Transferring Lifting Repositioning (TLR). Accountability What does accountability mean to you?
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Transcript of Transferring Lifting Repositioning (TLR). Accountability What does accountability mean to you?
Transferring Lifting Repositioning (TLR)
Accountability
What does accountability mean to you?
Legislation/policies
• All employers and workers must follow the laws developed for working safe
• Policies are in place to support this
TLR Theme
Training for all staff, focusing on risk identification and management
TLR Theme
Step by step process for all moving tasks
Step 1: Clarify the nature of the moving taskStep 2: Identify the moving techniqueStep 3: Conduct an assessmentStep 4: Select the moving techniqueStep 5: Prepare for the moveStep 6: Perform the moveStep 7: EvaluateStep 8: Communicate
Defining the T, L and R
• Transferring – moving a client from one surface/location to another; a transfer belt is required
• Lifting – moving from one surface/location to another; involves mechanical lifts for client who cannot bear their own body weight
• Repositioning – moving on same surface or between to surfaces of equal height
Anatomy & Physiology
Gentle "S" Moves to Avoid
Vertebrae
Personal Health
8 Principles to Good Body Mechanics• Brain not back• Listen• Three Natural Curves• Strong Thigh Muscles• Grip• Stance• Weight Transfer• Keep Load Close
Checkpoints
Checkpoints of Good Body Mechanics• For the top (ears over shoulders; shoulders over hips)
• For the bottom (bend at the knees, bend at the hips, stick your bottom out and tighten tummy)
• Elbows tucked in
• Safe effective grip
• Comfort zone
• Weight transfer
3 Areas of Assessment
• self (you)
• environment (including equipment)
• client or object
TLR Theme
Empowerment of staff to make healthy and safe choices
TLR Theme
Teamwork, Communication, 1-2-3-command
TLR Theme
Zero lift requires minimal manual effort with maximum equipment use
TLR Theme
Think Twice, Move Once
Object (General) Moving Techniques
• Repositioning• Diagonal Lift (alternate for EMS)
• Power Lift (alternate for EMS and for infants/small children)
• Tripod Lift (alternate for EMS and for infants/small children)
• Golfer’s Lift
• Partial Squat Lift
Violence
How common is violence in your job?
How do clients display violent/assaultive behaviour?
What causes aggressive/assaultive behaviour?
Client Assessment
• communication
• cognition
• emotional/behavioural
• medical
• physical/functional
Hands-on Assessment
• Handshake
• Leg lifting
• Foot movement
• Rolling
• Sitting abilities
• Standing abilities
• Walking abilities
TLR logos
Levels of Assessment
• General Client Mobility Assessment (GCMA)
• Ongoing Client Mobility Assessment (OCMA)
• Specialized Client Mobility Assessment (SCMA)
TLR Theme
TLR is always in the moment, at this time
Client Moving Techniques
• Repositioning – with assistive device
• Transferring – with transfer belt
• Lifting – with equipment
Equipment
• equipment – training of workers
• sling – use and care
• maintenance schedule for equipment and slings
TLR Theme
Zero lift requires minimal manual effort with maximum equipment use