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Some great ideas shared and I also would like to see and feel this in practice. Is it possible to have a work station to test this out on the MHANZ study day?
One group of Wellington DNs were persuaded to try the limb lifter sling but I think it was not really supported as an option because staff perceived it to be more time consuming to use and there were issues with floor hoists compatibility with the plinth legs so it would only fit in one way and if your patient was not quite correctly aligned it didn’t work. I can see how it would be so much better with a ceiling hoist so this might be an avenue to explore. Another group of DNs would love to have tried it but the hoist would not actually fit into the room where they do the leg ulcer dressings so the manager said no to the hoist and they were not willing to swap rooms!
If anyone has pictures that can be shared please do as a photo explains much better than words.
Thank youHello,
Just to clarify the session is the same one repeated and planned to last 2.5hrs max. ( I emailed Finnbar to ask)
I’m planning to join the 13th December session, Hope to see some of you online.
EleanorHi Marissa,
We ask learners to practice on each other so they can give feedback to peers eg someone grips too hard or moves too quick.
We only use the mannequin for chair to floor transfer and this is a challenge as the mannequin does not move like a real person.Sent from my GalaxyHello,
We have a RAIZER CHAIR II (from Active), in our dementia unit and it works really well, much quicker and easier for all. I think this is an ideal solution as long as the patient is normally able to weight bear & is less than 150kgHello all,
To add to Anne’s post, those of you who were paid up members last year have received a free year extension to your membership as notified at the AGM.
The AGM for 2022 will still be held in early May, as a zoom meeting and I think there will be time for some Q&A if you would like to start thinking about questions now.
Many thanks
Eleanor (Treasurer)Sent from my GalaxyHi Anne. We are about to introduce the Raizer chair as an alternative for falls retrieval. I have created a simple flow chart to help nurses decide if this is the most appropriate option. Happy to share via email. Kind regards
Good luck Jessie, We try this at Introduction day at CCDHB and we use a mannequin to move the person to the floor. This is not quite realistic but the closest we can get without hurting a person!. I have personally mastered the art of being the patient for my educators to demonstrate a one person moving the patient to the floor.
We have also worked out that when the 2 staff kneeling on the floor pull the person off the chair to sitting, and the 3rd staff holding the head does a forward lunge move. Then push the patient towards the person holding the head, they lower this to the floor, and then are in a position to manage the airway, and the kneeling staff is in the correct place to start CPR. Hard to describe in words – its the one thing I want to try to have a one take video off as the part of CPR training that is often not included.Happy to try to do a zoom call and show you what I mean it that is easier.
Thanks Jessie for reminding us. Our DHB bases their CPR on the UK resus council guidelines. I have since found a copy of this – an old out of date version had been loaded to our intranet and forgotten. These guidelines have an illustration of the best techniques to use for staff safety.
We have introduced a non-responsive patient in a waiting room as a scenario at the end of the Introduction to M&H day we are running for all new staff. It uses a mannequin and we get the team to do a risk assessment prior to starting and ask them to talk through how they can look after themself. Then we practice, as the mannequin does not mind being pulled to the floor over and again. We don’t bother with going to look for sheets/pillows etc as that is a time delay and the guidelines suggest it gets in the way more than helps. I am hoping later in the year to set up this as a scenario with my M&H educators and the CPR tutors. we will have one attempt with many cameras filming and they can pull me to the floor once only so we can use this for training. Will keep you posted.Thank you all. I have canvassed opinion here with the physio team who also suggest get the patient to the floor then deal with the treatment needs. Use equipment to get the person up again afterwards. Now I just need a way of installing this into the practice of some staff! We are not good at doing the stop, aseess, plan, act process. This will be a key theme for the 2020 round of training here!
I wonder if we could link this sort of scenario into CPR training so people think of this when they are involved in CPR? The scenarios I have been given on the basic level of training all involved the adult patient on the floor to start with.
Hi Ellen,
I think you in the wellington region so please come and visit me at Te Omanga hospice and have a look at our new bariatric rooms. my work email is eleanor.barrett@teomanga.org.nz if you are still interested and have not finished your rooms yet!
EleanorIn my hospice role we do not use bed levers on hospital beds – they slide along the bed base when the head end is elevated and then get stuck between slats so the bed can’t go back flat. They also become a barrier to getting out of bed. For the community patients we will have to get the current models retro fitted as per coroners suggestions (these are about $45 each and the suppliers will only do their own.)
However in hospital there are some bed levers of the Super-quip style that have a larger hoop and no cord to attach them to the bed. These are very robust but I still have reservations about bed levers on hospital beds unless they are the correct sort to match the bed… but with so many different beds there may be a problems matching bed lever to bed as per manufacturers guidelines. There is no easy answer!Hi Bev.
Would you be prepares to share your experiences with MHANZ as a presentation at the roadshow later this year – it would be an interesting discussion group perhaps to start exploring these issues. I am often saying when you look at the population walking round your local shopping mall – those are the people who will be using our services and entering hospital/hospice/residential care type facilities and we need to start planning and advocating for the care staff to have the tools required so they are not injured when assisting.
Please let me know if you would like to present (email me at treasurer@mhanz.org.nz) thanksHi, At the MHANZ roadshows there was a session about sling care and maintainence – run by Ram Rai of Hill-rom. (https://www.hill-rom.com) He had a very informative presentation but I do not think we were able to add his slideshow to the website resources. There may be info on their website. Do you think it would be useful to run a session on this topic at the next roadshows?
Good luck and best wishes
Eleanor
