transferring people safely - web
DESCRIPTION
Handling patients, residents and clients in health, aged care, rehabilitation and disability servicesTRANSCRIPT
A handbook for workplaces
Transferring people safelyHandling patients, residents and clients in health, aged care, rehabilitation and disability services
Edition No.3July 2009
The information presented in Transferring people safely is intended for general use only. It should not be viewed as a definitive guide to the law and should be read in conjunction with the Occupational Health and Safety Act 2004 (OHS Act) and the Occupational Health and Safety Regulations 2007 (OHS Regulations).
While every effort has been made to ensure the accuracy and completeness of the guide, the advice contained may not apply in every circumstance. Accordingly, the Victorian WorkCover Authority cannot be held responsible and extends no warranties to the suitability of the information for any particular purpose and actions taken by third parties as a result of information contained in Transferring people safely.
Copyright ©2009
contents
About this guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
How should this guide be used? . . . . . . . . . . . . . . . . . . . 2
What duties do employers and employees have? . . . . . 2
Who should use this guide? . . . . . . . . . . . . . . . . . . . . . . 2
What are the legal issues? . . . . . . . . . . . . . . . . . . . . . . . . 3
What is manual handling? . . . . . . . . . . . . . . . . . . . . . . . . 3
tool 1:
the patient risk assessment worksheet . . . . . . . . . . . . . . . . . . . . . 4
tool 2:
the patient transfer guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
tool 3:
Patient and resident records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
tool 4:
task descriptions and class risk assessments . . . . . . . . . . . . . . 16
Further information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 1
About thIs guIde
Injuries in health, aged care, rehabilitation and disability services due to the handling of people remain a major occupational health and safety (OHS) issue in Victoria, despite more than 30 years of research in Australia and overseas .
For workers, this can mean personal pain and discomfort which sometimes lasts for years, affecting not only their work but their everyday lives, families and relationships . For employers, this type of workplace injury may lead to WorkSafe claims and increased premiums and other costs and may affect morale .
InjuRy stAtIstIcs In the VIctoRIAn heAlth IndustRy
Hospitals and nursing homes percentage
All industries (Victoria) percentage
MSD 71% 55%
Back injuries 31% 21%
Manual handling related 59% 44%
Source: WorkSafe Victoria claims data 2005/06 to 2007/08 inclusive
This guide has been produced specifically for Victorian employers to assist in reducing the incidence and severity of injuries to their staff resulting from manual handling risks when transferring people . This guide complements the publication, A guide to designing workplaces for safer handling of people.
In the guide the terms ‘people’ or ‘patients’ have been used to include patients, residents and clients. The guide offers the following practical tools:
1 . the patient risk assessment worksheetA worksheet that guides the assessment of manual handling risks for an individual task .
2 . the patient transfer guideA set of completed risk assessments for 12 common transfer or moving procedures . The assessments are presented in a colour-coded table . Preferred methods are in green, increased risk methods in amber (which should only be used if it is not reasonably practicable to change to a green method), and high risk or dangerous (and not recommended) methods in red .
3 . Patient and resident recordsExamples of patient recording forms that staff may use to identify risks and record the handling/moving procedures .
4 . task assessments and class risk assessmentsA description of each of the tasks from the Patient transfer guide and a discussion of the risk factors .
2 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
About thIs guIde
MAnAgIng RIsK Is A sIMPle thRee-steP PRocess:
1 . Identify any task that may be a risk to the health and safety of your staff .
2 . Determine the risk associated with that task, including the likelihood and consequence of an injury occurring .
3 . Control the risk by eliminating it, or if this is not practicable, by reducing it as far as possible .
Consultation with health and safety representatives (HSRs) and employees should be undertaken at all stages of the risk management process .
hoW should thIs guIde be used? This guide is flexible around your workplace needs .
It is the duty of individual employers to develop their own approach to preventing injuries associated with handling and moving people . The tools in this guide are intended to be part of such a program . They should be used in whichever way best suits each workplace and employer situation .
You are encouraged to customise and tailor the tools to integrate them into your own occupational health and safety management systems .
It is important to remember that the tools presented here do not work in isolation . We have not intended this guide be a stand-alone systematic agency-wide program for every situation .
WhAt dutIes do eMPloyeRs And eMPloyees hAVe?Employers have certain obligations under the Occupational Health and Safety Act 2004 (OHS Act) and Occupational Health and Safety Regulations 2007 (OHS Regulations) . Employers are responsible for their regular staff, contractors and agency personnel . This responsibility extends to providing a safe working environment, appropriate job design and work systems, and access to proper equipment, support and training .
The Manual Handling section (Part 3 .1) of the OHS Regulations requires employers to identify all people handling tasks and eliminate any risks of musculoskeletal problems or if this is not reasonably practicable, minimise the risk .
The OHS Act requires employers to consult with employees and their health and safety represenatives (HSRs), if reasonably practicable, when identifying or assessing hazards or risks and when making decisions regarding risk control . Under the OHS Act, employees are also required to cooperate with the actions of their employers in relation to hazard identification, risk assessment and risk control .
Who should use thIs guIde?This publication has been produced specifically for employers, managers, OHS personnel, staff trainers and HSRs in health and aged care settings . The types of facilities include those that care for patients, residents and clients in acute, aged care, rehabilitation and disability sectors .
HSRs and staff should be consulted during each step of a risk assessment and when decisions are made about risk controls .
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 3
About thIs guIde
WhAt ARe the legAl Issues?Several different laws and policies outline the issues around manual handling and consultation .
This guide is designed to assist employers to comply with their legal obligations under the OHS Act and Regulations and Compliance Codes . For further information, refer to the Legislative and policy framework table on page 30 .
WhAt Is MAnuAl hAndlIng? The term manual handling applies to any activity that requires the use of force exerted by a person to lift, lower, push, pull, carry or otherwise move, hold or restrain any object or person .
Hazardous manual handling* means manual handling that has any of the following characteristics:
• repetitiveorsustainedapplicationofforce• repetitiveorsustainedawkwardposture• repetitiveorsustainedmovement• applicationofhighforce• exposuretosustainedvibration
or
• manualhandlingoflivepersonsoranimals• manualhandlingofloadswhichareunstable,unbalancedordifficulttograsp
and hold .
The occupation most likely to suffer injury within the health sector is nursing – nurses account for 42% of all WorkSafe claims and 47% of all back claims for the three years from 2005-06 to 2007-08 in hospitals and nursing homes† . For this reason, the Australian Nursing Federation (Victoria Branch) implemented a no lifting policy in 1998 . `No lifting’ principles now represent a state of knowledge which has achieved a change in manual handling practices throughout the health sector . This has led to reduced risk to staff and patients/residents/clients .
* Occupational Health and Safety (Manual Handling) Regulations 2007, regulation 1.1.5
† Source: WorkSafe Victoria claims statistics 2005‑06, 2006‑07 and 2007‑08, including public and private hospitals, nursing and convalesence homes.
4 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
The Patient risk assessment worksheet is set out on the next page . It is a blank proforma that has been designed to help you:
• assesstheoverallriskofmanualhandlingtasks• conductyourownmanualhandlingriskassessmentusingthecompletedtools
as a guideline• assesstheriskofmanuallyhandling/movingapersonwhohasspecialneeds.
Risk assessment should include:1 . Physical environment
• furniture • space • equipment.2 . Work practices
• training • adequatestaffnumbers • workhours.3 . Patient’s ability to assist
• cognitivesigns • physicalsigns • behaviouralsigns • clinicalconstraints.
AssessIng the PhysIcAl enVIRonMentIn the physical environment, managers and HSRs should inspect and assess each room of the facility . This process will determine whether or not the buildings and equipment are compatible with the handling techniques to be adopted . Required changes should then be made . For example, overhead track systems for moving patients/residents significantly reduce the force exerted by staff compared with the force required to manoeuvre a mobile hoist . Overhead hoists are more efficient and acceptable to clients and reduce the time needed to transfer a person . They should be installed in all new and refurbished health and aged care facilities where transferring people is undertaken . They are particularly suited to carpeted rooms in which it is difficult to manoeuvre mobile hoists .
some simple suggestions to help you reduce risk:• bedstick–abedstickattachedtothesideofthebedallowspatients/residents
to help themselves to sit up on the side of the bed• overheadbar–anoverheadbarenablesthepatient/residenttohelpliftand
reposition themselves on the bed• slidesheet–slidesheetsmadefromslipperysailclothorsimilarmaterialcan
help to move the patient on their bed• bedrope–asimpleropeattachedtothemiddleofthefootofthebedallows
the patient to raise themselves from a lying to a sitting position .
tool 1:
the PAtIent RIsK AssessMent WoRKsheet
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 5
tool 1: the PAtIent RIsK AssessMent WoRKsheet
The following form is designed to assist managers, employees and HSRs to assess the factors that contribute to hazardous people handling tasks . If these factors cause risks to employees, they must be controlled so far as is reasonably practicable .
The form can be used to assess:
• acommontask.Forexample,transferringnursinghomeresidentsfrombedtocommodechair,or• aspecifictask.Forexample,movingabariatricpatientfromanemergencytrolleytoabed.
RIsKs WhAt to looK FoR WheRe And When? tIcK
1 . Awkward postures Prolonged or repeated postures (eg bending forward or sideways, twisting, working at or below knee level)
2 . Exerting high force Workers find the effort difficult (eg holding, restraining, pushing, fast forceful movements or with loads not equal for both sides of the body)
3 . Reaching Reaching away from the body or over shoulder height for long periods or while exerting force
4 . Continual handling of patients Daily work includes long periods of various patient handling tasks – for 30 minutes at a time or two hours total per shift .
RIsK FActoRs souRces oF RIsK
1 . Patient behavioural or cognitive variables
Patients who are resistive, unpredictable and uncooperative
2 . Patient physical variables or constraints
Patients with physical constraints (eg large, fragile, rigid, contractures, fatigue )
3 . Clinical constraints or contraindications
Clinical variables (eg pain, unable to lie flat, IV lines, drainage bags, intubation, frames)
4 . Poor environment design Limited space and access to working areas, equipment not easily moveable, narrow doorways, clutter, carpets, ramps or changes of level at lifts, slippery floors, poor lighting
5 . Inappropriate furniture and fittings
Wind-up or manual-adjust beds, low baths, low client chairs, no grab rails in bathrooms, toilets or corridors
6 . Inadequate or insufficient patient handling aids
Inadequate numbers, not readily accessible, poorly designed, not maintained in good working order
7 . Staffing factors Inadequate staff numbers for safe handling, staff inexperienced, inadequately trained, unfamiliar with patients or handling equipment, working long hours
MeAsuRes to elIMInAte oR Reduce RIsK
by WhoM And When contRol MeAsuRes coMPleted And ReVIeWed
Management representative: Health and safety representative:
6 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
tool 2:
the PAtIent tRAnsFeR guIde
The Patient transfer guide is set out on the next page . It has been designed to assist you categorise the risks associated with handling patients in your workplace environment .
The guide is set out in a table . It includes completed risk assessments for 12 common handling situations, known as class (or generic) risk assessments . The 12 tasks are listed down one side of the guide and the various methods for those actions performed are listed across the top of the page .
The page flows left to right – the safest recommended methods are on the left of the page moving through to methods of increased risk on the right .
Colour coding, from green through amber and finally to red, has been used to reinforce the graduation from low risk methods to high risk non-recommended methods .
The table is a summary of information about transfer types 1-12 . For full details on these, refer to pages 18-29 .
The high risk (red) methods described on the guide, for example: top and tail lift, cradle lift, hook arm lift are not recommended practice . They are included to make it clear they are dangerous .
An employer who allows high risk practices to be used is likely to be in breach of Occupational Health and Safety legislation .
the guIde cAn be used to:
• quicklyidentifycurrentworkpractices
• assesstheriskassociatedwitheachpractice
• choosethesafestwayofperformingeachtask
• determineandrecordthemethodtobeusedwitheachpatientatdifferentoccasionsandtimes using the blank spaces provided .
Every situation is different . For example, the methods of transfer and handling are likely to change frequently within an acute care setting . However, they may remain comparatively constant over long periods in extended care . If the conditions described in this guide are different in your workplace, and the difference increases risk of injury or if the task is carried out differently to the method described, you should conduct a new, separate risk assessment .
