Safe Resident Handling Long Term Care
Did you know?
That in 2007 nursing aides, orderlies, and
attendants had a Musculoskeletal Strain Disorder (MSDs) rate of 252 cases per 10,000 workers, a rate more than
seven times the national MSD average for all occupations in the USA.
In 2010, nursing and residential care facilities continued to experience
one of the highest rates of lost workdays due to injuries and illnesses
of all major American industries that is 2.3 times higher than that of all
private industry as a whole. The data further indicate that an overwhelming
proportion of the injuries within this sector were attributed to overexertion as
well as to slips, trips and falls (OSHA, 2012).
accounted for half of all accepted disabling claims (ADCs) in Oregon health care
between 2001 and 2005.
handling MSDs made up 27.4% of total ADCs. Nurse aids
comprised 32.6% of total ADCs, registered nurses 14.2% and other health aides
5.9% from 2001 through 2005
(Accepted Disabling Claims in Health Care,
Oregon, 2001-005,” Oregon DCBS, IMD, July 2007)
due to manual patient handling are the #1 injury cause of MSDs in Long Term
Workers in nursing homes are twice as likely as other
workers to be injured on the job (OSHA, 2009).
Are Retention and Recruitment of
Caring and Experienced Direct Care Staff Important to You? Then
a safe and healthy work environment should be one of your top priorities.
According to the
Supply of Long-Term Care Workers in relation to The Aging Baby Boom Generation
Report to Congress, May 14, 2003, Factors associated with shortage
and recommendations include: “Working Conditions: Hours, Paperwork, Respect,
and Safety: Workers
in many long-term care settings complain about long hours, high case loads,
burdensome paperwork, lack of respect, and potential dangers to their own health
and safety. Improving these working conditions has the potential to
improve the retention of workers in long-term care settings and to make these
occupations more attractive to new workers.
In April, 2012 the U.S. Department of Labor's Occupational Safety and
Health Administration OSHA) announced a new National Emphasis Program
(NEP) for Nursing and Residential Care Facilities to protect workers from
serious safety and health hazards that are common in medical industries. Through
this NEP, OSHA will target nursing homes and residential care facilities in an
effort to reduce occupational illnesses and injuries. OSHA will target
facilities with a days away, restricted, transfer (DART) rate of 10 or higher
per 100 full-time workers. For information
Oregon OSHA State Emphasis program which has been in effective since Dec
2011 is now converted to the Federal OSHA NEP. To view the Oregon OSHA directive
This page provides
resources for you to develop a Safe Resident/Patient Handling program for your Long Term Care Facility
including Nursing Homes, Assisted Living Facilities, Adult Foster Homes and Care
On this page:
Guidelines & Toolkits for Implementing SRH Programs
Also refer to Resources on the
Toolkits for Implementing SRH Programs
National Safe Patient Handling and Mobility Standards and Implementation Guide
Guidelines for Nursing Homes:
Ergonomics for the Prevention of Musculoskeletal
Disorders 2003 (rev
This publication provides recommendations for nursing home employers to help
reduce the number and severity of work-related musculoskeletal disorders (MSDs)
in their facilities.
back injuries in nursing homes (2004). Case
studies from NIOSH
Safe Lifting and Movement of
Nursing Home Residents
This website and associated
publications provides recommendations for nursing
home owners, administrators, nurse managers, safety and health professionals,
and workers who are interested in establishing a safe resident lifting program.
Ergonomics Best Practices for Extended-Care
Facilities from the
Ohio Bureau for Workers Compensation
Injury Prevention Resources for Health Care -
Extensive resources related
to patient handling in Acute Care, Long Term Care and Home Health. Includes
video and PowerPoint training tools
Click here to access a variety of tools to assist
with implementing a SPH program from
the VA Sunshine Health Care Network - VISN 8 Patient Safety Center of Inquiry,
Tampa, FL such as:
Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement.
