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Risk assessment – identifying the best options. Carole Johnson Freelance Manual Handling Adviser. Evidence. Well designed meta analysis of >1 randomised control study Randomised control study Well designed control study without randomisation

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Risk assessment – identifying the best options


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risk assessment identifying the best options

Risk assessment – identifying the best options

Carole Johnson

Freelance Manual Handling Adviser

evidence
Evidence
  • Well designed meta analysis of >1 randomised control study
  • Randomised control study
  • Well designed control study without randomisation
  • Well designed non experimental control studies (correlational and case studies)
  • Expert committee report, consensus conference, clinical experience of respected authorities

Scottish Intercollegiate Guidelines Network

slide3
Aim

To inspire us to make our manual handling decisions making more measurable.

evidence1
Evidence
  • What were you doing 15 years ago?
  • What decisions were you making?
  • Where did you get your evidence from?
decision making
Decision Making
  • The Question
  • The Evidence
  • Assessing the Evidence
  • Have I missed anything?
  • Making the Decision
  • Evaluation
encouraging good practice
Encouraging Good Practice

The Tools

  • Effort (Handler)
  • Risk Matrix (person)
  • Risk Matrix (handler)
  • Body map
  • Considerations
  • Alternatives
case study empowering staff
Case Study - Empowering Staff
  • Andrew
  • Child size E
  • FIM (for personal care transfers) 1
  • Anti-spasm sling supplied by OT but previously used ‘walking harness’ type sling
  • Single (angled) overhead hoist with delayed start/stop and tensioner
  • New staff
andrew
Andrew
  • Task – transfer from wheelchair to height adjustable change bed
  • Previous manual handling risk assessment completed, no problems reported by staff
  • Andrew distressed in new class – now taking 5 staff to transfer, leaving only one person in the class
slide20

Assessment Nr 2:

3rd September 2012

slide21

Assessment Nr 1:

20th April 2012

issues
Issues

The Date….

julie
Julie

Julie, age 5 recent diagnosis (within last 18 months) of a muscular dystrophy

Underweight (16 kg)

94 cm

Shuffles around home on her bottom

Head and trunk control if remains in the mid line.

the question
The Question

How will Julie transfer from the floor to her wheelchair?

evidence2
‘Evidence’
  • Manual Handling of Children (NBE 2011)
  • The HOP’s (BackCare 2005, 2011)
  • Local Policies
  • Manual Handling Adviser
  • Colleagues
collecting your own evidence
Collecting your own evidence
  • Comparison of options
comparison
Comparison
  • Repeated 20 + times per day
  • Needs to encourage independence
references
References

Manual Handling of Children, NBE 2011

Handling of People, (5th Edition) BackCare 2005

Handling of People, (6th Edition) BackCare 2011

Handle with Care, Scottish Commission for Children and Young People 2008

Moving And Handling SEN Magazine July 2009

Back Care - Looking after the Workforce PIR Magazine April 2011