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Manual Handling

Manual Handling. Load Handling Including Induction. KATHERINE HOPKINSON Manual Handling Trainer/Advisor Ext 5457, Bleep 031. Back Care / Manual Handling. What Do I Do? Includes: Training for all levels of staff Follow up manual handling & related RIDDOR incidents

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Manual Handling

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  1. Manual Handling Load Handling Including Induction

  2. KATHERINE HOPKINSON Manual Handling Trainer/Advisor Ext 5457, Bleep 031 Back Care / Manual Handling

  3. What Do I Do? Includes: Training for all levels of staff Follow up manual handling & related RIDDOR incidents Carry out / assist with risk assessments for manual handling Assist with setting up your work station Organise trials for new equipment Assist with any manual handling problems you may be having in your department Back Care / Manual Handling

  4. Why is Good Manual Handling Important?

  5. Spinal Anatomy and Spinal Biomechanics

  6. The Spinal Column

  7. Intervertebral Disc

  8. Biomechanics The way our bodies move

  9. Compression Side View Front View The pattern of injury to the spine is a function of the type and size of forces present at time of injury. Lifting excessively heavy loads may result in damage to the disc structures.

  10. Herniated Disc

  11. Tension Side View Front View Overstretching may result in tearing of ligaments and consequently low back pain.

  12. Shear Shear forces, as a consequence of forward bending of the spine, may result in disc prolapse or herniation.

  13. Torsion Twisting movements of the spine may cause soft tissue damage.

  14. Posture Key factor when avoiding injury

  15. Any transporting or supporting of a load including the lifting, putting down, pushing, pulling, carrying or moving thereof by hand or by bodily force Manual Handling Operations Regulations 1992 Manual Handling THIS IS PART OF HEALTH AND SAFETY LAW – ALL HEALTH AND SAFETY LAW IS CRIMINAL LAW

  16. Single legal framework Statutory functions Inspectors can and do enter premises without warning If they are not satisfied by H&S standards they can Issue Improvement notices – requiring problems to be put right in a specified time Issue Prohibition notices – immediate or deferred Prosecute for the most serious failings Health and Safety Executive H.S.E.

  17. Health and Safety At Work Act 1974 Management of Health and Safety at Work Regulations 1999 Lifting Operations and Lifting Equipment Regulations 1998 Provision and Use of Work Equipment Regulations 1998 Manual Handling Operations Regulations 1992 The Law

  18. Health And Safety At Work Act Employer’s Responsibilities …to look after the health, safety and welfare at work of all employees as far as is reasonably practicable …to provide (amongst other things)…training Employee’s Responsibilities …to take reasonable care of their own health and safety and that of others by what you do or don’t do …to allow the employer to comply with his Health & Safety duties Management of Health and Safety at Work Regulations Must carry out risk assessments Employees shall use equipment appropriately, in accordance with the training and instruction provided

  19. http://www.youtube.com/watch?v=X19HNwZnKuc

  20. P.U.W.E.R. Provision and Use of Work Equipment Regulations 1998 Covers nearly any equipment which is used by an employee at work And says it has to be: suitable for the intended use; safe for use & maintained in a safe condition L.O.L.E.R. Lifting Operations and Lifting Equipment Regulations 1998 Includes any equipment used at work for lifting or lowering loads – includes HOISTS Requires that lifting equipment provided for use at work is: subject to ongoing thorough examination and, where appropriate, inspection by competent people strong and stable enough for the particular use and marked to indicate safe working loads

  21. Employee’s Responsibilities Each employee while at work shall make full and proper use of any system of work provided for his use by his employer Manual Handling Operations Regulations

  22. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  23. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  24. The falls prevention policy does cover slips, trips and falls of staff as well as patients.

  25. The falls prevention policy does cover slips, trips and falls of staff as well as patients.

  26. The Moving and Handling of Patients and Loads Falls Prevention Policy Guidance for the Safe Handling of Bariatric Patients Policies

  27. Everything has a “Safe Working Load”

  28. AVOID ASSESS REDUCE Manual Handling Operations Regulations

  29. Risk Assessment Guidelines

  30. Task Risk Assessment T.I.L.E

  31. A comparison between, on one hand the extent of the risk and on the other the sacrifice (cost, time and effort) in taking the necessary measures to advert the risk. (Stranks 1994) Reasonably Practicable RISK SACRIFICE

  32. 1/3 of all reported injuries resulting in 3 or more days off work are caused by manual handling accidents In the NHS manual handling accounts for 40% of all sickness absence The cost to the NHS in accident and sickness absence is £500 million a year 4 out of 5 adults will suffer from back pain during their working lives Effects can be devastating and life changing 1 in 4 nurses have at some time taken time off work with a back injury sustained at work Back & musculo-skeletal problems are no respecter of position, age, gender or experience It Could Happen To You

  33. Reporting Incidents

  34. REPORTING OF INJURIES, DISEASES AND DANGEROUS OCCURENCES REGULATIONS 1995 Employer must report by law:- Fatal and specified major injuries Over 7 day injuries Injuries resulting in hospital admission > 24hours Plus: Employers must keep a record of all accidents. Employer & Managers must investigate the cause of an accident. Employees must:- Inform your manager a.s.a.p. after an accident at work Complete an accident form Advise manager if off sick for more than 7 days with a work related injury R.I.D.D.O.R.

  35. The study of physical and behavioural interaction between humans and their environment. “Fitting the task to the man” Ergonomics

  36. Ergonomics

  37. Policy (including the assessment checklist) can be found here: http://intranet/Policies/Health_and_Safety_Policies_Document_Library/DSE.pdf Checklist only: http://intranet/UsefulForms/Non clinical forms/DSE-Self Assessment Form.doc

  38. Ergonomics

  39. The Science Bit! THE WAY WE USE OUR BODIES Centre of gravity Levers & fulcrums Biomechanics

  40. Levers Centre of Gravity Centre of Gravity http://www.youtube.com/watch?v=kqzxEVDwwB0&list=PL74780071BD3FE605

  41. Musculo-Skeletal Injuries

  42. From a work point of view Make sure your manager is aware Get referred to Occupational Health if necessary Be aware of your limitations From a personal point of view Do NOT limit yourself to bedrest – this could be the worst thing to do The only robust evidence for prevention of sick leave from lower back pain and occurrence / duration of future episodes is PHYSICAL EXERCISE If You Have Back Pain or any Musculo-Skeletal Pain

  43. Different Positions and their Effect on Spinal Pressure

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