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Jessie SnowdonParticipant
After a long gap we had a great meeting in Christchurch last week. We have doubled in size as we now have the DHB moving and handling team as part of MHANZ which is a fabulous addition. We shared a lot of workplace issues and have a couple of questions for the forum.
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What do your DHB morgues use to lift bodies up and off trolleys?TWO
Anyone use flexislide in theater? https://globalmedics.co.nz/flexislide-patient-transfer-sheet.html We are interested to know if it is used a lot and what people think of it. We found that it needed a PAT slide to work well depending on the surfaces that people were being transferred to and from. We thought it had no advantage over using a bed sheet on a PAT slide EXCEPT that if using a bed sheet to slide then you are effectively using linen as a transfer aid and with no Safe Working Limit that had it’s own issues.THREE
Using Stryker trolleys in ER/ED that hoists can’t fit under – how do you transfer a person from a wheelchair onto the trolley? We thought you could hoist them onto a different bed and then do a lateral transfer (but you need to have spare beds around….) or a gantry hoist that could be moved into place (but you need to have a moveable gantry hoist hanging around!).LOVE to hear your thoughts or experience!
thanks everyoneJessie SnowdonParticipantEleanor Barrett and Angela Greetham – would LOVE to see a video of this – even just a quickie filmed on your phone. As an aside I didn’t get a notification that you had replied – will let Rebecca know. Could also be a good topic for our next national MHANZ meet up.
Everyone else – we have confirmed the next Canterbury MHANZ day will be at the Cubro show room on 15th April 2021. If you would like to attend please email me so we know numbers jessie@onthegophysio.co.nz.thanks!
Jessie SnowdonParticipantHi Christchurch/Canterbury folk, we have just had a 30 minute zoom meeting and have decided for this year we will invite the major supplies to host us in turn and show us their wares! We will also use the time to discuss upcoming issues. We will generally be meeting on a Wednesday or Thursday at 1pm and aiming for 4 meetings this year. At our first one we will also be playing with getting an unconscious/acutely unwell person from chair to floor. If you would like to be on our local email list please let me know at jessie@onthegophysio.co.nz.
Jessie SnowdonParticipantHi everyone – our Christchurch group discussed this topic tonight and the outcome was we were going to put it on the forum…looks like it is already there! We reviewed two guides (Australia and UK) and a detailed email from the Aussie forum on this topic. From our conversation some of our key thoughts were
– we like the idea of preparing for this i.e if person is likely to faint or medically unstable they should only be sat in a chair that goes flat and/or sides come away
– that we SHOULD be discussing this more and planning for it as staff likely to hurt themselves in emergency situation that they don’t plan for
– in Aged care (where a few of us work) it is likely (but shouldn’t be presumed) that person may be NFR so inappropriate to be doing heroic and dangerous manual handling anyway
We also reflected that we are surprised as a group that we aren’t asked about this more when we do training.Would love to know of any NZ guidelines or follow up from the earlier discussions. Also agree it ties in really nicely with CPR> When I have done first aid courses in the past they never cover this.
Jessie SnowdonParticipantHi everyone – just letting you know that the Christchurch/Canterbury MHANZ group is meeting on zoom tomorrow night (tuesday 25th August). If you would like to be included in this and live in the Canterbury region please email me jessie@onthegophysio.co.nz.
thanks
Jessie SnowdonParticipantHi Ellen, I would agree with Ann about using the NZ guidelines. What a great opportunity to ensure a facility is keeping up their standards! Is it a chain or a local one? We contract into several facilities and have been involved in this to some extent and it is a lot of work. Would be happy to chat briefly about our experiences and challenges. jessie@onthegophysio.co.nz
Jessie SnowdonParticipantHi Ann, I recently purchased the restraint standards so I could answer this question intelligently! The standards say that it is the INTENTION that is vital and if the intention is NOT to restrain then no there should be no issue. IF the product does restrain the person (i.e they can’t move in a way they could otherwise – I believe that for someone who can’t walk then this isn’t an issue) – then the facility needs to have documentation around this. So they can still use the product but there documentation and clinical pathway will allow for the use to be documented and monitored in a clinically appropriate way. Does this make sense?!
Jessie SnowdonParticipantI really like access however haven’t been able to access it for months! So if this can be sorted out I would vote to continue. If not continuing then would appreciate the negotiated reduced rate for members.
Jessie SnowdonParticipantHi Eloise, would you be happy to share with me too!? jessie@onthegophysio.co.nz – I have FOMO
Jessie SnowdonParticipantHi Debra, oh thats really interesting. We are in Christchurch and one of the community DHB OT’s told us that she gets in bed systems via Enable. We work privately so can’t comment from our point of view as don’t do Enable equipment (other than basics) but that’s an interesting difference. Where are you based?
Jessie SnowdonParticipantHi thanks for your responses, confirms what I was thinking. Also agree its a very useful device but at this stage I wouldn’t use or teach the strap part. Ian (Morton and Perry) rep let me have a good play the other day with the new one. I like how it’s lighter in the base than the Return – made it much easier to transport!
Jessie SnowdonParticipantWhat a fabulous question! I haven’t had experience with this but I wonder about the same technique as a normal pool evac when there is no hoist which is a water stretcher lifted to the side and then onto same height bed. However I would think this was a multiple staff emergency only kind of technique? I personally remember climbing out of a birthing pool holding my newborn and thinking in my post-birth confused brain that it was pretty dodgy. Looking forward to others comments.
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