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 7
PAtI
ent
tRA
nsF
eR s
uM
MA
Ry t
Ab
le (r
efer
to p
ages
18-
29 fo
r fur
ther
det
ails
)
tRA
nsF
eRd
Ate
tRA
nsF
eR
cod
eRe
du
ced
RIs
K: P
ReFe
RRed
Met
ho
ds
IncR
eAse
d R
IsK:
n
ot
PReF
eRRe
dh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
on bed
1 Mov
e up
/dow
n th
e be
d/
/
Ove
rhea
d ba
rO
ne s
lide
shee
tTw
o sl
ide
shee
tsD
raw
or
inco
ntin
ence
she
etB
lue
liftin
g sl
ats
Cra
dle
lift
or
sho
ulde
r lif
t
E
F
G
AB
LE T
O A
SS
IST
A
AB
LE T
O A
SS
IST
B
C
2 Sit
up/li
e do
wn
/
/
Ele
ctric
ally
ope
rate
d ba
ck r
est
Bed
rope
Man
ually
ope
rate
d or
win
d-up
bac
kres
t w
ith b
ed ro
pe o
r m
onke
y ba
r
Man
ually
ope
rate
d ba
ckre
stH
ook
arm
lift
AB
LE T
O A
SS
IST
BA
BLE
TO
AS
SIS
T E
F
G
A
3 Rol
l/
/
Rol
lR
oll u
sing
pat
ient
's
body
mec
hani
csR
oll w
ith a
turn
ing
fram
eM
anua
l log
rol
l
AB
LE T
O A
SS
IST
D
EA
BLE
TO
AS
SIS
T
A
B
4 Turn
/rep
ositi
on
in b
ed/
/
Slid
e sh
eets
Dra
w o
r in
cont
inen
ce s
heet
Man
ually
- tw
o ca
rers
Man
ually
- on
e ca
rer
A
E
F
G
5 Sit
on s
ide
of b
ed/
/
Bed
stic
kP
atie
nt p
ositi
ons
self
Ele
ctric
ally
ope
rate
d ba
ck r
est
Man
ual l
ift f
rom
ly
ing
to s
ittin
g
C
E
AB
LE T
O A
SS
IST
A
AB
LE T
O A
SS
IST
B
oFF bed
6 Mov
e fr
om
bed
to c
hair
/
/
Use ceiling mounted track lifting system where possible
Pat
ient
tra
nsfe
rs
self
or u
ses
aid
Ove
rhea
d tr
acki
ng
hois
t with
wal
king
sl
ing
Ele
ctric
sta
ndin
g ho
ist
Ele
ctric
slin
g ho
ist
Sta
ndin
g ai
dM
anua
l lift
- st
andi
ng p
ivot
tr
ansf
er w
ith o
r w
ithou
t w
alk
belt
Hoo
k ar
m li
ftTo
p an
d ta
il lif
t
AB
LE T
O A
SS
IST
AA
BLE
TO
AS
SIS
T B
AB
LE T
O A
SS
IST
C
CA
BLE
TO
AS
SIS
T D
E
F
G
7 Mov
e fr
om
chai
r to
bed
/
/
Pat
ient
tra
nsfe
rs
self
or u
ses
aid
Ove
rhea
d tr
acki
ng
hois
t with
wal
king
sl
ing
Sta
ndin
g ho
ist/
el
ectr
ic o
r ga
s as
sist
sta
nd a
id
Ele
ctric
slin
g ho
ist
Sta
ndin
g ai
dM
anua
l lift
- st
andi
ng
pivo
t tra
nsfe
rH
ook
arm
lift
Top
and
tail
lift
AB
LE T
O A
SS
IST
AA
BLE
TO
AS
SIS
T B
AB
LE T
O A
SS
IST
C
CA
BLE
TO
AS
SIS
T D
E
F
G
8 Tran
sfer
legs
on
to b
ed/
/
Pat
ient
tra
nsfe
rs
own
legs
or
uses
aid
Ele
ctric
slin
g ho
ist
Man
ually
lift
legs
on
to b
ed
AB
LE T
O A
SS
IST
A
B
E
9 Cha
ir to
cha
ir or
toi
let
/
/
Pat
ient
tra
nsfe
rs
self
or u
ses
aid
Ove
rhea
d tr
acki
ng
hois
t with
wal
king
sl
ing
Ele
ctric
sta
ndin
g ho
ist
Ele
ctric
slin
g ho
ist
Sta
ndin
g ai
dM
anua
l lift
- st
andi
ng
pivo
t tra
nsfe
rH
ook
arm
lift
Top
and
tail
lift
AB
LE T
O A
SS
IST
AA
BLE
TO
AS
SIS
T B
AB
LE T
O A
SS
IST
C
CA
BLE
TO
AS
SIS
T D
E
F
G
10
Mov
e pe
rson
off
floo
r/
/
Pat
ient
tra
nsfe
rs
self
or u
ses
aid
Ele
ctric
slin
g ho
ist
Ele
ctric
hoi
st w
ith
stre
tche
r fr
ame
Lift
man
ually
with
st
retc
her
fram
eH
ook
arm
lift
Top
and
tail
lift
AB
LE T
O A
SS
IST
A
B
C
E
F
G
11
Bed
to
trol
ley
/
/H
over
mat
tres
s or
sl
ippe
ry m
attr
ess
Slid
eboa
rd a
nd s
lide
shee
tsS
lideb
oard
and
bed
sh
eets
Top
and
tail
or
othe
r lif
t
A
B
E
G
12
In/o
ut o
f ba
th/
/
Elec
tric
hoi
st w
ith
imm
ersi
ble
slin
g an
d he
ight
adj
usta
ble
bath
Sho
wer
tro
lley
bath
Hyd
raul
ic c
hair
hois
tTo
p an
d ta
il lif
t
A
B
D
G
Lege
nd: A
= M
ost p
refe
rred
(Saf
est)
on a
slid
ing
scal
e to
G =
Hig
h ris
k (N
ot re
com
men
ded)
; AB
LE T
O A
SS
IST
= H
elp
is re
quire
d fr
om p
atie
nt (p
atie
nt m
ust b
e ab
le to
und
erst
and,
coo
pera
te, a
nd p
hysi
cally
ass
ist)
This
is a
gui
de to
hel
p m
anag
ers
and
staf
f red
uce
risks
ass
ocia
ted
with
pat
ient
tran
sfer
s, a
s re
quire
d by
the
OH
S R
egul
atio
ns a
nd V
icto
rian
Man
ual H
andl
ing
Cod
e of
Pra
ctic
e (2
000)
and
is c
onsi
sten
t with
the
Aus
tral
ian
Nur
sing
Fed
erat
ion
(Vic
toria
n B
ranc
h) N
o Li
ftin
g P
olic
y 20
06 .
Met
hods
in g
reen
are
pre
ferr
ed . T
echn
ique
s in
red
are
incl
uded
onl
y to
em
phas
is h
ow d
ange
rous
they
are
- th
ey s
houl
d be
elim
inat
ed fr
om
all w
orkp
lace
s as
soo
n as
pra
ctic
able
. For
eac
h pa
tient
, cho
ose
the
low
est r
isk
tran
sfer
s po
ssib
le (i
e fu
rthe
st to
the
left
) . W
rite
the
date
and
m
etho
d (A
, B, C
etc
) whe
n ch
angi
ng a
met
hod .
Affi
x pa
tient
ID la
bel o
nto
back
of
this
pag
e, if
req
uire
d .
Nam
e of
pat
ient
: __
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Spe
cial
nee
ds/c
hara
cter
istic
s of
pat
ient
:___
____
____
____
____
____
____
____
____
____
____
_
8 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
This section contains forms for staff to use to identify risks and record the handling/moving procedure . The forms include provision for noting the patient’s ability to assist, the number of people required, the type of equipment needed and any special circumstances . In some situations, this can all be completed by using the Patient transfer guide and there will be no need to refer to this section . Three versions of the Record form are provided as examples, any of the forms can be used or adapted .
steP 1 – Assess AbIlIty to AssIst oR leVels oF dePendenceThe staff member should identify whether the patient is ‘able to assist’ or is ‘dependent’, according to particular objective criteria . For these purposes, a patient would be identified as ‘able to assist’ if they are able to understand instructions, are cooperative and would be physically able to assist the process . If they do not meet these criteria, they would be determined as ‘dependent’ .
Any special needs of the person that may affect the move should also be identified . For example, they may be resistant, prefer to move to a particular side or may be deaf .
deteRMIne the PAtIent’s AbIlIty to AssIst thRough:
• cognitivesigns
• physicalsigns
• behaviouralsigns
• clinicalconstraints.
steP 2 – select the sAFest MoVIng/hAndlIng MethodOnce the initial assessment has been carried out, the staff member can then refer to the Patient transfer guide (page 7) or Task descriptions (page 16) to identify the lowest risk method appropriate to the situation . These sections also identify the number of employees and type of equipment required to carry out the task safely .
use the loWest RIsK Method
tool 3:
PAtIent And ResIdent RecoRds
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 9
tool 3: – PAtIent RecoRds
steP 3 – RecoRd the Method to be usedThe information determined by the first two steps is then recorded on the person’s risk assessment/control form, the modified care plan or in the Patient transfer guide .
Recording should be done when the patient arrives in the unit and whenever their condition changes significantly . It may be done as often as every few hours for acute patients, or typically, monthly for long-term patients or residents .
Three examples of how the information may be recorded are in this section (see Tools 3 .1, 3 .2 and 3 .3) . Completed examples are shown for each recording method . You can choose one of these forms or adapt them to suit your own patient records .
MAKe A RecoRd
hoW to use the FoRMsThe forms may be used as follows:
• atthestartofeachnewperiod(egeveryshiftinacutecareormonthlyinlong-term care) to assess the ability to assist of each person in their care
• refertothePatienttransferguideandtaskdescriptionstoidentifywhichmethod of transfer to use, what equipment and support from other staff members will be required . This is based on the cognitive and physical ability of the person that requires handling
• recordthatinformationonthepatient’scareplanorotherappropriateform.
Re-Assess IndIVIduAls And FIll In docuMentAtIon RegulARly . FoR exAMPle, At the stARt oF eVeRy shIFt FoR Acute cARe oR Monthly In long-teRM cARe sItuAtIons
10 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
exAMPle tool 3 .1: PAtIent RecoRd (VeRsIon one)
ActIVItIes InItIAl PlAn/AdMIssIon oR ReVIsed PlAn
dAte 1/10/2006 dAte 2/10/2006 dAte 3/10/2006
PAtI
ent
hA
nd
lIn
g
Ass
essM
ent
On bed assessment: D A I
Equipment SS x 2 OB
Off bed assessment D A A
EquipmentSL ST
BS LL
LL
Mo
bIl
Ity Mobility assessment D A A
Equipment WC WH WH
HygieneD SC
A SC
A SC
Speech, sight, hearing Hearing aid Hearing aid Hearing aid
Observations, specific BP 4/24 BP 4/24 BP BD
Diet/fluids, weight Full diet Full diet Full diet
Urine/bowels NAD test daily NAD test daily NAD test daily
Wound careRefer to dressing chart Dressing 4/24
Dressng BD Daily dressing
Discharge planIn progress – refer to progress notes
In progress – refer to progress notes
In progress – refer to progress notes
sIg
nAt
uRe
ND L . Jones L . Jones L . Jones
AM J . Smith J . Smith J . Smith
PM T . Brown T . Brown T . Brown
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
PAtIent I .d . lAbel
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 11
tool 3 .1: PAtIent RecoRd (VeRsIon one)
ActIVItIes InItIAl PlAn/AdMIssIon oR ReVIsed PlAn
dAte dAte dAte
PAtI
ent
hA
nd
lIn
g
Ass
essM
ent
On bed assessment:
Equipment
Off bed assessment
Equipment
Mo
bIl
Ity Mobility assessment
Equipment
Hygiene
Speech, sight, hearing
Observations, specific
Diet/fluids, weight
Urine/bowels
Wound care
Discharge plan
sIg
nAt
uRe
ND
AM
PM
PAtIent I .d . lAbel
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
12 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
PRoceduRe code / equIP code / equIP code / equIP code / equIP code / equIP code / equIP
on
bed
Sitting up/ lying down
A Bedrope
DA Bedrope
I
Moving up in bed
A MB
D SS x 2
A OB
I
Turning in bed
AD SS x 2
A I
Rolling in bed
A D A I
Sitting on side of bed
A BM
DA BM
I
(oFF
bed
)
Bed to chairD SL
D SL
D SL
A Patient transfers self Stabilise chair
I
Chair to bedD SL
D SL
D SL
A Patient transfers self Stabilise chair
I
Chair to chair STD SL
STA Patient transfers self Stabilise chair
I
Bed to trolley to bed
SS Pat
SS Pat
SS Pat
SS Pat
SS Pat
oth
eR
MobilityD WC
D Air chair
D Air chair
A WH
I WH
Date 1/10/06 4/10/06 8/10/06 10/10/06 11/10/06
Signature L . Jones T . Brown L . Jones T . Brown L . Jones
Special needsNeeds a lot of prompting to assist on bed 1/10
Roll gently onto left side, discomfort ++ 4/10
Mobilises short distance only 10/10
exAMPle tool 3 .2: PAtIent RecoRd (VeRsIon tWo)
PAtIent I .d . lAbel
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 13
PRoceduRe code / equIP code / equIP code / equIP code / equIP code / equIP code / equIP
on
bed
Sitting up/ lying down
Moving up in bed
Turning in bed
Rolling in bed
Sitting on side of bed
(oFF
bed
)
Bed to chairA Transfers Stabilise Chair
Chair to bedA Transfers Stabilise Chair
Chair to chairA Transfers Stabilise Chair
Bed to trolley to bed
oth
eR
MobilityI WS
dAte
sIgnAtuRe
Special needs
PAtIent I .d . lAbel
tool 3 .2: PAtIent RecoRd (VeRsIon tWo)
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
14 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
exAMPle tool 3 .3: ResIdent RecoRd
tAsK MoRnIng AFteRnoon nIght
on
bed
On bed assessment: D D D
•Moveupthebed SS x 2 SS x 2
•Situp/liedown Electric backrest Electric backrest Electric backrest
•Reposition SS x 2
(oFF
bed
)
Off bed assessment: D D
•Bedtochair SL SL
•Chairtobed SL SL
•Chairtochair ST ST
ToiletingD As per regime ST to adjust clothes
D As per regime ST to adjust clothes
D Overnight pad
HygieneD SC
Mobility/therapy
WC Encourage to roll self, lift own legs onto the footplate, feed self, wash own upper body
WC Encourage to roll self, lift own legs onto the footplate, feed self, wash own upper body
Date 1/11/06 1/11/06 1/10/06
Signature C . Firth J . Lee J . Lee
Special needsMay be resistive in the morning . Gets up after 10 .30am - responds to conversation about flowers and gardening .
