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Ergonomics and Caregiver
Safety
Guy Fragala, PhD, CSP
Audrey Nelson, PhD, RN, FAAN
Rick Barker, MA, CPE
ERGONOMICS AND CAREGIVER
SAFETY
Issues Needing Attention
• High Rates of Nursing Back Injuries
• High Cost of Injuries
• Regulatory Pressures
• Need to Improve the Work Environment
http://www.index.va.gov/search/va/va_search.jsp?QT=ergonomics
Size of Hospitals Included for Injury
Data Review
Related to
Other 21.30%
Patient
Handling
68.70%
2001 Strain/Sprain Injuries
Related to Other
Patient 21.40%
Handling
68.6%
Ranking of Activities Causing
Strain/Sprain Injuries to Hospital
Workers
Activity Reported Injuries Percentage Rank
Repositioning Patient (Includes turning and lifting 153 17.9 1
patient up in bed)
Intent of EC.4.2:
Based on the ongoing monitoring of
performance in each of the seven
management areas, recommendations for
one or more performance improvement
activities are communicated annually to
the hospital’s leaders.
The Practice of
Nursing
...Difficult and
Demanding
How can we make
improvements?
Ergonomic Assessments of Nursing
Practice Settings
Resident
Height Stand Assist Stand Assist Gait Belt with Friction
Dependency Full Sling Lift Lift Walker
Adjustable Bed Lift Aid Handles Reducing Aid
Classification
Strongly
2 – Limited Rarely
Recommended Normally Normally Normally Normally Normally
Assistance
For a typical resident with the dependency status classification as shown, this grid indicates normal
equipment requirements to conduct a safe transfer. Some residents may have special characteristics
and not exactly match a typical profile. In those situations, special consideration will be required.
Directions for Acute Care
• Lateral transfers
• Assist to standing position
• Bed egress and transfer
• Turning as opposed to repositioning
patient in bed
• Bed to chair transitioning
Lateral Transfer Aids