Algorithms for Patient Handling
Safe Patient Handling Guidebook
for Facility Champions/Coordinators
Safe Patient Handling Unit
Binder for Peer Leaders & Staff
Comprehensive Safe Patient
Handling Bibliography -
Articles Published by the VISN 8 Patient
Safety Center of Inquiry Staff, Tampa, FL
HealthCare Wide Hazards Module
Safe Resident Handling
Program Guide for Long Term Care Facilities (2009). Oregon OSHA.
The purpose of this guide is to provide step-by-step instructions to assist long
term care facilities in developing an effective and sustainable SRH program.
Rehabilitation of Lebanon, Lebanon, OR, a Licensed Oregon Nursing
Recently, the nursing
facility, Avamere Rehabilitation of Lebanon, went through a major remodel,
whereby they installed Waverly Glen Ceiling Lifts in all but two of their rooms
(a total of 46).
According to the Administrator Chad Martin, workers’
compensation claims have already diminished substantially from last year. So
far, for 2007, he has only had three claims, as compared to19 workers’
compensation claims in 2006.
They are currently moving toward a zero lift
culture change. Martin reports that staff like having the mechanical lifts, but
still have not yet embraced the concept of zero lift fully, as they occasionally
still opt to lift a resident, rather than use the mechanical lift. He further
emphasized the importance of having a sling for each lift in each room at all
times. Therefore, when one sling is being laundered, there is always another
sling available for staff to use. The key is to make the use of the mechanical
lift convenient and practical for staff, while decreasing injuries to workers
and providing safe transfers for residents.
For more information
contact: Chad Martin,
Administrator at Tel: 541-259-1221
Wyandot County Nursing Home
in Upper Sandusky, Ohio, has implemented a policy of performing all
assisted resident transfers with mechanical lifts, and has purchased
electrically adjustable beds. According to Wyandot no back injuries from
resident lifting have occurred in over five years. The nursing home also
reported that workers' compensation costs have declined from an average of
almost $140,000 per year to less than $4,000 per year, reduced absenteeism and
overtime have resulted in annual savings of approximately $55,000, and a
reduction in costs associated with staff turnover has saved an additional
Click here for more information-Scroll
down to Appendix -
A Nursing Home Case Study
Follow this link
to discover what else is happening in
Oregon with Safe Resident Handling in nursing homes
In 2010 the OCHE
conducted a survey to 'Investigate the Status of
Safe Patient Handling Programs in Acute Care and Safe Resident Handling
Programs in Long Term Care facilities in Oregon'
View the results of this survey
Ergonomics -manual handling of
people in the healthcare sector. ISO (the International Organization for
technical report ISO/TR 12296:2012 on
Click here for an edited summary of the report from the
Safe Patient Handling: A
Summary of the Issue and Solutions: The Evidence Base (2009). Enos, L. A
summary of current literature and data about Safe Resident/Patient Handling related
issues developed for the Coalition for
Healthcare Worker and Patient Safety (CHAPS). Note: Information about CHAPS
is housed on the 'Work Injured Nurse Group' website.
Oregon Nursing Facilities Bariatric Survey Report - September 2009.
The purpose of this brief survey was to find out if Nursing Facilities in Oregon
accept bariatric residents into their facilities and if they do, is equipment
available to accommodate the physical needs of bariatric residents. The survey
is provided courtesy of Oregon Health Care Association (OCHA).
Lifts Using lifts in Residential Care and Assisted Living in Facilities.
Administrator Alert June 2008.
Oregon DHS Seniors and People with Disabilities.
of Safe Patient Handling & Movement (SPHM) is the first journal of
its kind in the USA devoted to the subject of safe patient handling and movement
and provides a forum for the latest research and evidence on the how, why, and
what in this area of practice.
Article manuscripts can be emailed to
the Editor-in-Chief at
Back Injury among Healthcare Workers: Causes,
Solutions, and Impacts.
(2004). W. Charney & A Hudson.
The Illustrated Guide to Safe
Patient Handling and Movement (2009).