PAtIent I .d . lAbel
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 15
tAsK MoRnIng AFteRnoon nIght
on
bed
On bed assessment:
•Moveupthebed
•Situp/liedown
•Reposition
(oFF
bed
)
Off bed assessment:
•Bedtochair
•Chairtobed
•Chairtochair
Toileting
Hygiene
Mobility/therapy
Date
Signature
Special needs
PAtIent I .d . lAbel
PAtIent cRIteRIA code
Dependent: D
•Unabletounderstandand/orcooperate
•Physicallyunabletocarryouttask
Able to assist: A
•Understand/cooperate
•Physicallyable(needsassistance)
Independent: I
MobIlIse code
Wheelchair wCWalking frame wFWheely frame wHGutter frame GFWalking stick -4 point or single wSKWalking sling wS
equIPMent code
Sling hoist SLStanding hoist STSlide sheets SSOverhead bar OBBedstick BSLeg lifter LLTurning frame TFBed mechanics BMShower chair SCShower trolley SHSlide board SBWalking sling wS
tool 3 .3: ResIdent RecoRd
16 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
tool 4:
tAsK descRIPtIons And clAss RIsK AssessMents
In this section, each of the tasks assessed on the Patient transfer guide is described briefly, followed by a discussion of any risk factors identified in the task and an overall risk rating .The aim is to provide help for you to judge whether the class risk assessments are appropriate to the situations you face . The descriptions also act as a starting point for individual moving/handling tasks for which the class assessments are not appropriate . The descriptions and their assessments are set out on pages 18 to 29 .
Conditions applying to the class risk assessmentsThe risk of each patient handling task was carried out assuming the following conditions . If these conditions are different in your workplace and the difference increases the risk of injury, or the task is carried out differently to that described, an individual risk assessment for that task should be carried out .
Patient assistanceWhere it is stated that the patient is able to assist, this means that:
• thepatientcancomprehendwhatthehandlerissayingandisreasonablycooperative
• thepatientisabletophysicallycarryoutthetask.
Equipment• theequipmentusedisreadilyavailable,ingoodconditionandregularly
maintained• allhoistsandbedsareelectricallyoperated• overheadtrackinghoistsareusedwhereverreasonablypracticable• hoistsareabletobewheeledunderthebedwithnoimpediment• thebedhaselectricallyoperatedheightandbackrestadjustmentandbedtilt
mechanisms where required• slidesheetsareatleasttwometresinlengthandareofaslipperymaterialsuch
as spinnaker sailcloth or similar• theslidesheetusedinthebedtotrolleytransferisatleasttwometresin
length and 1 .5 metres wide• aminimumoftwohandlersareusedtomanoeuverthehoistwiththepatientin
situ .
Environment• thefloorisaflat,firmsmoothsurface(egnon-cushionedslipresistantvinylor
similar)• theworkareaisreasonablyuncluttered,nofurnitureneedstobemovedin
order to carry out the tasks
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 17
Employees• staffcarryingoutthetaskaretrainedandcompetentin‘nolifting’patient
handling procedures and in using the mechanical equipment and other aids in the handling task
• thereisanadequatenumberofstaffavailabletobeabletocarryoutthetask• staffaretrainedinhandlingproceduresandusingliftingandtransferring
equipment• stafftrialallequipmentinsitubeforepurchasing.
Assess the PAtIent's
• behaviour
• physicalability
• clinicalconstraints
• cognitivefunction.
tool 4: tAsK descRIPtIons And clAss RIsK AssessMents
18 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PRe
FeRR
ed M
eth
od
sh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dO
verh
ead
bar
On
e sl
ide
shee
tTw
o s
lide
shee
tsD
raw
or
inco
nti
nen
ce s
hee
tLi
ftin
g s
lats
Sh
ou
lder
Lif
t
Co
de
AB
CE
FG
Mai
n r
isk
fact
ors
Rea
chin
gR
each
ing
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g,
fast
mov
emen
ts
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g,
fast
mov
emen
ts
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, l
ow w
orki
ng,
reac
hing
, une
ven
load
ing,
fa
st m
ovem
ents
Pat
ien
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nP
atie
nt a
ssis
ts b
y us
ing
the
over
head
bar
, han
dler
st
abili
ses
the
patie
nt’s
ank
le/
foot
Pat
ient
ass
ists
by
mov
ing
on t
he s
lide
shee
t, h
andl
er
stab
ilise
s th
e pa
tient
’s a
nkle
/fo
ot
Slid
e th
e pa
tient
up
the
bed
usin
g tw
o sl
ide
shee
ts
Pat
ient
is li
fted
up
the
bed
usin
g th
e sh
eet,
whi
ch is
al
read
y po
sitio
ned
unde
r th
e pa
tient
Pat
ient
is li
fted
up
the
bed
usin
g th
e lif
ting
slat
s
Pat
ient
is li
fted
up
the
bed
usin
g th
e ha
ndle
rs’ s
houl
ders
Nu
mb
er o
f h
and
lers
11
22
22
Pro
ced
ure
Pat
ient
gra
sps
the
over
head
ba
r . P
atie
nt b
ends
the
ir le
gs
up w
ith t
he f
oot
(fee
t)
posi
tione
d on
the
bed
.Th
e ha
ndle
r ho
lds
the
patie
nt’s
ank
le/f
oot
agai
nst
the
bed
to e
nsur
e it
does
n’t
slip
dur
ing
the
mov
e . T
he
patie
nt p
ushe
s of
f th
roug
h th
eir
supp
orte
d fo
ot/f
eet
agai
nst
the
bed
whi
le li
ftin
g an
d ca
rryi
ng t
heir
own
body
up
the
bed
.
Pos
ition
the
fol
ded
slid
e sh
eet
unde
r th
e pa
tient
by
rolli
ng t
he p
atie
nt o
nce .
P
atie
nt b
ends
the
ir le
gs w
ith
the
foot
pos
ition
ed fl
at o
n th
e be
d (n
ot o
n th
e sl
ide
shee
t) .
The
hand
ler
hold
s th
e pa
tient
’s a
nkle
/foo
t ag
ains
t th
e be
d to
ens
ure
it do
esn’
t sl
ip d
urin
g th
e m
ove,
whi
le
the
patie
nt s
imul
tane
ousl
y pu
shes
thr
ough
the
ir fe
et
and
slid
es u
p th
e be
d .
Rem
ove
the
slid
e sh
eet
by
rolli
ng t
he p
atie
nt o
r pu
lling
th
e bo
ttom
laye
r of
the
slid
e sh
eet
from
und
er t
he p
atie
nt .
Pos
ition
the
tw
o sl
ide
shee
ts
unde
r th
e pa
tient
by
rolli
ng
the
patie
nt .
Usi
ng w
eigh
t tr
ansf
er, b
oth
hand
lers
pul
l the
top
she
et,
slid
ing
the
patie
nt u
p th
e be
d .
Rem
ove
the
slid
e sh
eet
by
rolli
ng t
he p
atie
nt o
r pu
ll th
e sl
ide
shee
ts f
rom
und
er t
he
patie
nt (b
otto
m la
yer
first
) .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Han
dler
s st
and
oppo
site
ea
ch o
ther
on
eith
er s
ide
of t
he b
ed, g
rasp
the
dra
w
or in
cont
inen
ce s
heet
tha
t is
pos
ition
ed u
nder
the
pa
tient
’s u
pper
bod
y an
d th
ighs
, the
n lif
t an
d ca
rry
the
patie
nt u
p th
e be
d us
ing
the
shee
t as
a s
ling .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Han
dler
s st
and
oppo
site
ea
ch o
ther
on
eith
er s
ide
of
the
bed,
pos
ition
the
lift
ing
slat
s un
der
the
patie
nt’s
up
per
body
and
upp
er t
high
s by
rol
ling
the
patie
nt o
nto
the
slat
s, g
rasp
the
han
dles
of
the
lift
ing
slat
s an
d th
en
lift
and
carr
y th
e pa
tient
up
the
bed .
Han
dler
s re
mov
e th
e lif
ting
slat
s by
slid
ing
the
slat
s ou
t fr
om u
nder
the
pat
ient
’s
body
or
rolli
ng t
he p
atie
nt .
This
dan
gero
us p
ract
ice
incl
udes
the
follo
win
g:B
ed is
pos
ition
ed fl
at, p
atie
nt’s
up
per b
ody
is p
ulle
d fo
rwar
d in
to a
sitt
ing
posi
tion .
W
hile
sup
port
ing
the
patie
nt’s
up
per b
ody,
bot
h ha
ndle
rs
posi
tion
thei
r inn
er s
houl
der
unde
r the
pat
ient
’s u
pper
ar
m w
ith th
e pa
tient
’s
arm
pos
ition
ed a
cros
s th
e ha
ndle
r’s b
ack .
B
oth
hand
lers
link
thei
r inn
er
hand
s un
der t
he p
atie
nt’s
upp
er
thig
hs a
nd p
lace
thei
r out
er
hand
s on
the
bed
for b
alan
ce .
Usi
ng th
eir b
ody
posi
tione
d un
der t
he p
atie
nt’s
upp
er
arm
s, a
nd in
ner h
ands
po
sitio
ned
unde
r the
pat
ient
’s
thig
hs, b
oth
hand
lers
lift
and
ca
rry
the
patie
nt’s
bod
y up
th
e be
d, th
en s
uppo
rt th
e pa
tient
’s u
pper
bod
y w
hile
re
mov
ing
the
patie
nt’s
arm
s fr
om th
e ha
ndle
rs’ b
acks
. Th
e pa
tient
’s u
pper
bod
y is
th
en lo
wer
ed in
to a
sup
ine
posi
tion .
tRA
nsF
eR 1
: Mo
VIn
g t
he
PAtI
ent
uP
An
d d
oW
n t
he
bed
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 19
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry -
no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dE
lect
rica
lly o
per
ated
bac
k re
stB
ed r
op
eM
anu
ally
op
erat
ed o
r w
ind
-u
p b
ackr
est
wit
h b
ed r
op
e o
r m
on
key
bar
Man
ual
ly o
per
ated
bac
kres
t
Man
ual
ly li
ftin
g t
he
pat
ien
t/re
sid
ent
forw
ard
Co
de
AB
EF
G
Mai
n r
isk
fact
ors
Rea
chin
gA
wkw
ard
post
ures
, une
ven
load
ing,
ex
ertin
g hi
gh f
orce
A
wkw
ard
post
ures
, exe
rtin
g hi
gh f
orce
, une
ven
load
ing,
fas
t m
ovem
ents
Beh
avio
ural
, phy
sica
l and
clin
ical
co
nstr
aint
s, a
wkw
ard
post
ures
, un
even
load
ing,
hig
h fo
rce
Pat
ien
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nS
it th
e pa
tient
up
in b
ed a
nd s
uppo
rt
with
the
bac
kres
tS
it th
e pa
tient
up
in b
ed u
sing
a
bed
rope
Sit
the
patie
nt u
p in
bed
and
sup
port
w
ith t
he m
anua
l or
gas
assi
st
back
rest
Sit
the
patie
nt u
p in
bed
and
sup
port
w
ith t
he b
ackr
est
The
patie
nt/r
esid
ent
is m
anua
lly
lifte
d fo
rwar
d us
ing
a ho
ok a
rm li
ft
Nu
mb
er o
f h
and
lers
11
21
or
21
or
2
Pro
ced
ure
Use
the
ele
ctric
mec
hani
sm t
o ra
ise
the
back
rest
.P
atie
nt g
rasp
s be
d ro
pe a
nd b
ends
kn
ees
slig
htly
. The
pat
ient
the
n lif
ts
up in
to a
sitt
ing
posi
tion
by ‘w
alki
ng’
thei
r ha
nds
up t
he r
ope .
This
dan
gero
us p
ract
ice
incl
udes
th
e fo
llow
ing:
Th
e ha
ndle
r gr
asps
the
gas
ass
ist
back
rest
han
dle
with
the
far
han
d an
d th
e he
ad o
f th
e be
d w
ith t
he
near
han
d, a
nd in
stru
cts
the
patie
nt
to m
ove
thei
r up
per
body
up
and
forw
ard
by u
sing
the
ove
rhea
d m
onke
y ba
r or
bed
rop
e at
tach
ed t
o th
e en
d of
the
bed
. Th
e ha
ndle
r re
leas
es t
he g
as
assi
st b
y sq
ueez
ing
the
leve
r an
d si
mul
tane
ousl
y lif
ting
the
head
of
the
bed
to t
he a
ppro
pria
te h
eigh
t .
This
dan
gero
us p
ract
ice
incl
udes
th
e fo
llow
ing:
H
andl
ers
stan
d op
posi
te e
ach
othe
r on
eith
er s
ide
of t
he b
ed, g
rasp
th
e m
anua
l lift
bac
kres
t ha
ndle
w
ith t
he f
ar h
and
and
the
head
of
the
bed
with
the
nea
r ha
nd, t
hen
sim
ulta
neou
sly
lift
the
back
rest
(and
th
e pa
tient
’s u
pper
bod
y) t
o th
e ap
prop
riate
hei
ght .
This
dan
gero
us p
ract
ice
incl
udes
th
e fo
llow
ing:
H
andl
ers
stan
d on
eith
er s
ide
of
the
patie
nt, b
end
forw
ard
and
plac
e th
eir
near
arm
s un
der
the
patie
nt’s
ar
m/s
houl
der .
