sphm leapt initiative at ascension health bob williamson leapt project director april 24, 2014
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SPHM LEAPT Initiative at Ascension Health Bob Williamson LEAPT Project Director April 24, 2014. Presentation Objectives. Explain why Ascension Health is addressing patient handling injuries as a LEAPT initiative - PowerPoint PPT PresentationTRANSCRIPT
SPHM LEAPT Initiative at Ascension Health
Bob WilliamsonLEAPT Project Director
April 24, 2014
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Explain why Ascension Health is addressing patient handling injuries as a LEAPT initiative
Demonstrate the importance of aligning patient and associate safety objectives related to mobilization
Answer questions about adopting a SPHM program at your hospital
Presentation Objectives
Clinical Excellence • April 24, 2014
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This is not a new topic…
“Occasionally the complaint is made that a
nurse has injured her back or strained herself in
some way in moving a patient.
This will generally be because she has failed to
do the lifting properly.” (Nursing: It’s Principles
and Practices, 1898)
Clinical Excellence • April 24, 2014
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Slide 4
Clinical Excellence • April 24, 2014
• 62% of RNs indicated that suffering a disabling musculoskeletal injury was one of their top 3 safety concerns (ANA 2011)
• 80% of nurses reported working despite experiencing frequent musculoskeletal pain
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Slide 5
Clinical Excellence • April 24, 2014
• 12% of RNs leave annually due to back pain or injury
• 20% transfer to a different department, position, or area of employment due to pain or injury
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SPHM LEAPT Goals:
Aim:
1. To reduce the incidence of injuries to associates related to manual handling and lifting of patients by 50% against baseline
2. To create a sustainable SPHM program and culture of safety as a result of program adoption
Clinical Excellence • April 24, 2014
Additional Considerations
• Change the mind set of “sacrificing my safety to care for my patient”
to…“Quality care starts with my safety”
• Accepting that safe associates = safer patients• Language of Caring
Common language which empowers staff with scripting on how to discuss both patient and personal/associate safety
57 Clinical Excellence • April 24, 2014
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1. Establish a Culture of Safety – Define your “Burning Platform”
2. Implement and sustain a SPHM program - SmartMOVES
3. Incorporate ergonomic design elements utilizing Human Factor principles
4. Select and adopt SPHM technology (low & high technology)
5. Establish an evidence based model for education, training and maintaining competence
6. Integrate patient centered mobilization checklists, definitions, and interventions
7. Establish a comprehensive evaluation program
8. Engage Leadership and assure sustainability
Objectives of our SPHM Initiative
Clinical Excellence • April 24, 2014
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• Introduce curriculum on patient mobilization• Adopted “low tech” approaches and use of existing
equipment at each hospital• Selected “Facility Champs” at each Pilot Hospital• Selected “Super Users” at each Pilot Hospital• Conducted three tiers of mobilization education
− Two day Boot Camp for Facility Champions− Four hours of education for Super Users− Two or four hours for direct care providers
Interventions to date:
Clinical Excellence • April 24, 2014
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• Monitor compliance and competency with all care providers
• Define the elements for ongoing orientation & associate competency
• Establish place-holders for reoccurring budget requests
• Integrating Leadership Methods (Daily Safety Huddles, Rounding to Influence, 5:1 Feedback, etc.)
• Logistics, logistics, logistics…
Interventions planned:
Clinical Excellence • April 24, 2014
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Lessons Learned
Low tech approaches are well received
Provide adequate resources of time and equipment
Engage care providers & emphasize ownership
Clinical Excellence • April 24, 2014
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Lessons Learned
Old habits are hard to break…
Associate education is expensive so do it well!
Leadership engagement is a non-negotiable item
Clinical Excellence • April 24, 2014
Questions
Bob WilliamsonLEAPT Project Director
Margie BervillerLEAPT Project Manager
Clinical Excellence • April 24, 201414