Patient Mobility Team

1
Patient Mobility TeamLift Team Proposal

• Susan Crabtree
• Lynn Kirman

2
Background

• Pushing issues
• Nursing shortage
• Aging workforce
• Increase in patient size
• Union activity
• Focus on Patient Safety JCAHO Standards
• Increasing WC costs
• Failure of proper body mechanics
• Recruitment/Retention tool

3
GAMC RN Characteristics
4
Enough Help to Move Pts.?
5
Elements of a Complete Program

• Employee Safety Committee in place
• Safe Patient Handling Policy
• Patient handling devices house-wide, easy
  access
• Periodic ergonomic assessments of nursing
  workplace.

• Lift Team
• On-going training
• Preventative back exercise program
• Standardized data collection and reporting
  track, trend, revise

6
GAMC Patient Mobility Team

• 0700 1930 7 days/wk, 2 person team
• C.N.A. required 5 increase
• Supervisor Terry Novelli / Donna Cramer
• Dispatched thru Escort Process or directly by
  pager (TBD)
• Would also coach/instruct floor staff on transfer
  and lifting techniques.

7
Workers Compensation Costs
8
Financial Analysis

• Costs Before Lift Team
• Direct Costs (Average of 2002 2003) - 502,516
• Medical Paid, Medical Reserves Incurred Costs
  (also includes temporary disability payments)
• Indirect Costs (Average of 2002 2003) -
  244,350
• Lost days (25.00 x 12 hours x 814.5 days)
• Total W/C Patient Handling Costs 746,866

9
Financial Analysis (continued)

• Costs Before Lift Team 746,866
• Costs After Lift Team (25 reduction in workers
  injuries)
• Lift Team Wage Costs - 157,467
• Direct Costs - 376,887
• Indirect Costs - 183,263
• Equipment Costs - 15,000 per year
• (Depreciation - 75,000 over 5 years)
• Total W/C Patient Handling Costs 732,616
• Total Savings 14,249
• Return on Investment 8

10
Equipment Costs

• Capital (first year - 30,000 includes taxes)
• Equipment to be shared by units (for example CSDU
  and CCU)
• 5 mobile hoist heavy duty (444 lbs) 18,711.80
• 1 floor lift heavy duty (600 lbs) 6,478.09
• Additional Equipment
• Gait belts
• Sliders
• Slings

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Lift Team Roll-Out

• Approval by Operations Council - done
• Evaluate and Order Equipment in process
• Hire necessary staff in process
• Provide appropriate training on equipment for new
  staff PT working on this
• Provide training/orientation for nursing staff on
  lift team procedures
• Start date September, 2005