Bot
h ha
ndle
rs t
hen
lift
and
pull
the
patie
nt u
p in
to a
sitt
ing
posi
tion
on
the
bed .
tRA
nsF
eR 2
: sIt
tIn
g t
he
PAtI
ent
uP
In b
ed
20 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PReF
eRRe
d M
eth
od
sIn
cReA
sed
RIs
K: n
ot
PReF
eRRe
dh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dR
oll
Ro
ll u
sin
g p
atie
nt’s
bo
dy
mec
han
ics
Ro
ll w
ith
a t
urn
ing
fra
me
Ro
llin
g p
atie
nt
in a
log
ro
ll p
osi
tio
n
Co
de
AB
CD
Mai
n r
isk
fact
ors
Rea
chin
gR
each
ing
R
each
ing,
exe
rtin
g hi
gh f
orce
s
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ces,
re
achi
ng, u
neve
n lo
adin
g
Pat
ien
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nR
oll t
he p
atie
nt o
n th
eir
side
in o
rder
to
carr
y ou
t a
part
icul
ar p
roce
dure
R
oll t
he p
atie
nt o
nto
thei
r si
de u
sing
the
pa
tient
’s b
ody
mec
hani
cs in
ord
er t
o ca
rry
out
a pa
rtic
ular
pro
cedu
re
Rol
l the
pat
ient
ont
o th
eir
side
mai
ntai
ning
bo
dy a
lignm
ent
with
a t
urni
ng f
ram
eTh
e ha
ndle
rs m
anua
lly r
oll t
he p
atie
nt/r
esid
ent
in a
log
roll
posi
tion
onto
the
ir un
affe
cted
sid
e,
liftin
g an
d su
ppor
ting
the
outs
ide
leg
Nu
mb
er o
f h
and
lers
1 o
r 2
22
to 3
2 to
4
Pro
ced
ure
Han
dler
sta
nds
on t
he s
ide
the
patie
nt w
ill t
urn
tow
ards
. In
stru
ct t
he p
atie
nt t
o ra
ise
far
knee
and
po
sitio
n th
e fa
r ar
m a
cros
s th
e bo
dy . A
ssis
t th
e pa
tient
to
roll
over
. S
uppo
rt t
he p
atie
nt o
n si
de o
r al
tern
ativ
ely
use
the
cot
side
or
beds
tick
to e
nabl
e th
e pa
tient
to
sup
port
him
/her
self .
Han
dler
s st
and
oppo
site
eac
h ot
her
on e
ither
si
de o
f th
e be
d .
Pos
ition
the
pat
ient
’s a
rms
acro
ss t
heir
ches
t .
Ben
d up
the
pat
ient
’s k
nee
or p
lace
the
leg
acro
ss t
he o
ppos
ite le
g .
One
han
dler
pus
hes
the
patie
nt’s
hip
and
sh
ould
er o
ver
whi
le t
he o
ther
han
dler
gen
tly
guid
es t
he p
atie
nt’s
kne
e an
d el
bow
ove
r . H
old
the
patie
nt’s
bod
y on
the
ir si
de .
At
the
com
plet
ion
of t
he t
ask,
allo
w t
he
patie
nt t
o ge
ntly
‘rol
l’ ba
ck in
to p
ositi
on .
Lift
the
tur
ning
fra
me
onto
the
bed
.P
ositi
on t
he f
ram
e un
der
the
patie
nt’s
low
er
limbs
by
min
imal
ly li
ftin
g th
e pa
tient
’s le
gs .
Two
hand
lers
pos
ition
the
mse
lves
on
the
near
si
de o
f th
e pa
tient
at
ches
t/th
igh
leve
l and
th
igh/
low
er le
g le
vel .
The
hand
ler
at c
hest
leve
l gra
sps
the
far
port
ion
of t
he r
ollin
g fr
ame
ches
t b
ar a
nd t
he
leg
supp
ort
bar .
The
far
hand
ler
gras
ps t
he
turn
ing
fram
e at
thi
gh/le
g le
vel .
Inst
ruct
the
pat
ient
to
gras
p th
e tu
rnin
g fr
ame
ches
t ba
r w
ith b
oth
hand
s .
Inst
ruct
the
pat
ient
to
brin
g th
eir
shou
lder
s an
d up
per
body
with
the
tur
n . T
he n
ear
hand
ler
guid
es t
he c
hest
bar
ove
r an
d bo
th
hand
lers
pus
h do
wn
on t
he le
g su
ppor
t ba
r . W
hen
the
task
is c
ompl
eted
, allo
w t
he p
atie
nt
to g
ently
‘rol
l’ ba
ck in
to p
ositi
on a
nd r
emov
e th
e fr
ame .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Two
to t
hree
han
dler
s st
and
alon
g th
e un
affe
cted
sid
e of
the
pat
ient
’s b
ody,
lean
ove
r to
the
pat
ient
’s f
ar (a
ffec
ted)
sid
e of
the
bod
y an
d pu
ll th
e pa
tient
’s b
ody
over
ont
o th
e ne
ar
(una
ffec
ted)
sid
e, m
aint
aini
ng t
he p
atie
nt’s
bo
dy a
lignm
ent
and
liftin
g an
d su
ppor
ting
the
patie
nt’s
out
side
leg .
An
addi
tiona
l han
dler
po
sitio
ned
on t
he p
atie
nt’s
far
sid
e m
ay
sim
ulta
neou
sly
push
the
pat
ient
ove
r on
to
thei
r un
affe
cted
sid
e .Th
e ha
ndle
rs h
old
the
patie
nt o
n th
eir
side
un
til t
he p
roce
dure
is c
ompl
eted
the
n lo
wer
th
e pa
tient
ont
o th
eir
back
, mai
ntai
ning
the
pa
tient
’s b
ody
alig
nmen
t .
tRA
nsF
eR 3
: Ro
llIn
g t
he
PAtI
ent
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 21
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry
- no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dS
lide
shee
tsD
raw
or
inco
nti
nen
ce s
hee
tM
anu
ally
rep
osi
tio
n t
he
pat
ien
t
usi
ng
tw
o h
and
lers
Man
ual
ly r
epo
siti
on
th
e p
atie
nt
usi
ng
on
e h
and
ler
Co
de
AE
FG
Mai
n r
isk
fact
ors
Rea
chin
gA
wkw
ard
posi
tion
exer
ting
high
for
ce,
reac
hing
, une
ven
load
ing,
fas
t m
ovem
ents
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, f
ast
mov
emen
tsA
wkw
ard
post
ures
, exe
rtin
g hi
gh f
orce
, re
achi
ng, u
neve
n lo
adin
g, f
ast
mov
emen
ts
Pat
ien
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nR
epos
ition
the
pat
ient
ont
o si
de u
sing
slid
e sh
eets
The
patie
nt/r
esid
ent
is li
fted
into
the
mid
dle
of
the
bed
usin
g th
e dr
aw o
r in
cont
inen
ce s
heet
an
d th
en r
olle
d on
to t
heir
side
The
patie
nt is
rol
led
onto
the
ir si
de a
nd t
hen
lifte
d in
to t
he m
iddl
e of
the
bed
by
two
hand
lers
The
patie
nt is
rol
led
onto
the
ir si
de a
nd t
hen
lifte
d in
to t
he m
iddl
e of
the
bed
by
one
hand
ler
Nu
mb
er o
f h
and
lers
22
21
Pro
ced
ure
Pos
ition
the
fol
ded
slid
e sh
eet
or t
wo
slid
e sh
eets
und
er t
he p
atie
nt b
y pu
shin
g th
e sl
ide
shee
ts u
nder
the
pat
ient
and
the
n ro
lling
the
pa
tient
ont
o si
de .
One
han
dler
pul
ls t
he t
op la
yer
of t
he s
lide
shee
ts, w
hile
the
oth
er h
andl
er p
ushe
s th
e pa
tient
’s b
ody
into
the
mid
dle
of t
he b
ed .
The
patie
nt’s
bod
y is
mai
ntai
ned
on it
s si
de
durin
g th
is p
roce
dure
. R
emov
e th
e sl
ide
shee
ts b
y pu
shin
g th
e sl
ide
shee
ts u
nder
one
sid
e of
the
pat
ient
’s b
ody
and
then
pul
ling
the
shee
ts o
ut o
n th
e ot
her .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Han
dler
s st
and
oppo
site
eac
h ot
her
on e
ither
si
de o
f th
e be
d, b
oth
hand
lers
gra
sp t
he d
raw
or
inco
ntin
ence
she
et a
nd li
ft a
nd c
arry
the
pa
tient
to
the
side
of
the
bed,
the
n ro
ll th
e pa
tient
ont
o th
eir
side
.
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Han
dler
s ro
ll th
e pa
tient
ont
o hi
s/he
r si
de .
The
near
han
dler
mai
ntai
ns t
he la
tera
l po
sitio
ning
of
the
patie
nt .
The
far
hand
ler
posi
tions
his
/her
arm
s un
der
the
patie
nt’s
upp
er t
high
s an
d w
aist
.Th
e fa
r ha
ndle
r th
en li
fts
and
pulls
the
pat
ient
’s
low
er b
ody
tow
ards
the
nea
r si
de o
f th
e be
d .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
The
patie
nt is
rol
led
over
ont
o hi
s/he
r fa
r si
de,
the
hand
ler'
s ar
ms
are
posi
tione
d un
der
the
patie
nt’s
upp
er t
high
s an
d w
aist
, and
the
n th
e ha
ndle
r lif
ts a
nd p
ulls
the
pat
ient
’s lo
wer
bod
y to
war
ds t
he n
ear
side
of
the
bed .
tRA
nsF
eR 4
: tu
RnIn
g t
he
PAtI
ent
(ReP
osI
tIo
n In
bed
)
22 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry-
no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dB
edst
ick
or
oth
er a
idP
atie
nt
po
siti
on
s se
lf o
r u
ses
aid
E
lect
ric
bac
kres
tM
anu
al li
ft f
rom
lyin
g t
o s
itti
ng
Co
de
AB
CE
Mai
n r
isk
fact
ors
Rea
chin
g R
each
ing
Rea
chin
g A
wkw
ard
post
ures
, exe
rtin
g hi
gh f
orce
,
Pat
ien
tA
ble
to a
ssis
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e pa
tient
tra
nsfe
rs f
rom
lyin
g to
sitt
ing
in a
ba
lanc
ed p
ositi
on o
n th
e si
de o
f th
e be
d us
ing
an a
id s
uch
as a
bed
stic
k
The
patie
nt t
rans
fers
fro
m ly
ing
to s
ittin
g in
a
bala
nced
pos
ition
on
the
side
of
the
bed
usin
g th
eir
body
mec
hani
cs
Use
the
ele
ctric
bac
kres
t to
rai
se t
he p
atie
nt
from
lyin
g to
sitt
ing
in a
bal
ance
d po
sitio
n on
th
e si
de o
f th
e be
d
The
patie
nt is
man
ually
lift
ed f
rom
lyin
g to
si
ttin
g on
the
sid
e of
the
bed
Nu
mb
er o
f h
and
lers
11
1 o
r 2
1 o
r 2
Pro
ced
ure
Enc
oura
ge t
he p
atie
nt t
o be
nd u
p th
eir
legs
an
d ro
ll ov
er o
nto
thei
r si
de .
Pos
ition
the
pat
ient
’s f
eet
at t
he e
dge
of t
he
mat
tres
s . In
stru
ct t
he p
atie
nt t
o si
t up
or
gras
p th
e be
dstic
k (p
ositi
oned
at
the
low
er c
hest
le
vel)
and
rais
e th
eir
body
usi
ng t
he s
tick
as
a br
ace .
S
imul
tane
ousl
y sl
ide
the
patie
nt’s
fee
t of
f th
e be
d .
The
patie
nt w
ill b
e th
en s
ittin
g on
the
sid
e of
th
e be
d .
Enc
oura
ge t
he p
atie
nt t
o be
nd u
p th
eir
legs
an
d ro
ll ov
er o
nto
thei
r si
de .
Inst
ruct
the
pat
ient
to
posi
tion
thei
r ha
nd/
elbo
w a
t th
eir
ches
t le
vel t
o en
able
the
m t
o pu
sh t
heir
uppe
r bo
dy u
pwar
ds .
Pos
ition
the
pat
ient
’s f
eet
at t
he e
dge
of t
he
mat
tres
s .
Slid
e th
e pa
tient
’s f
eet
off
the
bed
whi
le t
he
patie
nt p
ushe
s th
roug
h th
eir
hand
/elb
ow a
nd
lifts
the
ir up
per
body
off
the
bed
.Th
e pa
tient
will
be
then
sitt
ing
on t
he s
ide
of
the
bed .
Enc
oura
ge t
he p
atie
nt t
o be
nd t
heir
legs
and
ro
ll on
to t
heir
side
. R
aise
the
bac
kres
t to
app
roxi
mat
ely
35 p
er
cent
and
slid
e th
e pa
tient
’s f
eet
off
the
bed .
C
ontin
ue r
aisi
ng t
he b
ackr
est
until
the
pat
ient
is
sitt
ing
in a
n up
right
pos
ition
on
the
side
of
the
bed .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Han
dler
rol
ls t
he p
atie
nt o
nto
thei
r si
de .
