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Kia ora koutou!
ACC are the Partnership Sponsor at the upcoming MHANZ ‘Move It Again!’ road show and we are really keen to hear from you. I am the design lead for ACC (Workplace Safety Team) and will be running a workshop session at each of the roadshows, along with my colleague Chitra Anderson. We are leading ACC’s response to Harm Reduction Action Plan in the healthcare and social assistance sector. Instead of turning up and telling you about things we think you want to hear, we really want to know how to make our participation in the road show work for you!
So, we’ve put together a few questions that will help us design what we do at the road show sessions. You can just answer with yes or no for questions 3 and 4. You can respond either to this post on the forum or email us at: Workplace Safety Team.
MHANZ Membership forum questions:
1: What is your role/job title?
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1)
(2)
(3)3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design?
4: Would you like hear more about the initiatives from the Workplace Safety team?
We are looking forward to seeing you soon!
Nga Mihi
Gillian Millerin reply
1. Moving and Handling Advisor
2. (1) Culture of doing things quickly because they are short staffed
(2) lack of equipment for patient handling
(3) lack of education on patient handling techqniues
3.Yes, we have patient handling equipment and a policy and induction training however not enough update training.
4. I would like to hear if their is an idea to make patient handling training compulsory or a clear guideline for DHB’s to follow.1 Physiotherapist /Moving and Handling Adviser
2 Lack of training for Trainors who orientate new staff They Need to have a certificate in Moving and Handling
which is updated like a first aid one.
Lack of appropriate equipment and low staffing ratios relative to acuity of patients.
Frequent staff changes leading to lack of consistency
3 yes we do have annual moving and handling updates of an hour for clinical and non clinical staff these are given by the physiotherapist who also sees all new registered nurses, All incidents related to moving and Handling which result in staff injuries are referred to the Health and safety meeting and then to the physio for review .
Ann Newsom Physiotherapist Therapy Professionals Christchurch
I would be interested in the harm reduction action planIn reply
1: What is your role/job title? Moving and Handling Consultant
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1) Lack of Ministry of Health advocacy/input/directives that make inclusion of M&H in Health and residential care strategy/budget compulsory
(2) Lack of compulsory and specific consideration for M&H in facility refurbishment and design, e.g. ceiling hoists AND ratio/design of them
(3) Perception – often nice to have for an expendable workforce is the perception, instead of the potentially catastrophic or therapeutic effects on both workforce and patients3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design? Yes but needs all of the above to be truly business as usual
4: Would you like hear more about the initiatives from the Workplace Safety team? Yes please
1: What is your role/job title? Senior Moving and Handling Educator
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1)Not all workers have embraced the safety culture in M&H even after they have attended training
(2)There is often pressure on staff to “just get it done” and this makes moving patients more hazardous for both staff and patient
(3)Even with the ACC guidelines (2012)there is not mandatory responsibility to follow these for Facility design leading to new building which cannot always accommodate larger beds and equipment3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design?
Yes4: Would you like hear more about the initiatives from the Workplace Safety team?
Yes please1. Health and Safety Facilitator
2. A) staff numbers/rushing to get things done
B) staff don’t seem to think/realise the risk to their safety when doing tasks until they hurt themselves
C) Attitude e.g. I have been doing this for 20 year and haven’t had any problems
3. Yes and no, we have a moving and handling polity that includes training but no policy on the others
4. Yes please1. What is your role/job title? Moving & handling coordinator.
2. What are the 3 main barriers you face when it comes to moving and handling people safely?
Lack of resourcing for trainers to be able to deliver training within their areas
Unable to coordinate training across areas due to lack of resourcing for coordinator role & trainers’ roles
Lack of management recognition of the importance of moving & handling resourcing – lack of Government input & financial commitment to appropriately resource staff involved in the vital role of moving & handling to reduce staff & patient injury as a result of moving & handling activities.
Need all of the above Anne McMahon
3. Presence of a Workplace programme? A loose programme, Limited equipment consideration & resourcing for equipment maintenence & I am not sure of facility design – it is not something I have not been asked to have much input into.
4. Re initiatives from Workplace Safety – Yes please1: What is your role/job title? Senior Moving and Handling Educator
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1)Culture of always rushing, Takes too long
(2)Don’t always think from Patient’s perspective of implications of poor Moving and Handling experience
(3)Lack of appropriate equipment in some areas3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design? Yes
4: Would you like hear more about the initiatives from the Workplace Safety team? yes please
• 1: What is your role/job title? Manual handling injury prevention coordinator. I sent these questions out to members of our manual handling champion program. An RN from OPD responded, a radiographer, an RN from extended forensic and our health and safety coordinator.
• I have summarized their answers and my response below.
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1)All respondents felt that having enough staff available to help with a safe transfer was the main problem. Our H&S coordinator felt that this may be a perceived problem and unfortunately Trendcare does not always take into account increased staffing needs and time for bariatric patients.
(2)Not enough time to complete the task safely including a thorough risk assessment and mobility plan. To include encouraging the patient to assist and move themselves and or understand why staff need to use certain equipment. Time and staffing levels are certainly linked. Having equipment readily available, “out of sight out of mind”.
(3)In some areas workplace culture of “she’ll be right”, which I feel would improve with Ministry of Health initiatives and leadership. As a manual handling coordinator one of my barriers is…… much needed equipment not being budgeted for prior to this role existing. Facility design not accommodating ceiling hoists or doors, rooms and bathrooms being too small to accommodate larger equipment.
3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design? Yes to all
4: Would you like hear more about the initiatives from the Workplace Safety team?
Absolutely!1 Role Physio – deliver and supervise Moving and Handling Training
2 Barriers
1 Lack of direction by DHB’s to their Aged Care Providers over the importance, delivery and responsibility around moving and handling training. Relating this to the safety of our client and staff.
2 Staff remembering their training.
3 Communication – don’t ask if they don’t know/rememberr3 Yes
4 Yes I would
2
1: What is your role/job title? Moving and Handling Educator
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1) Transferring knowledge and skills to practice, changing old habits
(2) Assessing all aspects of LITE prior to transfers/techniques
(3) Time pressures3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design?
Yes
4. Yes please1: What is your role/job title? Moving and Handling and Restraint Coordinator
2: What are the 3 main barriers you face when it comes to moving and handling people safely?
(1)Changing the safety culture – lets use the sheet to move the patient it takes too long to put the slide sheets in
(2)Time for the task and number of care givers required
(3)Uncooperative patients – cognition – medical condition3: Does your workplace, in your opinion, have a basic Moving & Handling programme? E.g. a policy that includes training and equipment and consideration of moving and handling in facility design? – yes
4: Would you like hear more about the initiatives from the Workplace Safety team? – yes
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