leaders as
  • Agents of Change

5
If you want to make enemies, try to change
something. Woodrow Wilson
6
The Realities of being a SPHM PL Change Agent
  • Ultimate Goals/Purposes are broad…
  • Responsibility is to assist in implementation of
    a SPHM Program that..
  • Promotes significant Thought Changes
  • Promotes significant Behavior Changes
  • Creates an effective Culture of Safety

7
The Realities of being a SPHM UPL/Change Agent
  • A SPHM UPL/Change Agent facilitates…
  • staff buy-in
  • staff input during SPH Program development and
    implementation
  • maintenance of the SPH Program over time (SPHM
    Follow-up study)
  • attainment of goals of the SPH Program

8
The Realities of being a SPHM UPL/Change Agent
  • To be an effective change agent, a PL needs….
  • Knowledge of…
  • Why youre doing it (Rationale/background)
  • What it includes (Program elements)
  • What youre going to do it with (Program
    materials/tools)
  • How youre going to do it (Action Plan)

9
The Realities of being a SPHM UPL/Change Agent
  • To be an effective change agent, a PL needs….
  • Communication Skills…
  • How to listen effectively
  • How to share transfer knowledge effectively
  • How to coach peers

10
Peer Leaders
  • Back Injury Resource Nurses (BIRNS) VA
  • ErgoCoaches Netherlands
  • Ergo Rangers BJC Healthcare
  • Back Injury Resource Staff (BIRS) Select
    Medical

11
PL Benefits
  • ErgoCoaches
  • Take responsibility as
  • Problem-owners
  • Solution-owners
  • 1 2 per unit
  • Knowledge Transfer mechanisms
  • Annual conference
  • Newsletter
  • Help desk
  • Website

12
PL Benefits
  • ErgoCoaches
  • Facilities w/ ErgoCoaches had significantly lower
    sick leave due to Musculoskeletal disorders
  • Synergy between
  • Work of thousands of ErgoCoaches
  • National Support Group
  • Governmental working conditions covenants
  • (Knibbe, Knibbe, n.d.)

13
PL Benefits
  • Co-Worker Benefits
  • Employee involvement
  • Enhances worker motivation
  • Increases job satisfaction
  • Leads to greater acceptance of change in
    workplace
  • (OSHA Ergonomic Guidelines for Nursing Homes,
    2003)

14
PL Benefits
  • Co-Worker Benefits
  • Staff are empowered
  • Channel to voice ideas/suggestions
  • Opportunity to have input in making work
    environment safer
  • Increased competence in performing job
  • Increased sharing of knowledge/best practices
  • Fosters Culture of Safety

15
PL Benefits
  • Example of PL Benefit
  • Lifts not being used on night shifts.
  • Why? Batteries were being charged on night shifts
    because no back-up batteries.
  • Solution Buy extra battery packs so lifts can be
    used 24 hours per day.

16
PL Representation
  • Representative from all areas where patient
    handling occurs
  • Nursing
  • Radiology
  • Therapy
  • Escort
  • Others
  • Suggestion 1 PL per shift per unit/area

17
PL Selection
  • Eligibility
  • Any direct patient care staff (i.e., RN, LPN,
    CNA, PT, OT, diagnostic tech, etc.)
  • Has at least 6 months experience with handling
    patients
  • Employed on unit for at least six months or a PL
    in another area previously
  • Anticipates working on unit at least one year or
    more

18
PL Selection
Qualities
  • Respected by colleagues management
  • Satisfactory performance evaluation
  • Responsible and reliable
  • Flexible
  • Takes initiative/proactive
  • Good time management skills
  • Outgoing
  • Resourceful
  • Assertive (appropriately)
  • Interest in SPHM/Safety
  • Maintains good relationships w/ management

19
PL Selection
Skills
  • Ability to teach peers using established training
    programs
  • Informal Leader credible with respected by
    peers
  • Computer skills
  • Ability to learn, apply, and transfer new
    knowledge
  • Patient handling experience
  • Effective oral/written communication skills
  • Physically able to perform job duties
  • Critical thinking skills (appropriate for duties)

20
PL Roles/Responsibilities
  • Act as Unit/AREA Change Agent
  • Act as UNIT/AREA SPHM Champion
  • Demonstrate Systems Thinking

21
PL Roles/Responsibilities
  • Maintain current knowledge
  • Of… SPHM issues, technology, best practices
  • Through… PL meetings, trainings, Outlook
  • Equipment Super User

22
PL Roles/Responsibilities
  • Facilitate SPHM Knowledge Transfer
  • Safety Huddles
  • Algorithms
  • Policy
  • Coaching

23
PL Roles/Responsibilities
  • Facilitate SPHM Knowledge Transfer
  • Training
  • In-services/Small Groups/One-on-one
  • Peers, Managers, Patients/families
  • Topics Program Elements, Equipment Use, Safety
    Concerns, Best Practices, etc.

24
PL Roles/Responsibilities
  • Follow unit injuries close calls
  • Act as Unit liaison w/ Infection Control,
    Facilities Management, Equipment Manufacturers,
    etc.