Han
dler
pos
ition
s hi
s/he
r ne
ar a
rm u
nder
the
pa
tient
’s u
pper
bod
y an
d ho
lds
the
patie
nt’s
le
gs w
ith t
he o
ther
han
d, t
hen
lifts
the
pa
tient
’s u
pper
bod
y in
to t
he s
ittin
g po
sitio
n w
hile
slid
ing
the
legs
off
the
bed
.
tRA
nsF
eR 5
: sIt
tIn
g t
he
PAtI
ent
on
th
e sI
de
oF
the
bed
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 23
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
IncR
eAse
d RI
sK:
not
PRe
FeRR
edh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dP
atie
nt
tran
sfer
s se
lf
or
use
s ai
dO
verh
ead
tra
ckin
g
ho
ist
wit
h w
alki
ng
sl
ing
Ele
ctri
c st
and
ing
h
ois
tE
lect
ric
slin
g h
ois
tS
tan
din
g a
idM
anua
l lift
– s
tand
ing
pi
vot t
rans
fer
Ho
ok
arm
lift
To
p &
tai
l lif
t
Co
de
AB
CC
DE
FG
Mai
n r
isk
fact
ors
Rea
chin
g, lo
w
wor
king
hei
ght,
aw
kwar
d po
stur
es
Rea
chin
g, lo
w
wor
king
hei
ght,
aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es, u
neve
n lo
adin
g
Aw
kwar
d po
stur
es,
exer
ting
high
for
ce,
unev
en lo
adin
g, r
each
ing
Aw
kwar
d po
stur
es,
exer
ting
high
for
ce,
unev
en lo
adin
g,
reac
hing
Aw
kwar
d po
stur
es,
exer
ting
high
for
ce,
unev
en lo
adin
g, f
ast
mov
emen
t, r
each
ing
Pat
ien
tA
ble
to a
ssis
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nU
sing
an
aid
such
as
a s
lide
boar
d, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
the
bed
to
a ch
air
The
patie
nt
tran
sfer
s fr
om b
ed
to c
hair
usin
g ce
iling
m
ount
ed t
rack
hoi
st
with
wal
king
slin
g
Usi
ng t
he e
lect
ric
stan
ding
hoi
st, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
the
bed
to
the
chai
r
Usi
ng t
he c
eilin
g
mou
nted
or
mob
ile
elec
tric
slin
g ho
ist,
th
e ha
ndle
r as
sist
s th
e pa
tient
to
tran
sfer
fro
m t
he
bed
to t
he c
hair
The
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er f
rom
be
d to
cha
ir . T
he
patie
nt u
ses
a st
andi
ng a
id
The
patie
nt is
lift
ed f
rom
be
d to
cha
ir us
ing
a st
andi
ng p
ivot
tra
nsfe
r w
ith o
r w
ithou
t a
wal
k be
lt
The
patie
nt is
lif
ted
from
bed
to
chai
r us
ing
a ho
ok
arm
lift
The
patie
nt is
lift
ed
from
bed
to
chai
r us
ing
a to
p an
d ta
il lif
t
Nu
mb
er o
f h
and
lers
12
22
11
22
Pro
ced
ure
Pos
ition
the
pat
ient
on
the
sid
e of
the
be
d w
ith t
heir
feet
on
the
floor
. The
cha
ir is
the
n po
sitio
ned
next
to
the
bed
with
th
e ne
ar s
ide
arm
re
mov
ed o
r lo
wer
ed .
If a
ppro
pria
te, t
he
slid
e bo
ard
or o
ther
ai
d is
pla
ced
unde
r th
e pa
tient
’s n
ear
side
bu
ttoc
k an
d ac
ross
th
e ch
air .
The
patie
nt
gras
ps t
he f
ar a
rm o
f th
e ch
air
and
posi
tions
fe
et in
the
dire
ctio
n of
th
e tu
rn . E
ncou
rage
th
e pa
tient
to
lift
thei
r bu
ttoc
ks u
p an
d ac
ross
ont
o th
e sl
ide
boar
d an
d m
ove
thei
r bo
dy o
ver
to t
he c
hair .
Th
e sl
ide
boar
d is
the
n re
mov
ed a
nd t
he a
rm
of t
he c
hair
rein
sert
ed
or r
aise
d in
to p
ositi
on .
Pos
ition
the
pat
ient
on
the
sid
e of
the
be
d w
ith t
heir
feet
on
the
floo
r . A
ttac
h th
e w
alki
ng s
ling
to
the
patie
nt a
nd t
he
over
head
tra
ckin
g ho
ist .
Inst
ruct
the
pa
tient
to
stan
d or
rai
se t
he b
ed
to a
ssis
t . P
rovi
de
mob
ilisi
ng a
ids
as
appr
opria
te s
uch
as w
heel
y w
alke
r, cr
utch
es . I
nstr
uct
the
patie
nt t
o pu
sh
up in
to a
sta
ndin
g po
sitio
n, u
sing
th
eir
legs
and
arm
s fo
r st
reng
th a
nd
supp
ort .
Inst
ruct
th
e pa
tient
to
wal
k to
the
cha
ir an
d po
sitio
n se
lf w
ith
back
of
legs
to
the
edge
of
the
seat
, le
an f
orw
ard,
gra
sp
the
chai
r ar
ms
and
sit
dow
n . D
etac
h an
d re
mov
e sl
ing .
Pos
ition
the
pat
ient
on
the
sid
e of
the
be
d w
ith t
heir
feet
on
the
floor
. E
ncou
rage
/ass
ist
the
patie
nt t
o le
an
forw
ard .
Pos
ition
th
e sl
ing
acro
ss
the
patie
nt’s
sm
all
of t
he b
ack
and
unde
r th
e pa
tient
’s
arm
s . E
ncou
rage
th
e pa
tient
to
plac
e th
eir
feet
on
the
hois
t fo
otpl
ate
and
atta
ch t
he s
ling
to
the
hois
t .U
sing
the
ho
ist
mec
hani
cs,
tran
sfer
the
pat
ient
up
off
the
bed
into
th
e ch
air .
Det
ach
the
slin
g fr
om t
he h
oist
and
re
mov
e th
e sl
ing
by e
ncou
ragi
ng
the
patie
nt t
o le
an
forw
ard .
Pos
ition
the
slin
g un
der t
he p
atie
nt b
y ro
lling
the
pat
ient
on
to b
oth
side
s .
Att
ach
the
slin
g to
th
e ho
ist .
Usi
ng t
he
hois
t m
echa
nics
, tr
ansf
er t
he p
atie
nt
up o
ff t
he b
ed a
nd
low
er in
to t
he c
hair .
Det
ach
the
slin
g fr
om t
he h
oist
. In
stru
ct/a
ssis
t th
e pa
tient
to
lift
own
legs
and
lean
fo
rwar
d to
rem
ove
the
slin
g .
Pat
ient
is
posi
tione
d on
th
e si
de o
f th
e be
d w
ith t
heir
feet
on
the
floor
. The
cha
ir is
pos
ition
ed
at a
rig
ht a
ngle
be
side
the
bed
. Th
e ha
ndle
r in
stru
cts/
ass
ists
th
e pa
tient
to
stan
d up
usi
ng
the
stan
ding
ai
d an
d as
sist
s th
e pa
tient
to
tran
sfer
so
they
ar
e po
sitio
ned
in f
ront
of
the
chai
r . Th
e ha
ndle
r in
stru
cts/
assi
sts
the
patie
nt t
o lo
wer
th
emse
lves
ont
o th
e ch
air .
This
dan
gero
us p
ract
ice
incl
udes
the
follo
win
g:
Patie
nt is
on
the
side
of t
he
bed
with
thei
r fee
t on
the
floor
. The
han
dler
is in
fron
t of
the
patie
nt . T
he p
atie
nt’s
ar
ms
are
cros
sed
in th
eir
lap
or a
roun
d th
e ha
ndle
r’s
body
, the
han
dler
’s k
nees
ar
e po
sitio
ned
on e
ither
si
de o
f the
pat
ient
’s k
nees
, th
e ha
ndle
r’s fa
r han
d is
po
sitio
ned
unde
r the
pa
tient
’s fa
r but
tock
and
th
e ne
ar h
and
arou
nd th
e pa
tient
’s w
aist
, or t
he
hand
ler h
olds
the
patie
nt
with
a w
alk
belt .
The
pa
tient
’s c
hin
may
be
posi
tione
d on
the
hand
ler’s
fa
r sho
ulde
r . Th
e ch
air i
s at
a
right
ang
le b
esid
e th
e be
d . T
he h
andl
er th
en
lean
s ba
ck, b
ringi
ng th
e pa
tient
’s b
ody
forw
ard,
and
lif
ts, p
ivot
s, c
arrie
s an
d lo
wer
s th
e pa
tient
from
th
e be
d in
to th
e ch
air .
This
dan
gero
us
prac
tice
incl
udes
th
e fo
llow
ing:
P
atie
nt is
po
sitio
ned
on t
he
side
of
the
bed
with
th
eir
feet
on
the
floor
. Bot
h ha
ndle
rs
stan
d on
eith
er s
ide
of t
he p
atie
nt, b
end
forw
ard
and
plac
e th
eir
near
arm
s un
der
the
patie
nt’s
ar
m/ s
houl
der .
Bot
h ha
ndle
rs t
hen
lift,
ca
rry
and
low
er
the
patie
nt in
to t
he
chai
r .
This
dan
gero
us
prac
tice
incl
udes
th
e fo
llow
ing:
One
ha
ndle
r sl
ight
ly li
fts
the
patie
nt’s
upp
er
body
and
pos
ition
s hi
s/he
r ar
ms
from
be
hind
, und
er t
he
patie
nt’s
upp
er
body
, gra
spin
g ha
nds
acro
ss t
he
patie
nt’s
che
st . T
he
othe
r ha
ndle
r gr
asps
th
e pa
tient
’s le
gs .
Sim
ulta
neou
sly,
bo
th h
andl
ers
lift,
ca
rry
and
low
er t
he
patie
nt f
rom
the
bed
to
the
cha
ir .
tRA
nsF
eR 6
: Mo
VIn
g t
he
PAtI
ent
FRo
M b
ed t
o c
hA
IR
24 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
IncR
eAse
d R
IsK:
n
ot
PReF
eRRe
dh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dP
atie
nt
tran
sfer
s se
lf o
r u
ses
aid
Ove
rhea
d t
rack
ing
h
ois
t w
ith
wal
kin
g
slin
g
Sta
nd
ing
ho
ist/
si
t to
sta
nd
aid
Ele
ctri
c sl
ing
ho
ist
Sta
nd
ing
aid
Man
ual
lift
– s
tan
din
g
piv
ot
tran
sfer
Ho
ok
arm
lift
To
p &
tai
l lif
t
Co
de
AB
CC
DE
FG
Mai
n r
isk
fact
ors
Rea
chin
g, lo
w
wor
king
hei
ght,
aw
kwar
d po
stur
es
Rea
chin
g, lo
w
wor
king
hei
ght,
aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es,
unev
en lo
adin
gA
wkw
ard
post
ures
, ex
ertin
g hi
gh f
orce
, un
even
load
ing,
re
achi
ng
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g, r
each
ing
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g, r
each
ing
Pat
ien
tA
ble
to a
ssis
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nU
sing
an
aid
such
as
a s
lide
boar
d, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
cha
ir to
bed
The
patie
nt tr
ansf
ers
from
cha
ir to
bed
us
ing
ceili
ng m
ount
ed
trac
king
hoi
st w
ith
wal
king
slin
g
Usi
ng t
he e
lect
ric
stan
ding
hoi
st, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
cha
ir to
the
bed
Usi
ng t
he c
eilin
g m
ount
ed o
r m
obile
el
ectr
ic s
ling
hois
t, t
he h
andl
ers
tran
sfer
the
pat
ient
fr
om c
hair
to b
ed
The
hand
ler a
ssis
ts
the
patie
nt to
tran
sfer
fr
om c
hair
to b
ed
whi
le s
uppo
rtin
g th
eir w
eigh
t usi
ng a
st
andi
ng a
id
The
patie
nt is
lift
ed f
rom
ch
air
to b
ed u
sing
a
stan
ding
piv
ot t
rans
fer
with
or
with
out
a w
alk
belt
The
patie
nt is
lift
ed
from
cha
ir to
bed
us
ing
hook
arm
lift
The
patie
nt is
lift
ed
from
cha
ir to
bed
us
ing
a to
p an
d ta
il lif
t
Nu
mb
er o
f h
and
lers
12
22
11
22
Pro
ced
ure
The
chai
r is
po
sitio
ned
next
to
the
bed
with
the
nea
r si
de a
rm r
emov
ed o
r lo
wer
ed .
If a
ppro
pria
te, t
he
slid
e bo
ard
or o
ther
ai
d (s
lide
shee
t)
is p
lace
d un
der
the
patie
nt’s
nea
r si
de b
utto
ck a
nd
acro
ss o
nto
the
bed
ensu
ring
the
bed
heig
ht is
slig
htly
lo
wer
tha
n th
e ch
air .
Enc
oura
ge t
he
patie
nt t
o pu
sh u
p fr
om t
he c
hair,
lift
th
eir
butt
ocks
and
m
ove
acro
ss t
o th
e be
d . A
n ai
d su
ch t
he
over
head
bar
or
fixed
be
dstic
k m
ay a
lso
be
used
by
the
patie
nt
to a
ssis
t du
ring
the
tran
sfer
.R
emov
e th
e sl
ide
boar
d (s
lide
shee
t)
and
inst
ruct
the
pa
tient
to
tran
sfer
le
gs o
nto
the
bed .
Att
ach
the
wal
king
sl
ing
to th
e pa
tient
and
th
e ov
erhe
ad tr
acki
ng
hois
t . In
stru
ct th
e pa
tient
to p
ositi
on
butt
ocks
to th
e ed
ge
of th
e ch
air a
nd h
ands
on
the
arm
rest
of t
he
chai
r .In
stru
ct th
e pa
tient
to
push
up
into
a s
tand
ing
posi
tion,
usi
ng th
eir
legs
and
arm
s fo
r st
reng
th a
nd s
uppo
rt .