A.L., Motacki , K, Menzel, N. New York, NY.
Safe Patient Handling and Movement: A Practical
Guide for Health Care Professionals
(2006). Audrey Nelson Editor.
An evaluation of a ‘best practices’
musculoskeletal injury prevention program in nursing homes
(2004). Collins, J., Wolf, L., Bell, J. and Evanoff, B. Injury Prevention,
Development and evaluation of a multifaceted ergonomics program to prevent
injuries associated with patient handling tasks
(2006). Nelson, A, et al.
International Journal of Nursing Studies,
August 2006, 43(6)
Developing a Safe Patient-Handling Program for Long-Term Care: A Case Study
(2010). Bartko, D.W., Hamann, K., and Severson, L. ASSE, Interface
Evidence-Based Practices for Safe Patient Handling and
Movement (2004). Nelson, A. & Baptiste, A. Online Journal of Issues in
Nursing. Vol. #9 No. 3.
Impact of publicly sponsored interventions on musculoskeletal injury claims in
nursing homes (2009). Park, R., et. al.American Journal of Industrial
Resident Lifting System in an Extended Care Hospital Demonstrating Cost–Benefit.
Speigel, J; Ronald, L. A.; Tate, R. B.; Colby, T. AAOHN Journal,
Link between Safe Patient
Handling and Patient Outcomes in Long Term Care.
Nelson, A, et. al. Rehabilitation Nursing. Vol 33. No. 1.
Preventing Back Injuries in Healthcare Settings
(2008) from the National Institute for Occupational Safety and Health (NIOSH).
Staffing and Worker Injury in Nursing Homes (2005).
Trinkoff, A et. al.
Am J Public
Health. 2005 July; 95(7):1220–1225.
Violence at the workplace
increases the risk of musculoskeletal pain among nursing home workers(2010).
Miranda H, Punnett L, Gore R, et al. Occup Environ Med published online
September 27, 2010
When is it Safe to Manually Lift
a Patient? (2007). Waters, T.R. American Journal of Nursing, 107(8):
impairment from musculoskeletal disorder pain in long-term caregivers (2009).
J Occup Environ Med. 51(6):672-81.
Work-Related Injuries Among Certified Nursing
Assistants Working in US Nursing Homes.(2012).
Khatutsky,G, Wiener, J.M., Anderson,W.L., and
Porell, F.W. RTI
Press publication RR-0017-1204
Compliance Assistance Quick
Start: Health Care Industry.
This web site provides eight quick steps to assist the health care industry in
complying with the Department of Labor, Occupation Safety and Health
Administration’s requirements and guidance for the prevention of work place
Comprehensive Ceiling Lift
Program in Continuing Care at Queen's Park Care Centre
and other SPH
program tools from WorkSafe BC
Ergonomics & SPH Demonstration Projects
for Residential Care
and Skilled Nursing
from WA State Dept of Labor and Industries - Scroll down this page until you see
in Health Care, Washington State 2005
the final report from the WA State Lifting in Health Care
Task Force that contains case studies and data from Long Term Care facilities in the state.
Note: The link is to the report summary only,
please contact SHARP for
the entire report - Phone: 1-888-66-SHARP (toll-free) or
360-902-5667 or E-mail
Long-Term Effectiveness of “Zero-Lift Program” in
Seven Nursing Homes and One Hospital (1999). Garg, A., from the National Institute for
Occupational Safety and Health (NIOSH)
OSHA and NADONA/LTC partner to promote workplace
safety. Nursing Home News Notes -
Occupational Safety and Health Administration, National Association of Directors
of Nursing Administration in Long Term Care - Brief Article, Nursing Homes 2003.
Safe Patient and Resident Handling: Acute and Long
Term Care Sectors Handbook
A Practical Guide to Resident Handling and
Reference Guidelines for Safe
& Safety Agency for Healthcare in British Columbia (OHSAH)
Miracle of Lifting Technology (2006). Joliff, J.
Nursing Homes. Sept 2006.