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The Use of the Patient Handling Risk Assessment Screening Form
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1. WEIGHT ccs csstctt cree tte asd fected Sets 8 fe co eet ASSESSMENT OF PATIENTS CONDITION 5 AND 6 HANDLING CONSTRAINTS YES NO COMMENTS Mental State Challenging Behaviour Understands commands Difficulty with upper Limbs Difficulty with Lower Limbs Previous known handling issues Previous falls Pain Lines Tubes Catheler Waterlow score Tissue Viability Assessment required Assessor SIQMALUT ES EET E TE AAE TT ARE YOU GOING TO MANUALLY ASSIST THE PATIENT IF YES PROCEED WITH HANDLING FACTORS CONSIDER NO HANDLING SITUATION IS EVER TRULY RISK FREE Moving amp Handling Service January 2003 Review Dates e a a ea an ite Ea vee e elaine Review Date cccccccccc eee ec teat ee E MOVING AND HANDLING FACTORS Date Date Date Date Date Date WALKING PLEASE TICK Independent Supervision Aid Required Unable to Mobilise Number of Handlers Signature BATHIING PLEASE TICK Independent Supervision Hoist Other Number of Handlers Signature EMERGENCY EVACUATION PLEASE TICK Independent Supervision Wheeled Transport Other Number of Handlers Signature TRANSFER BED TO CHAIR COMMODE TO CHAIR CHAIR TO TOILET HEELCHAIR PLEASE TICK Independent Supervision Aid required Other Num
2. Leicestershire Partnership NHS NHS Trust The Use of the Patient Handling Risk Assessment Screening Form Guidelines This document provides guidance to staff on the use of the Patient Handling Risk Assessment Screening Form Key Words Patient Handing Risk Assessment Screening Version V1 Adopted by Health and Safety Committee Date adopted Marciadis Name of Sue Deakin Moving and Handling Advisor originator author Name of Health and Safety Committee responsible committee Date issued for March 2003 publication Review date March 2013 Expiry date N a Target audience All staff Type of Policy Clinical Non Clinical tick appropriate vV box NHSLA Risk Management Standards if applicable State Relevant CQC 4 Standards CONTENTS Introduction Page 1 Guidelines for using the Patient Handling Risk Assessment Screening Form Page 2 The Patient Handling Risk Assessment Screening Form Page 3 Guidelines for completing the Patient Handling Risk Assessment Form Page 4 7 Implementation Plan Page 8 Moving amp Handling Service January 2003 INTRODUCTION The Moving and Handling Steering Group have reviewed the patient handling risk assessment process throughout the Trust Listed below are reasons of the importance of patient handling risk assessments The Need for Using the Patient Handling Risk Assessment Screening Form Statu
3. NING FORM IMPLEMENTATION PLAN DIRECTORATES LEAD PERSON ACTION Learning Disabilities Suggested implementation date April May 2003 Michelle Churchard Practice Develop Nurse Moving and Handling Risk Assessor will provide training sessions to M amp H Field Trainers The Field Trainers will pass this information onto staff during their local moving and handling training sessions Social Care Managers and Team Leaders will also receive a package on how to use the form supplemented Mental Health Treatment Recovery Service Suggested implementation date April May 2003 Kath Quinlivan Practice Development Nurse The Risk Assessment Screening Form will be included as part of the admissions pathway process which all staff have training on Mental Health Adult Suggested implementation date April May 2003 Christine Gardner Ward Manager Information will be disseminated through the Nurse Practice Group Staff will also be trained on how to use the form through the Senior Nurse Advisory Forum this will be cascaded down Mental Health Specialist Service Suggested implementation date April May 2003 The Health and Safety Action Group On site training sessions will be offered to child and family psychiatry and eating disorders as they are inpatient areas that may be required to form patient handling Mental Health Older Persons Suggested implementation date Ap
4. ber of Handlers Signature MOVING PATIENT UP THE BED AND POSITIONING IN BED PLEASE TICK Independent Supervision Aid Required Profiling Bed Other Number of Handlers Signature TRANSFER BED TO BED TROLLEY PLEASE TICK Independent Supervision Aid Required Other Number of Handlers Signature 10 HEFa account the environment the task being completed and the individual staff member when completing REFERENCES THE GUIDE TO THE HANDLING OF PATIENTS 4TH EDITION RCN I NATIONAL BACK PAIN ASSOCIATION NBPA SAFER HANDLING OF PEOPLE IN THE COMMUNITY BACK CARE 1999 NBPA MIDDLESEX PRESSURE ULCER RISK ASSESSMENT AND DEMENTIA RCN 2000 LONDON HUMAN APPLICATIONS IIOSU 1997 PLEASE REFER TO PROCEDURES FOR MOVING AND HANDLING OF PATIENTS NOW DEVISE YOUR CARE PLAN Moving amp Handling Service January 2003 GUIDELINES ON COMPLETING THE PATIENT HANDLING RISK ASSESSMENT SCREENING FORM 1 PATIENT DETAILS To include name and or identification number The name of the location where the actual moving and handling manoeuvres will actually be completed E g for community this may be their own home or a relative s home this should be the place where the client s spends most of his her time 2 WEIGHT Record weight and the date of when the weight was recorded as this may change Thisinformation could be updat
5. d Handling Policy 2002 6 2 1 general risk assessments should be completed in your area so you have an idea of which patients can use which room For example it can be said that with the hoist and space available it is not possible to toilet your mobile patients in the toilets and that these people must be toileted on commodes Moving amp Handling Service January 2003 GUIDELINES ON COMPLETING THE PATIENT HANDLING RISK ASSESSMENT SCREENING FORM Continued 10 MOVING AND HANDLING FACTORS The date of filling out the factors Tick the box under each heading that applies Independent Patient is able to do moves without help Supervision Patient may require slight assistance which could be instructions on how to move Aid Required Any equipment the ward has purchased and the staff need to use must be highlighted e g Frame Handling Belt Hoist Sliding Sheet Raised Toilet Seat Profiling Bed Transfer Board Stand Aid Number of Handlers Number of staff required for moving and handling needs Other Other is a place in each section so any additional equipment that is not listed may be added e g under the walking heading other may staff protective head wear Signature Your signature If any of the headings do not apply please state not applicable within the dated section Moving amp Handling Service January 2003 PATIENT HANDLING RISK ASSESSMENT SCREE