Onc
e th
e pa
tient
is
stab
le, r
e-ad
just
w
alki
ng s
ling
and
prov
ide
mob
ilisi
ng a
ids
as a
ppro
pria
te s
uch
as
whe
ely
walk
er, c
rutc
hes .
Inst
ruct
the
patie
nt to
w
alk
to th
e be
d an
d po
sitio
n se
lf w
ith b
ack
of le
gs to
the
edge
of
the
bed
and
sit d
own
on th
e be
d as
far b
ack
as p
ossi
ble .
Inst
ruct
th
e pa
tient
to li
ft th
eir
legs
ont
o th
e be
d us
ing
an a
id if
ne
cess
ary .
Det
ach
and
rem
ove
slin
g .
Enc
oura
ge/a
ssis
t th
e pa
tient
to
lean
fo
rwar
d . P
ositi
on
the
slin
g ac
ross
th
e pa
tient
’s s
mal
l of
the
bac
k an
d un
der
the
patie
nt’s
ar
ms,
and
att
ach
the
slin
g to
the
ho
ist .
Usi
ng t
he
hois
t m
echa
nics
, tr
ansf
er t
he p
atie
nt
off
the
chai
r an
d as
k pa
tient
to
lean
fo
rwar
d fo
r sl
ing
to
be r
emov
ed .
Inst
ruct
/ass
ist
the
patie
nt t
o le
an f
orw
ard
and
posi
tion
the
slin
g be
hind
the
pat
ient
’s
body
. Pos
ition
the
st
raps
of
the
slin
g un
der
the
patie
nt’s
legs
.P
ositi
on a
nd lo
wer
th
e ho
ist
over
the
pa
tient
and
att
ach
the
slin
g to
the
ho
ist .
Usi
ng t
he h
oist
m
echa
nics
, tra
nsfe
r th
e pa
tient
up
off
the
chai
r an
d lo
wer
ont
o th
e be
d .
Det
ach
the
slin
g .
Rol
l the
pat
ient
and
re
mov
e th
e sl
ing .
The
chai
r is
po
sitio
ned
at a
rig
ht
angl
e be
side
the
be
d .P
ositi
on t
he p
atie
nt
tow
ard
the
fron
t of
the
cha
ir . T
he
hand
ler
inst
ruct
s/as
sist
s th
e pa
tient
to
sta
nd u
p an
d as
sist
s th
e pa
tient
to
tra
nsfe
r so
the
y ar
e po
sitio
ned
in
fron
t of
the
bed
. The
ha
ndle
r in
stru
cts/
as
sist
s th
e pa
tient
to
low
er t
hem
selv
es
onto
the
bed
, and
to
lift
the
ir le
gs o
nto
the
bed
usin
g an
aid
if
nece
ssar
y .
This
dan
gero
us p
ract
ice
incl
udes
the
follo
win
g:
The
hand
ler i
s in
fron
t of
the
patie
nt . T
he p
atie
nt’s
ar
ms
are
cros
sed
in th
eir
lap
or a
roun
d th
e ha
ndle
r’s
body
. The
han
dler
’s k
nees
ar
e po
sitio
ned
on e
ither
si
de o
f the
pat
ient
’s k
nees
. Th
e ha
ndle
r’s fa
r han
d is
pos
ition
ed u
nder
the
patie
nt’s
far b
utto
ck a
nd
the
near
han
d ar
ound
th
e pa
tient
’s w
aist
or t
he
hand
ler h
olds
the
patie
nt
with
a w
alk
belt .
The
pa
tient
’s c
hin
is o
n th
e ha
ndle
r’s fa
r sho
ulde
r . Th
e ch
air i
s be
side
the
bed .
The
hand
ler t
hen
lean
s ba
ck, b
ringi
ng th
e pa
tient
’s
body
forw
ard,
and
lifts
, ca
rries
and
low
ers
the
patie
nt fr
om th
e ch
air t
o th
e be
d . T
he h
andl
ers
low
er
the
patie
nt’s
upp
er b
ody
into
the
lyin
g po
sitio
n w
hile
lif
ting
the
patie
nt’s
legs
on
to th
e be
d .
This
dan
gero
us
prac
tice
incl
udes
th
e fo
llow
ing:
Bot
h ha
ndle
rs p
lace
th
eir
near
arm
s un
der
the
patie
nt’s
ar
m/s
houl
der .
Bot
h ha
ndle
rs
lift,
car
ry a
nd
low
er t
he p
atie
nt
onto
the
sid
e of
th
e be
d . O
ne
hand
ler
low
ers
the
patie
nt’s
up
per
body
into
th
e ly
ing
posi
tion
whi
le t
he o
ther
ha
ndle
r gr
asps
the
pa
tient
’s le
gs a
nd
swin
gs t
hem
ont
o th
e be
d .
This
dan
gero
us
prac
tice
incl
udes
th
e fo
llow
ing:
One
ha
ndle
r pu
shes
th
e pa
tient
’s u
pper
bo
dy f
orw
ard
and
posi
tions
his
/he
r ar
ms
from
be
hind
, und
er t
he
patie
nt’s
upp
er
body
gra
spin
g ha
nds
acro
ss
the
patie
nt’s
ch
est .
The
oth
er
hand
ler
gras
ps
the
patie
nt’s
legs
. S
imul
tane
ousl
y,
both
han
dler
s lif
t,
carr
y an
d lo
wer
th
e pa
tient
fro
m
the
chai
r to
the
be
d .
tRA
nsF
eR 7
: Mo
VIn
g t
he
PAtI
ent
FRo
M c
hA
IR t
o b
ed
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 25
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry
- no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dTr
ansf
er o
wn
leg
s u
sin
g a
n a
idC
eilin
g m
ou
nte
d o
r m
ob
ile e
lect
ric
slin
g h
ois
tM
anu
ally
lift
pat
ien
t’s le
gs
on
to b
ed
Co
de
AB
E
Mai
n r
isk
fact
ors
Rea
chin
g, lo
w w
orki
ng h
eigh
t, a
wkw
ard
post
ures
Rea
chin
g, a
wkw
ard
post
ures
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, r
each
ing
Pat
ien
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e ha
ndle
r as
sist
s th
e pa
tient
to
tran
sfer
the
ir le
gs o
nto
the
bed
usin
g a
tow
el o
r ot
her
aid
The
hand
ler
tran
sfer
s th
e pa
tient
’s le
gs o
nto
the
bed
usin
g a
slin
g ho
ist
The
patie
nt’s
legs
are
man
ually
lift
ed o
nto
the
bed
Nu
mb
er o
f h
and
lers
12
1
Pro
ced
ure
Ens
ure
the
patie
nt is
sitt
ing
as f
ar b
ack
on t
he b
ed a
s po
ssib
le .
Enc
oura
ge o
r as
sist
the
pat
ient
to
plac
e a
tow
el o
r ot
her
aid
arou
nd t
heir
feet
/legs
.
Enc
oura
ge t
he p
atie
nt t
o us
e th
e ai
d to
lift
the
ir le
gs o
nto
the
bed .
Pos
ition
the
slin
g be
hind
the
pat
ient
’s b
ody
and
unde
r th
e pa
tient
’s le
gs .
Pos
ition
and
low
er t
he h
oist
ove
r th
e pa
tient
and
att
ach
the
slin
g to
the
hoi
st .
Usi
ng t
he h
oist
mec
hani
cs, t
rans
fer
the
patie
nt u
p of
f th
e si
de
of t
he b
ed o
r ou
t of
the
cha
ir .
Usi
ng t
he h
oist
mec
hani
cs, t
rans
fer
the
patie
nt o
nto
the
bed .
Det
ach
the
slin
g .
Rol
l the
pat
ient
and
rem
ove
the
slin
g .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing
step
s:
The
patie
nt s
its a
s fa
r ba
ck o
n th
e be
d as
pos
sibl
e . T
he h
andl
er
bend
s ov
er, g
rasp
s th
e pa
tient
’s le
gs a
nd li
fts
them
ont
o th
e be
d .
tRA
nsF
eR 8
: tRA
nsF
eRRI
ng
th
e PA
tIen
t’s
leg
s o
nto
th
e b
ed
26 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
IncR
eAse
d R
IsK:
n
ot
PReF
eRRe
dh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dP
atie
nt
tran
sfer
s se
lf o
r u
ses
aid
Ove
rhea
d t
rack
ing
h
ois
t w
ith
wal
kin
g
slin
g
Ele
ctri
c st
and
ing
h
ois
t E
lect
ric
slin
g h
ois
t S
tan
din
g a
idM
anu
al li
ft –
st
and
ing
p
ivo
t tr
ansf
er
Ho
ok
arm
lift
To
p &
tai
l lif
t
Co
de
AB
CC
DE
FG
Mai
n r
isk
fact
ors
Rea
chin
g R
each
ing,
low
w
orki
ng h
eigh
t,
awkw
ard
post
ures
Rea
chin
g, lo
w
wor
king
hei
ght,
aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es,
unev
en lo
ad
Aw
kwar
d po
stur
es,
exer
ting
high
for
ce,
unev
en lo
adin
g,
reac
hing
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g, r
each
ing
Aw
kwar
d po
stur
es,
exer
ting
high
for
ce,
unev
en lo
adin
g, f
ast
mov
emen
t, r
each
ing
Pat
ien
tA
ble
to a
ssis
tA
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nU
sing
an
aid
such
as
a s
lide
boar
d, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
a c
hair
to
anot
her
chai
r (o
r to
ilet)
The
patie
nt t
rans
fers
fr
om c
hair
to c
hair
or t
oile
t us
ing
ceili
ng
mou
nted
tra
ck w
ith
wal
king
slin
g
Usi
ng t
he e
lect
ric
stan
ding
hoi
st, t
he
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er
from
a c
hair
to
anot
her
chai
r (o
r to
ilet)
Usi
ng t
he e
lect
ric
ceili
ng m
ount
ed o
r m
obile
ele
ctric
slin
g ho
ist
the
hand
ler
assi
sts
the
patie
nt
to t
rans
fer
from
a
chai
r to
ano
ther
ch
air
(or
toile
t)
The
hand
ler
assi
sts
the
patie
nt t
o tr
ansf
er f
rom
a
chai
r to
ano
ther
ch
air
(or
toile
t) .
The
patie
nt u
ses
a st
andi
ng a
id
The
patie
nt is
m
anua
lly li
fted
fro
m
a ch
air
to a
noth
er
chai
r (o
r to
ilet)
usi
ng a
st
andi
ng p
ivot
tra
nsfe
r w
ith o
r w
ithou
t a
wal
k be
lt
The
patie
nt is
m
anua
lly li
fted
fr
om b
ed t
o ch
air
usin
g ho
ok a
rm li
ft
The
patie
nt is
m
anua
lly li
fted
fro
m
bed
to c
hair
usin
g a
top
and
tail
lift
Nu
mb
er o
f h
and
lers
12
22
11
22
Pro
ced
ure
The
seco
nd c
hair
is
posi
tione
d ne
xt t
o th
e ch
air
with
the
ne
ar s
ide
arm
s on
bo
th c
hairs
rem
oved
or
low
ered
. If
appr
opria
te, t
he
slid
e bo
ard
or o
ther
ai
d is
pla
ced
unde
r th
e pa
tient
’s n
ear
side
but
tock
and
ac
ross
the
sec
ond
chai
r . P
ositi
on t
he
patie
nt’s
fee
t . T
he
patie
nt g
rasp
s th
e fa
r ar
m o
f th
e se
cond
cha
ir .
Enc
oura
ge t
he
patie
nt t
o lif
t th
eir
butt
ocks
up
and
acro
ss o
nto
the
slid
e bo
ard,
and
mov
e th
eir
body
ove
r to
th
e se
cond
cha
ir .
The
slid
e bo
ard
is
then
rem
oved
and
th
e ar
ms
of t
he
chai
rs r
eins
erte
d or
ra
ised
into
pos
ition
.
Att
ach
the
wal
king
sl
ing
to t
he p
atie
nt
and
over
head
tra
ckin
g ho
ist .
Inst
ruct
the
pa
tient
to
posi
tion
butt
ocks
to
the
edge
of
the
cha
ir an
d ha
nds
on t
he a
rm r
est
of
the
chai
r . In
stru
ct t
he
patie
nt to
pus
h up
into
a
stan
ding
pos
ition
, us
ing
thei
r le
gs a
nd
arm
s fo
r st
reng
th
and
supp
ort .
Onc
e th
e pa
tient
is s
tabl
e,
re-a
djus
t w
alki
ng
slin
g an
d p
rovi
de
mob
ilisi
ng a
ids
as
appr
opria
te s
uch
as w
heel
y w
alke
r, cr
utch
es . I
nstr
uct
the
patie
nt t
o w
alk
to
the
chai
r or
toi
let
and
posi
tion
self
with
bac
k of
leg
s to
the
edg
e of
the
cha
ir/to
ilet
and
si
t do
wn
by le
anin
g fo
rwar
d an
d gr
aspi
ng
arm
s of
cha
ir or
ha
nd r
ail .
Det
ach
and
rem
ove
slin
g .
Enc
oura
ge/a
ssis
t th
e pa
tient
to
lean
fo
rwar
d .P
ositi
on t
he s
ling
acro
ss t
he p
atie
nt’s
sm
all o
f th
e ba
ck
and
unde
r th
e pa
tient
’s a
rms,
an
d at
tach
the
sl
ing
to t
he h
oist
. U
sing
the
hoi
st
mec
hani
cs, t
rans
fer
the
patie
nt o
ff t
he
chai
r an
d lo
wer
into
th
e se
cond
cha
ir .
