Essentials of body mechanics

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Essentials of body mechanics:

Essentials of body mechanics How to demonstrate good body mechanic Demonstrating good lifting techniques Identifying proper positioning How to transfer and move residents

Body mechanics:

Body mechanics When an action requires physical effort, try to use as many muscles or groups of muscles as possible, especially your leg muscles Use good posture. Keep body aligned properly. Do not bend your back: bend your knees instead Keep your weight evenly balanced on both feet. Feet should be 12 inches apart when lifting. This will give a broad base of support and good balance. Get close to the load Never block your vision When moving a heavy object, it is better to push not pull

Continued:

Continued Avoid twisting! When lifting an object Know how much it weighs, before lifting. Obtain help if you think you may not be able to lift the load Squat close to the load. But do not bend at the waist. Grip the object firmly and hold the load close to your body. Lift by pushing up with the leg muscles. Lift smoothly to avoid strain. Exhale while lifting.

Continued:

Continued When participating in a “team assist” , always count, ONE, TWO, THREE Or READY AND GO , always work in unison.

When changing the direction of movement:

When changing the direction of movement Turn the whole body while twisting the back and neck Pivot (turn) with your feet Turn with short steps

General Ergonomics:

General Ergonomics How do we reduce the likelihood of ergonomic-related injuries. COMMUNITY SAFETY MEASURES Conducting task evaluations Providing employee education Promoting an ergonomics safety program Promoting and supporting mechanical equipment

Lifting related injuries / repetitive motion injuries / signs and symptoms:

Lifting related injuries / repetitive motion injuries / signs and symptoms Signs: decreased range of motion Decreased grip strength Loss of function Symptoms: Numbness Burning Pain Tingling Cramping, and stiffness

Reporting of lifting related injuries:

Reporting of lifting related injuries Employees are required to immediately report all work related incidents to their supervisor, and complete the employee incident report by the end of the shift on the same day that the incident occurred NOTE: Early reporting of signs or symptoms for these types of incidents can lessen symptoms

Responsibilities:

Responsibilities Employees: Report signs or symptoms of injuries / illnesses to their immediate supervisor Complete the “employee investigation guide” for any type of lifting related incidents or injuries Attend and participate in periodic education regarding the ergonomic program and evaluations. Use specified methods or equipment that reduces or eliminates the occurrence of incidents

Supervisors::

Supervisors: Identify conditions which could cause or contribute to injuries Assist the employee in the “employee incident investigation guide” and recommend / implement actions Encourage employees to report work-related injuries

Safety Committee:

Safety Committee Develop and implements the community ergonomic program. Asses ergonomic hazards and provide recommendations Provide prompt response to employee recommendations, concerns, questions or reports regarding resident transfer related injuries / repetitive motion injuries, are reports Arrange education for employees and supervisor regarding ergonomics-related subjects Conduct incident trend analysis and evaluations of the community's ergonomic program

Proper body alignment:

Proper body alignment The correct positioning of the body is referred to as Body alignment Body alignment means arrangement or adjustment of the body so that all the parts of the body are in their proper position in relation to each other

The “ Before “:

The “ Before “ Before you assist a resident in a transfer: Do not just “ rush in “. Plan on how the task will be done BEFORE you do it. Prepare the environment BEFORE you began. This involves: Looking for and removing items that you could trip over, Getting the person or equipment close to you, Locking brakes on wheelchair's Looking for loose clothing or other items that may get in the way

Remove:

Remove Know your limits BEFORE you begin If you need help, ask BEFORE you attempt the task REMENBER: The resident is your best “help” when it comes to assisting with a transfer task. Give the resident “step by step” instructions BEFORE and during the task

Assistance:

Assistance Knowing how to perform these basic tasks is the first step in becoming comfortable in correctly assisting with a transfer of a resident. The below “skill task list” review the most common procedures involved with resident assistance. If other task are required, ask the nursing supervisor/rehab provider for assistance and training. WHEELCHAIR When assisting moving a resident in a wheelchair Push the resident from behind, except going in or out of elevators (continued)

ASSISTANCE:

ASSISTANCE When entering elevators-pull the wheelchair into the elevator-backwards When leaving- turn the chair around and pull it out backwards When moving a resident down a ramp- take the chair down backwards. To do this, stand behind the chair with your back facing the direction of the movement. Walk backwards holding the chair, and moving it carefully down the ramp Glance back now and then to make sure of the direction and to avoid collisions

Assisting:

Assisting It is best to have the person sitting in a firm chair ( an overstuffed chair or sofa is difficult for the resident to maneuver in) Place the walker in front of the person-DO NOT HAVE THE PERSON PULL THE WALKER WHEN STANDING UP Ask the resident to scoot to the edge of the chair (assist as needed). Ask the resident to push down on the chair arm rests and lean forward while coming to a standing position( you can assist by standing on their weak side and gently assist them by their arm or wrist). (continued)

Assisting:

Assisting NOTE: if two people are needed, stand on each side of the resident. After the resident is standing, steady their balance for a few seconds and place their hands on the walker handgrips. To return to the chair, reverse the procedure

Bed to a Wheelchair:

Bed to a Wheelchair Place the wheelchair at a 45 degree angle to the bed( to the residents strongest side) LOCK the wheelchair brakes Ask the resident to scoot to the edge of the bed with their feet planted firmly on the ground (assist as needed) Support the residents weak knee( or both knees) between your legs. If the resident needs to hold on to you, have them hold on to your waist or shoulders, not your neck (CONTINUED)

Bed to a Wheelchair:

Bed to a Wheelchair On a specific count( one, two, three, go) ask the resident to lean forward, push up with their arms and assist them to a standing position using a rocking motion. REMEMBER to keep your back straight, your knees slightly bent and your back balanced. When standing, ask the resident to pivot or turn backwards towards the chair, assist in pivoting by walking with your feet. When the residents legs are touching the back of the wheelchair, ask the resident to place their hands on the Wheelchair and assist lowering the resident into the wheelchair

Assisting a falling resident:

Assisting a falling resident Although we practice many precautionary measures to prevent resident falls, there are still factors that may cause a resident to fall These include the fear of falling, knees buckling, change of medications, dizziness, etc. If a resident starts to fall, The caregivers role is to try to prevent injury to both the resident and themselves. DO NOT try to prevent the fall. You should guide the person easily and safely to the floor, bending your knees and your back

Falling:

Falling Quickly attain a good wide base of support- keeping your feet at least 12 inches apart Bring the residents body as close to you as possibly, and bear hugging the resident under the armpits Bend your hips and knees in assisting the resident slowly to the floor( this can also be done by dropping onto one knee and sliding the person down your leg) Lessen the impact as much as possibly protecting the residents head Immediately call for help from other staff members

Assisting a resident that has fallen:

Assisting a resident that has fallen Never assist a resident that has fallen without permission The nurse on duty will need to asses the resident for injuries Calling 911 or the fire department to assist is recommended when the extent of injury cannot be determined

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