Hospital Safety, Body Mechanics

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Hospital Safety, Body Mechanics Patient
Transportation

• RTEC 123

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Safety in the Imaging Department

• Occupational Safety and Health Administration
• Federal agency governing safety in the workplace.
  
• OSHA Provides guidelines to ensure a high level
  of safety for hospital workers. It is important
  for you to be familiar with safety procedures at
  your work setting.

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Fire

• Be Prepared.
• Hospitals have a clearly defined plan for staff
  action in the event of a fire. You must become
  familiar with your departments plan.

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Mobile Equipment

• No parking in the red zone.
• Imaging often use mobile stretchers, wheelchairs,
  carts and x-ray machines, care must be taken to
  avoid obstructing passage and doorways.
• All equipment must be parked on the same side of
  the hallway. Not lining both walls.

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Equipment safety

• Make sure room is available to pass easily.
• Would this piece of equipment be a problem in
  this location if quick evacuation is necessary ?

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In Case of Fire

• If you discover a fire, your primary
  responsibility is to evacuate everyone in the
  immediate area to a safe location.
• Beyond at least two fire doors.
• Second, report the fire and location using the
  prescribed code procedure.

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Fire in another part of the hospital

• Close all doors
• Shut off all electrical equipment
• Shut off main oxygen valves. O2 is very
  flammable.
• Prepare patients for further evacuation while
  awaiting instruction

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Questions
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Body Mechanics
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• Muscle strains are common among hospital workers.
• The most common injury reported by radiographers.

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3 Major Concepts

• Base of support The portion of the body in
  contact with the floor or other horizontal
  surface.
• A broad base of support provides stability for
  body position and movement.

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Center of gravity

• Center of body weight. The point around which
  body weight is balanced.
• Usually located in the midportion of the pelvis
  or lower abdomen, depending on body build.
• Any object your hold adds to the weight on the
  base of support affecting the location of your
  center of gravity

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• Body is most stable when the center of gravity is
  nearest the center of the base of support

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Center of gravity for most people is S 2
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Line of gravity

• Imaginary vertical line passing thought the
  center of gravity.
• The body is most stable when the line of gravity
  bisects the base of support

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Not so good Good ?
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Rules of Body Mechanics

• Provide a broad base of support
• Work at a comfortable height
• When lifting, bend your knees and keep your back
  straight
• Keep your load well balanced and close to your
  body
• Roll or push a heavy object. Avoid pulling or
  lifting.

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Patient Comfort and Safety
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Padding Support

• Lordotic (concave)
• Kyphotic (convex)

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Radiation Protection Considerations

• Good patient care
• Padding placed under body prominences, such as
  the sacrum, heels, or midthoracic curvature.
• Patient are better able to maintain the position
  needed.
• - Decubitus ulcers

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Rule of thumb..

• If a patient will be in one position on the x-ray
  table for longer than 10 minutes a full-size
  radiolucent pad should be used.

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Patient Positions

• Semi-Flowers

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• Trendelenburg

• Lithotomy

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Patient Transportation
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Preparing for Safe Patient Transfer

• Check with nursing service, and obtain chart
• Check patient identification
• Make a plan, prepare the room
• Get transport equipment, and make sure it works!

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Preparing for Safe Patient Transfer

• Enlist the patients help and cooperation. Tell
  the patient what you are doing as you proceed
• Obtain additional help when necessary. Check to
  make certain your assistants understand their
  role in the transfer

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Wheelchair Transfer

• To get started lower the patients bed as far as
  it will go and raise the head.
• Support the patients head and knees. Lift and
  rotate the patient to a sitting position with
  their legs hanging over the edge of the bed.
• Help the patient with slippers and robe.

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Wheelchair Transfer

• This will allow patient time to regain a sense of
  balance.
• Orthorstatic hypotension
• At this point some patient will be able to stand
  and get to the wheelchair on their own.

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Transfer from bed or chair
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Two person transfer
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Infection Control per JCAHO
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Who wears the mask when transporting a TB patient?

• The Patient
• Both patient and transporter wear appropriate
  mask when traveling in an enclosed vehicle
• What kind? Surgical mask

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Patient Treatment Equipment
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Be Careful with.
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Urinary bag
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Central Line
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Before you act, think safety.
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JCAHOJoint Committee on Accreditation of
Healthcare Organizations
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JCAHOs Process/Tracer Methodology

• Trace a patient from admission to discharge
• Assess relationships between disciplines and
  coordination of care
• Evaluate performance of processes
• Visit each department that provides care for the
  patient
• Ask staff questions how they cared for the patient

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Tips for Talking with Surveyors

• RELAX ..
• Listen to the question
• Think about the answer

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Mission, Vision Values

• Different for every Hospital
• Become familiar with your permanent facilities.

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Questions