Safe lifting and moving in health care: partners in Success What We Can Learn From Injured Workers About Preventing Injuries Jean Eichenberger, MS, RN University of Illinois Hospital November 15, 2012
About the University of Illinois Hospital & Health Sciences System • Conveniently located just southwest of Chicago’s downtown • 495 bed tertiary care hospital • Out-patient and specialty clinics • Seven health science colleges including the College of Medicine As a leader in patient care, research and education, UI Health is committed to making positive and lasting differences in health science and in people’s lives.
Why do Healthcare Workers get Injured? • Number of lateral transfers per day…………231 • Number of patients being repositioned per day……..138 On average, patients are repositioned 12 times per 24 hour period Extensive and total assist patients are transferred at least 5 times per day to and from toilet, bed, chair, and laterally
Total Weight • Average Patient Weight………………………..180 lbs • Number of repositioning tasks per year……….604,440 • Weight repositioned per year………………108,799,200 • Adding in the transfers and the total weight being repositioned and transferred per year…….123,975,900 • That’s nearly 62 thousand tons per year!
Bariatric Patients • Annual estimate of patients over 500#............13 • Annual estimate of patients over 700#..............1
What are our Incidents? • ~ 40% exposures and 60% injuries • Top Injury Categories • 14.5% …………slip/trip • 8.39% ………….struck by • 7.5% …………...lifting • 7.26% ………….patient handling • 4.63% ………….struck against • 4.63% ………….push/pull
Definitions of SPH Classification • “Transfer”– refers to making lateral transfers, moving from bed to chair, toilet to stand; • “Reposition”– refers to action of pulling patient up in bed, log-rolling patient in bed, repositioning limbs; • “Push-pull”– refers to motion of pushing or pulling wheelchair, bed and/or other equipment WITH patient present; • “Fall Intervention”– refers to “catching a fall”, assisting patient to floor when falling;
Return To Work Program • Definition: method to help injured workers get back to work by providing them with temporary, modified jobs that take into consideration physical restrictions, skills, interests and capabilities.
RTW Program Goals • Return partially disabled workers to work • Prevent permanent partial disability cases • Reduce hidden, uninsurable costs • Reduce insurance costs by reducing lost time • Save the careers of good workers • Improve morale
Benefits To The Employee • Allows the employee to return to the job-site, and thus protect their income, career, and working relationships • Protects the employee from developing habits that can lead to long absences from the workplace • Permits the employee to return to the job-site during the rehabilitation period • Allows the employee to maintain self confidence
Benefits To The Employer • Improves employee morale when there is a commitment to the injured worker’s well-being • Reduces the cost of workers’ compensation insurance by decreasing lost time days • Increased productivity in the workforce • Assists in the reduction of employer’s indirect expenses such as hiring and training of new employees
RTW Modifications • Alternate assignment: return to a different existing job within the functional capacity assigned by the physician • Restricted work: return to regular job with accommodations as assigned by the physician, e.g. lifting restriction. • Modified duty or total accommodation: positions are specifically created to accommodate restrictions of injured worker • Modified Work Hours: any of the above accommodations applying reduced hours, graduating to full time
Lessons Learned • Management buy-in is critical • Cultures change slowly, but they do change • Advocate for the employee • Parking, paycheck, performance • Be creative!