6. ed several times 3 HEIGHT Record height if known it may be desirable to add details of the client s build 4 DATE This is the date for when form was completed 5 6 ASSESSMENT OF CLIENTS CONDITION Tick Yes or No box if applicable Comments should include information that may help the carer with handling moves techniques EXAMPLES BELOW OF SUGGESTED HANDLING CONSTRAINTS THIS IS NOT AN EXHAUSTIVE LIST a Mental state Well motivated Unmotivated Apprehensive Disorientated Suffers with dementia _ Unpredictable b Challenging Behaviour Identifiable triggers What does the behaviour consist of c Understanding Commands What are the client s communication skills like Is English their first language May have visual or hearing defects disabilities May respond to special signs d Difficulties with upper limbs Unable to grasp with right or left hand Does not have full range of movement in one arm or both arms Unable to use right or left arm Moving amp Handling Service January 2003 GUIDELINES ON COMPLETING THE PATIENT HANDLING RISK ASSESSMENT SCREENING FORM Continued e Difficulties with lower limbs Needs to wear shoes when standing Right or left leg has a tendency to give way following five minutes of standing One leg shorter than other Unable to weight bear f Previous known handling iss
7. ff member working in the community and a client 2 requires moving and handling a patient handling risk assessment will need to be completed to accompany the plan of care If the patient is independent in all areas no further assessment is necessary unless any 3 of the factors on the Patient Moving and Handling and Evacuation Screening Form change j It is the responsibility of a trained nurse a trained therapist or a social care manager to complete the moving and handling documentation Named Nurses Home Managers are accountable for ensuring information is up to date 5 and completed 6 It is the responsibility of all members of staff to make themselves aware of a patient s moving and handling plan prior to any kind of moving or handling It is the responsibility of all members of staff e g health care support worker to inform a 7 trained member of staff about any difficulties concerns they may have after following a moving and handling plan 3 The decision of when to review the patient s client s moving and handling needs will be made by the clinical staff in the department Moving amp Handling Service January 2003 Leicestershire Partnership NHS NHS Trust PATIENT HANDLING RISK ASSESSMENT SCREENING FORM HOW TO USE THIS FORM If patient is independent in all areas no further assessment is necessary except if any of the below factors change For specific action plan refer to care plan PATIENT DETAILS ID NUMBER
8. ril May 2003 Julie Redman Clinical Nurse Leader Moving and Handling Risk Assessor will provide training sessions to M amp H Field Trainers The Field Trainers will pass this information onto staff during their local moving and handling training sessions Posters will be distributed advertising the introduction of the Patient Handling Risk Assessment Screening Form with contact numbers for staff members who would like to access information on instruction of how to use the form Moving and Handling update training offered by the Moving and Handling Service will also instruct staff on use of the form Moving and Handling group will monitor the use of the form on an annual basis 8 Moving amp Handling Service January 2003
9. tory Obligations The Manual Handling Operations Regulations Regulation 4 1 b i states in the assessment of risk each employer shall Where it is not reasonably practical to avoid the need for his employees to undertake any manual handling operation at work which involve a risk of being injured Make suitable and sufficient assessment of all such manual handling operations to be undertaken by them It is accepted that if a patient requires handling as part of their care there will always be the risk of injury due to unpredictable behaviour of humans i e risk of falling The Benefits of the Patient Handling Risk Assessments Screening Form The introduction of the Patient Handling Risk Assessment Screening Form will enable the following benefits Aconsistent approach to patient handling risk assessments A consistent approach to ways in which the patients are handled An excellent communication tool for all health care disciplines The contents of the guidelines will provide the following 1 Guidelines for using the patient handling risk assessment form 2 Guidelines for completing the patient handling risk assessment form 3 Implementation Plan for the introduction of the Patient Handling Risk Assessment Screening Form 1 Moving amp Handling Service January 2003 GUIDELINES FOR PATIENT HANDLING RISK ASSESSMENT SCREENING FORM 1 This form is mainly for inpatient use If you are a sta
10. ues Has specialist equipment been required hired purchased Have staff had any difficulties g Previous Falls Long history of falls Reason for previous falls history of falls if known h Pain What may be causing pain Pain relief that may need to be given and when i Lines Tubes Catheter May have a leg bag May have colostomy May have an intravenous infusion enteral feeding J Waterlow Score Tissue Viability Taken from Waterlow risk assessment May give an indication of pressure area care required Please refer to tissue viability assessment 7 SIGN NAME 8 REVIEW DATE Moving amp Handling Service January 2003 GUIDELINES ON COMPLETING THE PATIENT HANDLING RISK ASSESSMENT SCREENING FORM Continued 9 ENVIRONMENT AND INDIVIDUAL It is the duty of each EMPLOYEE to take reasonable care of their own health and safety and that of others and to co operate with the employers in discharging their duties under the act Under the Health and Safety at Work Act 1974 Please inform your manager if you are unable to undertake a moving and handling task As the environment can constantly change staff members need to be aware of Space availability Floor surface uneven slippery or stable Variations in level of floors work surfaces or steps Temperature humidity or air movement Lighting In line with the Moving an
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