25
PL Roles/Responsibilities
  • Follow Equipment Use/Management
  • Conduct Ergonomic ongoing environmental/ergonomic
    evaluations
  • Perform walk-throughs to assess equipment use and
    function
  • (Equipment Use Checklist - Handout A-1)

26
PL Roles/Responsibilities
  • Monitor Staff Competency
  • (Staff Skills/Competency Check-off - Handout
    A-2)
  • Monitor UNIT SPHM Program
  • PL Activity
  • Program Status
  • Program Compliance

27
PL Roles/Responsibilities
  • PL Activity/Status Log (Handout A-3)
  • UPLs Perception (weakness)
  • Complete weekly
  • Utility
  • Track PL activities/dose Justifies need for PL
    program
  • Use as indicator for acceptance effectiveness
    of SPH program
  • Champion Use
  • evaluation tool
  • determine problem areas
  • Suggest Develop web-based data base with
    reporting capabilities

28
PL Roles/Responsibilities
  • Insert facility-specific and unit-specific roles/
    responsibilities in Unit SPH Binders

29
Monitoring PL Competency
  • PL Competency Assessment
  • (Handout A-4)
  • PL Activity/Status Log
  • (Handout A-3)

30
Suggested PL Training
  • Background/History/Patient Handling
    Injuries/Legislation
  • Ergonomics and Biomechanics of Patient Handling
  • Evidence/Research Findings
  • SPHM Program elements
  • Patient Care Ergonomic evaluation process
  • Patient Handling equipment
  • PL (job description/duties)
  • After Action Review
  • Algorithms
  • SPHM Policy/Directive

31
Suggested PL Training
  • Risk analyses
  • Patient Handling Equipment/Slings
  • Program implementation/Maintenance
    Strategies/Facilitators
  • PL (UPL) Log
  • Culture of safety Concept
  • Change theory/strategies
  • Knowledge transfer concept/theory
  • Social marketing
  • Program Facilitators/Barriers

32
Suggested PL Training
  • Peer Education/Coaching
  • Conducting competency assessments
  • Adult education principles
  • On-the-job (OJT) training principles
  • Coaching

33
Implementing a PL Program
  • Determine PL roles for facility/unit/area. The PL
    role may differ by clinical area.
  • Determine number of UPLs needed for each
    unit/area. The number of UPLs required may differ
    by clinical area.
  • Review PL Selection Criteria
  • Meet w/ nurse managers/supervisors to discuss PL
    roles, selection, and number required for the
    clinical unit/area.
  • Facilitate selection of UPLs.

34
Implementing a PL Program
  • Conduct PL orientation/training. Several
    training may need to be offered to capture all
    UPLs.
  • Facilitate PL training by equipment
    manufacturers in order to attain Super User
    status.
  • Hold regularly scheduled meetings. Initially,
    one every two weeks is suggested, then monthly
    meetings are satisfactory.
  • Ensure all UPLs are on Outlook
  • Create facility Outlook PL Mail group.

35
PL Resources
36
PL Resources
  • Resources
  • Facility SPHM Champion/Coordinator
  • SPH Presentations/Materials from this conference
  • Safe Patient Handling Movement A Practical
    Guide for Health Care Professionals, Ch. 7 (A.
    Nelson, editor)
  • AORN Ergonomic Guidelines for the PeriOperative
    Environment (AORN website)
  • NAON Ergonomic Guidelines for Orthopedics/Rehabili
    tation
  • Tool for Prioritizing High Risk Tasks (Handout
    A-5)

37
PL Resources
  • Resources
  • SPH Unit Binder (Handout A-6 - Table of
    Contents)
  • Easily accessible location on each unit
  • Install on VAMC Network

38
Peer Leaders
  • Program Facilitators

39
Ways To Assure Success Sustain Program
  • Succession Planning (related to turn-over, change
    of position, change of unit, etc.)
  • Nurse Mgr/Safety Champion responsible for
    identifying new PL after notification that
    current PL resigns, transfers etc.
  • Open PL course to others to gain Tempo/CEU
    credits

40
Ways To Assure Success Sustain Program
  • Redundancy
  • Have PL Binder accessible on each unit
  • Provide one PL per shift per unit
  • Peer Leader Back-up (if only 1 UPL/unit)
  • From UPLs unit
  • From other unit

41
Ways To Assure Success Sustain Program
  • Hold regular meetings
  • Patient care responsibilities interfere
  • Stay connected through email helps but not as
    good as face to face
  • Ensure management supports time for meetings

42
Ways To Assure Success Sustain Program
  • Marketing Unit Peer Leaders (Handout A-7)

43
Safe Patient Handling Movement Program
  • Peer Leaders are the Key to Program Success…
  • Implement Program
  • Maintain Program

44
  • Never underestimate the ability of a small
    group of committed individuals to change the
    world. Indeed, it is the only thing that ever
    has.
  • Margaret Mead

45
(No Transcript)
46
Peer Leaders Roles and Resources
  • QUESTIONS/COMMENTS??
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