Client Handling in Health Care | Manipulation des clients dans le secteur des soins de santé

[shot of Nurses operating a hospital bed] [TITLE: Client Handling in Health Care] I'm Thomas Abercrombie. I'm a health care
inspector with the Ontario Ministry of Labour out of the Ottawa office. And I'm Peg Scherzinger, Ergonomist with the
Ontario Ministry of Labour and I work out of the Northern Ontario Region. We are at Baycrest Centre and today we will
show you a proactive inspection in a health care facility and what the Ministry of Labour
inspectors will be looking for when conducting an inspection on MSD prevention and specifically
on client handling. MSDs are musculoskeletal disorders and what
they affect is tissues of the musculoskeletal system. Things like muscles, joints, nerves…the
discs of the spine. Client handling refers to lifting, repositioning
or transferring of a patient or client. [sound-up]: "We're here to see somebody who's in charge of health and safety." "Okay." When we visit a workplace, we ask to see the
management health and safety rep and also a worker health and safety rep. I will ask
a Ministry of Labour ergonomist to accompany me when there are MSD hazards in the workplace
or if the workplace is experiencing MSDs. MSDs hazards related to client handling include
the force involved, repetition, working in awkward postures. Another common source of
injury is unexpectedly high forces being placed on a worker due to an unexpected patient movement
such as a slip or fall. [sound-up]: "So do you have an overall policy on MSD prevention for client handling?" "So the one in the front, right now, is the
Ergonomic Assessment. We also have our Physical Demands Analysis Program…"
"Do you do some ongoing training too? Would you do annual refreshers?" When we conduct a proactive inspection in
the workplace, we begin with an administrative review. We look at measures and procedures.
Client handling measures and procedures should be reviewed on at least an annual basis or
more often in light of current practice. We look for Joint Health and Safety Committee
involvement. We look for training. [sound-up]: "So the first thing we're going to do is put this sling around you." People who should be included in training
are the direct caregiver staff, people who are involved in support services such as diagnostic
imaging and staff who may be involved in moving patients or residents in an emergency situation. Supervisors should also be included in this
training. What we expect to see from training in client handling is a classroom component
and a practical hands-on component. "Has the committee been consulted on the creation
of this?" "We have been involved."
"Do you also have specific measures and procedures related to different types of lifts? At a health care facility, the employer has
to consult with the Joint Health and Safety Committee on the creation of written measures
and procedures. When measures and procedures are being developed,
you want to consider the manufacturers' recommendations for whatever equipment's being used, the size
and weight of the client, the medical and cognitive abilities of the client and the
availability of back-up equipment. We follow up with a physical inspection of
the workplace. [sound-up]: "So what type of lifting equipment do you
have here?" MSDs due to client handling can be prevented
by having the appropriate equipment in place. That could include ceiling lifts, floor lifts,
sit-to-stand lifts, transfer boards and other appropriate equipment. A client handling device should be inspected
according to the manufacturers' instructions. [sound-up]: "So this is going to lift you up and you're going to feel like you're in a hammock." [Patient]: "Okay." [Nurse]: "So, yellow." [Patient]: "Yellow." The MSD inspection process should also include
inspecting the accessories that go with the mechanical lifting devices. It's also very important to have measures
and procedures on how this equipment is to be used and having staff trained in these
procedures. Assessment of clients, as to their lift and transfer needs, is very important
and having rooms clear of unnecessary clutter to allow the health care worker to get in the proper position to do patient lifts and transfers. When an MSD occurs, the employer must investigate
the incident and also put in place measures to prevent that from happening in the future.
Everyone in the workplace is responsible for workplace safety. Everyone should be involved in identifying workplace hazards and helping to find solutions. [Nurse, to Patient]: "Okay. Safe landing." For a checklist of MSD hazards to be used
at the time of your monthly workplace inspection, visit the MSD Prevention Guideline for Ontario. The MSD Prevention Guidelines can be downloaded at the Ministry of Labour website.

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