Clinical Information – Preventing Healthcare Worker Injury

Preventing Healthcare Worker Injury

Nurses lose an average of 35,800 workdays each year as a result of musculoskeletal injury, according to the U.S. Bureau of Labor Statistics.¹ Over time, repetitive lifting and pulling motions required to turn and reposition patients can lead to debilitating back, shoulder, elbow and wrist injuries.

The American Nurses Association (ANA) Safe Patient Handling and Mobility (SPHM): Interprofessional National Standards states that “Safe patient handling and mobility (SPHM) programs, if properly implemented, can drastically reduce healthcare worker injuries.” It also states that, “Universal SPHM standards are needed to protect healthcare workers from injuries and musculoskeletal disorders (MSDs). Addressing healthcare worker safety through SPHM will also improve the safety of healthcare patients.”²

Boosting and repositioning also puts healthcare workers at risk of musculoskeletal disorders (MSDs) such as low back pain, sciatica, rotator cuff injuries, epicondylitis and carpal tunnel syndrome.³ Guidelines recommend reducing the physical requirements of high risk tasks through the use of Safe Patient Handling and Mobility Technology (SPHM).³

The Association of periOperative Registered Nurses (AORN) also specifies the need for using a lateral transfer device in the perioperative setting,⁴ while the American Nurses Association (ANA) emphasizes the importance of reducing the physical requirements of high-risk tasks.⁵

REFERENCES: 1. Bureau of Labor Statistics. Industry Injury and Illness Data (2007). http://www.bls.gov/iif/oshwc/osh/case/ostb1942.pdf. Accessed October 15, 2013. 2. American Nurses Association (ANA) Draft Safe Patient Handling and Mobility (SPHM) National Standards, 2012:15. 3. Occupational Safety and Health Administration (OSHA), Guidelines for nursing homes: ergonomics for the prevention of musculoskeletal disorders, 2009:4,5. 4. Pocket Reference Guide: Safe Patient Handling and Movement in the Perioperative Setting. AORN Toolkit. Association of periOperative Registered Nurses. 2014. 5. Safe Patient Handling and Mobility Interprofessional National Standards Across the Care Continuum. American Nurses Association. 2013.

Published Studies
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Case Studies
Implementation

Repositioning patients in chairs-an improved method
Fragala G
View abstract

	Protecting Skin While Saving Butts, Backs and Bucks Susie Lee BSN, RN, WCC Poster presented at the 2017 Biennial NPUAP Conference; New Orleans, LA March 9-10 Download poster (PDF)
	Initiative to Reduce Patient Handling Injuries During Lateral Transfer Sandra Presley, RN and Edna Prosser, RN Poster presented at the 2017 Safe Patient Handling and Mobility Conference; Glendale, AZ April 10-14 Download poster (PDF)
	Time-to-Turn: Reducing Patient Handling Injuries During In-Bed Repositioning Rosalinda Morante RN, MSN, CCRN, CCNS and Mary Sinnott RN, BSN, WCC Poster presented at the 2017 Safe Patient Handling and Mobility Conference; Glendale, AZ April 10-14 and 2017 WOCN Conference; Salt Lake City, UT May 19-23 Download poster (PDF)
	Implementation of a Cost-effective Practice for Reducing both Pressure Injury and Healthcare Worker Injury during Patient Repositioning Deanna Zaganas BSN, RN, WOC and Co-authors: Dana Balassa, BSN, RN, CWCN, WOC, Andrea Melendez, MSN, RN, CHTP, HTCP, HSMI, RM, and Ray McCoy, Director of Materials Management Poster presented at the 2017 WOCN Conference; Salt Lake City, UT May 19-23 Download poster (PDF)
	Evaluation of a new procedure for boosting critically ill patients in bed Susan L. Salsbury, OTR/L CDMS, Beth Kaper, BSN RN TNCC, Justin L. Martin, MPT Poster presented at the Safe Patient Handling and Mobility Conference, April 11-15, 2016. Download poster (PDF)
	The adoption of a new device for turning, boosting and lateral transfer in critically ill patients Susan L. Salsbury, OTR/L CDMS, Beth Kaper, BSN RN TNCC, Justin L. Martin, MPT Poster presented at the Safe Patient Handling and Mobility Conference, April 11-15, 2016. Download poster (PDF)
	Reducing Healthcare Worker Injury: The Establishment, Implementation, and Results of an Evidenced-Based Protocol for Lateral Patient Transfer Ruth E. Chance, BSN, RN, Karen K. Giuliano, PhD, RN Presented at the 2015 Safe Patient Handling and Mobility Conference, April 20-24, Glendale, AZ Download poster (PDF)
	Safe Patient Handling Initiative Results in Reduction in Injuries and Improved Patient Outcomes for Pressure Ulcer Prevention Heather Way RN, BSN, MSN, Critical Care Clinical Specialist Poster presented at the 2014 Safe Patient Handling East Conference on March 27, 2014 Download poster (PDF)
	Combination of Safe Patient Handling and Use of Ergonomic Repositioning Device Reduces Hospital Acquired Pressure Ulcers and Employee Injury Claims Molly Persby, RN, C, MHSA, Divisional Vice President, Clinical and Quality Services, Select Medical Poster presented at the ALTHA’s 2012 National Clinical Conference, Dallas TX, May 16-18, 2012 Download poster (PDF)
	Evaluating the Effectiveness of a Patient Repositioning System for Preventing Workplace Injury Debbie Burris, RN BSc.N, Director of Clinical Practice & Transformation Poster presented at the 19th Annual CAWC Conference; November 7-10, 2013, Vancouver, Canada Download poster (PDF)

What the Experts Say – Lateral Transfers: Potential for Staff Injury
Excerpts from various studies/articles
Lateral Transfers: Potential for Staff Injury (PDF)

Patient Turning and Repositioning: Current Methods & Challenges, a WOCN Perspective
72% of Wound Care Nurses Report Patients Frequently Move Out of Position After a Turn
Download (PDF)

Patient Turning and Repositioning: Current Methods & Challenges, a Critical Care Nurse Perspective
93% of Nurses Report Staff Injury Due to Turning or Boosting a Patient
Download (PDF)

Who Is Turning the Patients? A Survey Study
Voz, Anita BSN, CWCN; Williams, Carol BSN; Wilson, Marian MPH, RN-BC
Journal of Wound, Ostomy & Continence Nursing
View abstract

New Turning and Positioning System Facilitates Patient Repositioning to Aid in Pressure Ulcer Healing
Caryn Baldwin, RN; Wound Care Coordinator
Kindred Healthcare, October 2010
Download case study (PDF)

Intervention With a New Turning and Positioning System Promotes Recommended Pressure Ulcer Care
Diane Zeek, MS, APN, NP-C, CWOCN and Renee Malandrino, APN, CWOCN
Northwest Community Hospital, Arlington Heights, IL
Download case study (PDF)

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Preventing Healthcare Worker Injury

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