Det
ach
the
slin
g fr
om t
he h
oist
and
re
mov
e th
e sl
ing
by e
ncou
ragi
ng
the
patie
nt t
o le
an
forw
ard .
Inst
ruct
the
pat
ient
to
lean
for
war
d an
d po
sitio
n th
e sl
ing
behi
nd t
he p
atie
nt’s
ba
ck a
nd u
nder
the
le
gs . A
ttac
h th
e sl
ing
to t
he h
oist
.U
sing
the
hoi
st
mec
hani
cs, t
rans
fer
the
patie
nt u
p of
f th
e ch
air
and
low
er
into
the
sec
ond
chai
r .D
etac
h th
e sl
ing
from
the
hoi
st a
nd
rem
ove
the
slin
g by
enc
oura
ging
th
e pa
tient
to
lift
own
legs
and
lean
fo
rwar
d .
The
seco
nd c
hair
is
posi
tione
d at
rig
ht
angl
es t
o th
e ch
air .
The
hand
ler
inst
ruct
s/as
sist
s th
e pa
tient
to
stan
d up
us
ing
the
stan
ding
ai
d an
d tr
ansf
er
so t
hat
they
are
po
sitio
ned
in f
ront
of
the
sec
ond
chai
r . Th
e ha
ndle
r th
en
inst
ruct
s/as
sist
s th
e pa
tient
to
low
er
them
selv
es o
nto
the
chai
r .
This
dan
gero
us p
ract
ice
incl
udes
the
follo
win
g:
The
seco
nd c
hair
is a
t rig
ht a
ngle
s to
the
first
ch
air .
The
hand
ler i
s in
fron
t of t
he p
atie
nt .
The
patie
nt’s
arm
s ar
e cr
osse
d in
thei
r lap
or
arou
nd th
e ha
ndle
r’s
body
. The
han
dler
’s
knee
s ar
e po
sitio
ned
on e
ither
sid
e of
the
patie
nt’s
kne
es . T
he
hand
ler’s
nea
r han
d is
po
sitio
ned
unde
r the
pa
tient
’s n
ear b
utto
ck
and
the
far h
and
arou
nd
the
patie
nt’s
wai
st o
r th
e ha
ndle
r hol
ds th
e pa
tient
with
a w
alk
belt .
The
pat
ient
’s c
hin
is p
ositi
oned
on
the
hand
ler’s
far s
houl
der .
The
hand
ler t
hen
lean
s ba
ck, b
ringi
ng th
e pa
tient
’s b
ody
forw
ard,
an
d lif
ts, p
ivot
s, c
arrie
s an
d lo
wer
s th
e pa
tient
fr
om th
e ch
air i
nto
the
seco
nd c
hair .
This
dan
gero
us
prac
tice
incl
udes
th
e fo
llow
ing:
The
seco
nd c
hair
is p
ositi
oned
at
right
ang
les
to t
he
first
cha
ir . B
oth
hand
lers
sta
nd
on e
ither
sid
e of
th
e pa
tient
, ben
d fo
rwar
d an
d pl
ace
thei
r ne
ar a
rms
unde
r th
e pa
tient
’s
arm
/sho
ulde
r . B
oth
hand
lers
the
n lif
t,
carr
y an
d lo
wer
th
e pa
tient
into
the
se
cond
cha
ir .
This
dan
gero
us
prac
tice
incl
udes
the
fo
llow
ing:
The
seco
nd c
hair
is
posi
tione
d ne
xt t
o th
e fir
st c
hair .
One
ha
ndle
r sl
ight
ly li
fts
the
patie
nt’s
upp
er
body
and
pos
ition
s hi
s/he
r ar
ms
from
be
hind
, und
er t
he
patie
nt’s
upp
er b
ody
gras
ping
han
ds
acro
ss t
he p
atie
nt’s
ch
est .
The
oth
er
hand
ler
gras
ps
the
patie
nt’s
legs
. S
imul
tane
ousl
y,
both
han
dler
s lif
t,
carr
y an
d lo
wer
the
pa
tient
fro
m t
he
chai
r to
the
sec
ond
chai
r .
tRA
nsF
eR 9
: Mo
VIn
g t
he
PAtI
ent
FRo
M c
hA
IR t
o c
hA
IR o
R to
Ilet
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 27
RIsK
Red
uce
d R
IsK:
PRe
FeRR
ed M
eth
od
sh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dP
atie
nt
tran
sfer
s se
lf o
r u
ses
aid
Ele
ctri
c sl
ing
ho
ist
Ele
ctri
c h
ois
t w
ith
st
retc
her
fra
me
Lift
man
ual
ly w
ith
st
retc
her
fra
me
Ho
ok
arm
lift
To
p &
tai
l lif
t
Co
de
AB
CE
FG
Mai
n r
isk
fact
ors
Rea
chin
g, lo
w w
orki
ng
heig
ht, a
wkw
ard
post
ures
Rea
chin
g, lo
w w
orki
ng
heig
ht, a
wkw
ard
post
ures
A
wkw
ard
post
ures
, exe
rtin
g hi
gh f
orce
, une
ven
load
ing,
re
achi
ng, l
ow w
orki
ng h
eigh
t
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g,
reac
hing
, low
wor
king
hei
ght
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce, u
neve
n lo
adin
g,
reac
hing
, low
wor
king
hei
ght
Pat
ien
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e ha
ndle
r ve
rbal
ly in
stru
cts
the
patie
nt t
o tr
ansf
er
them
selv
es o
ff t
he fl
oor
usin
g an
aid
suc
h as
a c
hair
The
hand
lers
tra
nsfe
r th
e pa
tient
fro
m t
he fl
oor
usin
g an
ele
ctric
slin
g ho
ist
The
hand
lers
tra
nsfe
r th
e pa
tient
fro
m t
he fl
oor
usin
g an
ele
ctric
hoi
st w
ith
stre
tche
r fr
ame
The
patie
nt is
man
ually
lif
ted
from
the
floo
r us
ing
the
canv
as a
nd p
oles
or
a st
retc
her
fram
e
The
patie
nt is
man
ually
lif
ted
from
the
floo
r to
bed
us
ing
hook
arm
lift
The
patie
nt is
man
ually
lif
ted
from
the
floo
r to
bed
us
ing
top
and
tail
lift
Nu
mb
er o
f h
and
lers
12
25
or
mo
re2
2
Pro
ced
ure
Pla
ce a
cha
ir ne
xt t
o th
e pa
tient
and
inst
ruct
the
pa
tient
to
roll
on t
heir
side
.Th
e pa
tient
is t
hen
inst
ruct
ed
to p
ush
up in
to a
sitt
ing
posi
tion
and
then
kne
elin
g po
sitio
n th
roug
h th
eir
near
ha
nd a
nd e
lbow
. Th
e ha
ndle
r th
en p
lace
s th
e ch
air
in f
ront
of
the
patie
nt
and
inst
ruct
s th
e pa
tient
to
pus
h do
wn
on t
he c
hair
seat
and
sta
nd u
p or
sw
ing
arou
nd t
o si
t on
the
cha
ir .
Pos
ition
the
slin
g un
der
the
patie
nt b
y ro
lling
the
pat
ient
on
to b
oth
side
s .
Pos
ition
and
low
er t
he h
oist
ov
er t
he p
atie
nt .
Att
ach
the
slin
g to
the
hoi
st .
Usi
ng t
he h
oist
mec
hani
cs,
tran
sfer
the
pat
ient
up
off
the
floor
and
low
er o
nto
the
bed .
Det
ach
the
slin
g fr
om t
he
hois
t an
d re
mov
e th
e ho
ist .
Inst
ruct
/ass
ist
the
patie
nt
to r
oll o
ver
and
rem
ove
the
slin
g .
Pos
ition
the
fra
me
arou
nd
the
patie
nt .
Pos
ition
the
sla
ts u
nder
the
pa
tient
and
att
ach
to t
he
fram
e .
Pos
ition
and
low
er t
he h
oist
ov
er t
he f
ram
e an
d at
tach
to
the
fram
e .
Use
the
hoi
st m
echa
nics
to
lift
the
fram
e (a
nd p
atie
nt) o
ff
the
floor
. Lo
wer
the
fra
me
onto
the
be
d an
d de
tach
fro
m t
he
hois
t .
Rem
ove
the
slat
s an
d di
sman
tle f
ram
e .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Th
e ca
nvas
is p
ositi
oned
un
der
the
patie
nt b
y ro
lling
pa
tient
ont
o bo
th s
ides
, or
the
str
etch
er f
ram
e is
pos
ition
ed a
roun
d th
e pa
tient
and
the
sla
ts in
sert
ed
unde
rnea
th t
he p
atie
nt .
The
bed
or t
rolle
y is
po
sitio
ned
clos
e to
the
pa
tient
and
the
bed
low
ered
. H
andl
ers
lift
the
canv
as o
r st
retc
her
fram
e (a
nd p
atie
nt)
up o
ff t
he fl
oor,
and
carr
y an
d lo
wer
ont
o be
d/tr
olle
y .In
stru
ct/a
ssis
t th
e pa
tient
to
rol
l ove
r an
d re
mov
e th
e ca
nvas
or
rem
ove
the
slat
s an
d th
e st
retc
her
fram
e .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
Th
e ha
ndle
rs a
ssis
t th
e pa
tient
to
sit
up . B
oth
hand
lers
squ
at o
n ei
ther
sid
e of
the
pat
ient
and
pla
ce t
heir
near
arm
s un
der
the
patie
nt’s
ar
m/s
houl
der .
Lift
and
car
ry t
he p
atie
nt
from
the
floo
r an
d lo
wer
th
e pa
tient
ont
o th
e si
de
of t
he b
ed . T
he h
andl
er a
t th
e he
ad e
nd o
f th
e be
d po
sitio
ns h
is/h
er a
rms
unde
r th
e pa
tient
’s u
pper
bod
y an
d lo
wer
s th
e pa
tient
’s u
pper
bo
dy in
to t
he ly
ing
posi
tion .
S
imul
tane
ousl
y, t
he h
andl
er
at t
he f
oot
end
of t
he b
ed
gras
ps t
he p
atie
nt’s
low
er
legs
and
sw
ings
the
m o
n to
th
e be
d .
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
O
ne h
andl
er s
quat
s be
side
th
e pa
tient
and
slig
htly
lift
s th
e pa
tient
’s u
pper
bod
y . T
he
hand
ler
then
pos
ition
s hi
s/he
r ar
ms
from
beh
ind,
und
er
the
patie
nt’s
upp
er b
ody
gras
ping
han
ds a
cros
s th
e pa
tient
’s c
hest
. The
oth
er
hand
ler
gras
ps t
he p
atie
nt’s
le
gs . S
imul
tane
ousl
y, b
oth
hand
lers
lift
, car
ry a
nd lo
wer
th
e pa
tient
fro
m t
he fl
oor
to
the
bed .
tRA
nsF
eR 1
0: M
oVI
ng
th
e PA
tIen
t o
FF t
he
Flo
oR
28 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
RIsK
Red
uce
d R
IsK:
PRe
FeRR
ed M
eth
od
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry -
no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dP
atie
nt
tran
sfer
s se
lf o
r u
ses
aid
Slid
e b
oar
d a
nd
slid
e sh
eet
Slid
e b
oar
d a
nd
bed
sh
eets
Top
an
d t
ail o
r o
ther
lift
Co
de
AB
EF
Mai
n r
isk
fact
ors
Aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, r
each
ing
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, r
each
ing
Pat
ien
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e ha
ndle
rs t
rans
fer
the
patie
nt f
rom
bed
to
trol
ley
usin
g th
e ho
ver
mat
tres
s or
slip
pery
m
attr
ess
The
hand
lers
tra
nsfe
r th
e pa
tient
fro
m b
ed t
o tr
olle
y us
ing
a pa
t sl
ide
and
slid
e sh
eets
Th
e ha
ndle
rs t
rans
fer
the
patie
nt f
rom
th
e be
d on
to t
he t
rolle
y us
ing
a pa
t sl
ide
and
the
bott
om s
heet
, dra
w o
r in
cont
inen
ce s
heet
The
patie
nt is
man
ually
lift
ed a
nd h
eld
usin
g a
scoo
p lif
t w
hile
the
bed
and
tro
lley
are
chan
ged
over
Nu
mb
er o
f h
and
lers
2 o
r m
ore
3 o
r m
ore
3 o
r m
ore
3 o
r m
ore
Pro
ced
ure
Han
dler
s ar
e po
sitio
ned
eith
er s
ide
of t
he b
ed .
Rol
l the
pat
ient
and
pos
ition
the
hov
er
mat
tres
s un
dern
eath
the
pat
ient
. S
ecur
e th
e pa
tient
. Infl
ate
the
hove
r m
attr
ess .
Tr
ansf
er t
he p
atie
nt f
rom
bed
to
trol
ley
push
/pu
lling
the
hov
er m
attr
ess .
D
eflat
e th
e ho
ver
mat
tres
s an
d ro
ll th
e pa
tient
to
rem
ove
the
mat
tres
s .
If a
slip
pery
mat
tres
s is
bei
ng u
sed,
the
m
attr
ess
will
alre
ady
be p
ositi
oned
und
er t
he
patie
nt/r
esid
ent .
Pus
h/pu
ll th
e pa
tient
/res
iden
t ac
ross
on
the
mat
tres
s . L
eave
mat
tres
s in
si
tu .
Pos
ition
the
slid
eboa
rd a
nd w
ide
slid
e sh
eet
unde
r th
e pa
tient
and
top
she
et b
y ro
lling
th
e pa
tient
onc
e (s
lide
shee
t is
pos
ition
ed o
n to
p of
the
slid
eboa
rd w
ith t
he m
ajor
ity o
f th
e sh
eet
in t
he d
irect
ion
of t
he m
ove)
. P
ositi
on t
he t
rolle
y w
ith a
slid
e sh
eet
on t
op
adja
cent
to
the
bed
with
bra
kes
on, w
ith t
he
slid
eboa
rd a
s a
brid
ge b
etw
een
the
bed
and
trol
ley .
Han
dler
on
the
beds
ide
push
es p
atie
nt a
t hi
p an
d sh
ould
er, w
hile
han
dler
s on
the
tro
lley
side
pul
l the
slid
e sh
eet
at h
ip a
nd s
houl
der,
tran
sfer
ring
the
patie
nt f
rom
bed
to
trol
ley .
Tu
ck t
he s
lide
shee
t un
der
the
patie
nt a
nd
rem
ove
the
slid
eboa
rd a
nd s
lide
shee
t by
ro
lling
the
pat
ient
onc
e .
Pos
ition
the
slid
eboa
rd u
nder
the
pat
ient
and
sh
eet
by r
ollin
g th
e pa
tient
. P
ositi
on t
he t
rolle
y ad
jace
nt t
o th
e be
d w
ith
brak
es o
n an
d w
ith t
he s
lideb
oard
as
a br
idge
be
twee
n th
e be
d an
d tr
olle
y .
Han
dler
on
the
beds
ide
push
es p
atie
nt a
t hi
p an
d sh
ould
er, w
hile
han
dler
on
the
trol
ley
side
le
ans
over
the
tro
lley
and
pulls
the
she
et a
t hi
p an
d sh
ould
er, t
rans
ferr
ing
the
patie
nt f
rom
bed
to
tro
lley .
Th
e sl
ideb
oard
is r
emov
ed b
y ro
lling
the
pa
tient
slig
htly
.
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
E
ach
hand
ler
posi
tions
arm
s un
dern
eath
su
pine
pat
ient
at
shou
lder
s, h
ips
and
legs
. The
ha
ndle
rs li
ft a
nd h
old
the
patie
nt w
hils
t th
e be
d is
rem
oved
and
rep
lace
d w
ith t
rolle
y . T
he
hand
lers
low
er t
he p
atie
nt o
nto
the
trol
ley .
tRA
nsF
eR 1
1: t
RAn
sFeR
RIn
g t
he
PAtI
ent
FRo
M b
ed t
o t
Roll
ey (I
ncl
ud
es R
Ad
Iolo
gy,
eM
eRg
ency
, sh
oW
eR t
Roll
ey, M
oRg
ue,
oPe
RAtI
ng
th
eAtR
e tA
ble
)
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 29
RIsK
Red
uce
d R
IsK:
PRe
FeRR
ed M
eth
od
hIg
h R
IsK:
VeR
y lI
Kely
to
cA
use
Inju
Ry -
no
t Re
coM
Men
ded
PRA
ctIc
e
Met
ho
dP
atie
nt
tran
sfer
s se
lf o
r u
ses
aid
Slid
e b
oar
d a
nd
slid
e sh
eet
Slid
e b
oar
d a
nd
bed
sh
eets
Top
an
d t
ail o
r o
ther
lift
Co
de
AB
EF
Mai
n r
isk
fact
ors
Aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, r
each
ing
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, r
each
ing
Pat
ien
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e ha
ndle
rs t
rans
fer
the
patie
nt f
rom
bed
to
trol
ley
usin
g th
e ho
ver
mat
tres
s or
slip
pery
m
attr
ess
The
hand
lers
tra
nsfe
r th
e pa
tient
fro
m b
ed t
o tr
olle
y us
ing
a pa
t sl
ide
and
slid
e sh
eets
Th
e ha
ndle
rs t
rans
fer
the
patie
nt f
rom
th
e be
d on
to t
he t
rolle
y us
ing
a pa
t sl
ide
and
the
bott
om s
heet
, dra
w o
r in
cont
inen
ce s
heet
The
patie
nt is
man
ually
lift
ed a
nd h
eld
usin
g a
scoo
p lif
t w
hile
the
bed
and
tro
lley
are
chan
ged
over
Nu
mb
er o
f h
and
lers
2 o
r m
ore
3 o
r m
ore
3 o
r m
ore
3 o
r m
ore
Pro
ced
ure
Han
dler
s ar
e po
sitio
ned
eith
er s
ide
of t
he b
ed .
Rol
l the
pat
ient
and
pos
ition
the
hov
er
mat
tres
s un
dern
eath
the
pat
ient
. S
ecur
e th
e pa
tient
. Infl
ate
the
hove
r m
attr
ess .
Tr
ansf
er t
he p
atie
nt f
rom
bed
to
trol
ley
push
/pu
lling
the
hov
er m
attr
ess .
D
eflat
e th
e ho
ver
mat
tres
s an
d ro
ll th
e pa
tient
to
rem
ove
the
mat
tres
s .
If a
slip
pery
mat
tres
s is
bei
ng u
sed,
the
m
attr
ess
will
alre
ady
be p
ositi
oned
und
er t
he
patie
nt/r
esid
ent .
Pus
h/pu
ll th
e pa
tient
/res
iden
t ac
ross
on
the
mat
tres
s . L
eave
mat
tres
s in
si
tu .
Pos
ition
the
slid
eboa
rd a
nd w
ide
slid
e sh
eet
unde
r th
e pa
tient
and
top
she
et b
y ro
lling
th
e pa
tient
onc
e (s
lide
shee
t is
pos
ition
ed o
n to
p of
the
slid
eboa
rd w
ith t
he m
ajor
ity o
f th
e sh
eet
in t
he d
irect
ion
of t
he m
ove)
. P
ositi
on t
he t
rolle
y w
ith a
slid
e sh
eet
on t
op
adja
cent
to
the
bed
with
bra
kes
on, w
ith t
he
slid
eboa
rd a
s a
brid
ge b
etw
een
the
bed
and
trol
ley .
Han
dler
on
the
beds
ide
push
es p
atie
nt a
t hi
p an
d sh
ould
er, w
hile
han
dler
s on
the
tro
lley
side
pul
l the
slid
e sh
eet
at h
ip a
nd s
houl
der,
tran
sfer
ring
the
patie
nt f
rom
bed
to
trol
ley .
Tu
ck t
he s
lide
shee
t un
der
the
patie
nt a
nd
rem
ove
the
slid
eboa
rd a
nd s
lide
shee
t by
ro
lling
the
pat
ient
onc
e .
Pos
ition
the
slid
eboa
rd u
nder
the
pat
ient
and
sh
eet
by r
ollin
g th
e pa
tient
. P
ositi
on t
he t
rolle
y ad
jace
nt t
o th
e be
d w
ith
brak
es o
n an
d w
ith t
he s
lideb
oard
as
a br
idge
be
twee
n th
e be
d an
d tr
olle
y .
Han
dler
on
the
beds
ide
push
es p
atie
nt a
t hi
p an
d sh
ould
er, w
hile
han
dler
on
the
trol
ley
side
le
ans
over
the
tro
lley
and
pulls
the
she
et a
t hi
p an
d sh
ould
er, t
rans
ferr
ing
the
patie
nt f
rom
bed
to
tro
lley .
Th
e sl
ideb
oard
is r
emov
ed b
y ro
lling
the
pa
tient
slig
htly
.
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
E
ach
hand
ler
posi
tions
arm
s un
dern
eath
su
pine
pat
ient
at
shou
lder
s, h
ips
and
legs
. The
ha
ndle
rs li
ft a
nd h
old
the
patie
nt w
hils
t th
e be
d is
rem
oved
and
rep
lace
d w
ith t
rolle
y . T
he
hand
lers
low
er t
he p
atie
nt o
nto
the
trol
ley .
RIsK
Red
uce
d R
IsK:
PR
eFeR
Red
Met
ho
ds
IncR
eAse
d R
IsK:
n
ot
PReF
eRRe
dh
Igh
RIs
K: V
eRy
lIKe
ly t
o c
Au
se In
juRy
- n
ot
Reco
MM
end
ed P
RAct
Ice
Met
ho
dE
lect
ric
ho
ist
wit
h im
mer
sib
le s
ling
an
d
hei
gh
t ad
just
able
bat
hS
ho
wer
tro
lley/
slid
ebo
ard
an
d s
lide
shee
t H
ydra
ulic
ch
air
ho
ist
Top
an
d t
ail l
ift
or
oth
er li
ft
Co
de
AB
DG
Mai
n r
isk
fact
ors
Rea
chin
g, a
wkw
ard
post
ures
R
each
ing
Aw
kwar
d po
stur
es, u
neve
n lo
adin
g, r
each
ing,
lo
w w
orki
ng h
eigh
ts
Aw
kwar
d po
stur
es, e
xert
ing
high
for
ce,
unev
en lo
adin
g, r
each
ing,
low
wor
king
hei
ghts
Pat
ien
tN
ot a
ble
to a
ssis
tN
ot a
ble
to a
ssis
tA
ble
to a
ssis
tN
ot a
ble
to a
ssis
t
Des
crip
tio
nTh
e ha
ndle
rs t
rans
fer
the
patie
nt in
to a
nd o
ut
of a
hei
ght
adju
stab
le b
ath
usin
g an
ele
ctric
ho
ist
with
an
imm
ersi
ble
slin
g
The
hand
lers
tra
nsfe
r th
e pa
tient
ont
o th
e sh
ower
tro
lley
usin
g sl
ideb
oard
and
slid
e sh
eets
The
hand
lers
tra
nsfe
r th
e pa
tient
in a
nd o
ut o
f th
e ba
th u
sing
a m
anua
lly o
pera
ted
hois
tTh
e ha
ndle
rs m
anua
lly li
ft t
he p
atie
nt in
to a
nd
out
of t
he b
ath
usin
g a
top
and
tail
lift
Nu
mb
er o
f h
and
lers
2 o
r m
ore
3
or
mo
re3
or
mo
re3
or
mo
re
Pro
ced
ure
Rai
se b
ath
to a
ppro
pria
te h
eigh
t .
Pos
ition
the
slin
g un
der
the
patie
nt . A
ttac
h th
e sl
ing
to t
he h
oist
.U
sing
the
hoi
st m
echa
nics
, tra
nsfe
r th
e pa
tient
in
to t
he b
ath .
D
etac
h th
e sl
ing
from
the
hoi
st a
nd r
emov
e th
e ho
ist .
Th
e ha
ndle
r m
ay le
ave
the
slin
g un
der
the
patie
nt d
urin
g th
e ba
th o
r re
mov
e th
e sl
ing
and
reap
ply
whe
n th
e ba
th is
com
plet
ed .
To t
rans
fer
the
patie
nt f
rom
the
bat
h, r
ever
se
the
proc
edur
e .
Pos
ition
the
slid
eboa
rd a
nd s
lide
shee
t un
der
the
patie
nt b
y ro
lling
the
pat
ient
onc
e (s
lide
shee
t is
pos
ition
ed o
n to
p of
the
slid
eboa
rd
with
the
maj
ority
of
the
shee
t to
the
dire
ctio
n of
the
mov
e) .
Pos
ition
the
tro
lley
adja
cent
to
the
bed
with
br
akes
on,
with
the
slid
eboa
rd a
s a
brid
ge
betw
een
the
bed
and
trol
ley .
H
andl
er o
n th
e be
dsid
e pu
shes
pat
ient
at
hip
and
shou
lder
, whi
lst
hand
lers
on
the
trol
ley
side
pul
l the
slid
e sh
eet
at h
ip a
nd s
houl
der,
tran
sfer
ring
the
patie
nt f
rom
bed
to
trol
ley .
R
emov
e th
e sl
ideb
oard
and
slid
e sh
eet
by
rolli
ng t
he p
atie
nt o
nce .
The
chai
r is
att
ache
d to
the
mec
hani
cal o
r el
ectr
ical
hoi
st n
ext
to b
ath .
Th
e ho
ist
is m
anua
lly w
ound
to
rais
e th
e ch
air
and
the
patie
nt . T
he h
andl
ers
slig
htly
lift
the
ho
ist
base
to
rem
ove
it fr
om t
he c
hair,
the
n m
anoe
uvre
the
hoi
st o
ver
the
bath
. U
sing
the
hoi
st m
echa
nics
the
pat
ient
is
low
ered
into
the
bat
h .
To t
rans
fer
the
patie
nt o
ut o
f th
e ba
th, r
ever
se
the
proc
edur
e .
Not
e: It
is p
refe
rrab
le t
o sh
ower
a p
atie
nt
rath
er t
han
use
a ba
th u
nles
s th
ere
is a
m
edic
al o
r hy
gien
e is
sue.
Low
, non
-adj
usta
ble
bath
s pr
esen
t a
high
ris
k fr
om a
wkw
ard
post
ures
and
low
wor
king
hei
ghts
.
This
dan
gero
us p
ract
ice
incl
udes
the
fol
low
ing:
One
han
dler
pus
hes
the
patie
nt’s
upp
er
body
for
war
d an
d po
sitio
ns h
is/h
er a
rms
from
beh
ind,
und
er t
he p
atie
nt’s
upp
er b
ody
gras
ping
han
ds a
cros
s th
e pa
tient
’s c
hest
. Th
e ot
her
hand
ler
gras
ps t
he p
atie
nt’s
legs
. S
imul
tane
ousl
y, b
oth
hand
lers
lift
, car
ry a
nd
low
er t
he p
atie
nt f
rom
the
cha
ir in
to t
he b
ath .
To
tra
nsfe
r th
e pa
tient
out
of
the
bath
, the
pr
oced
ure
is r
ever
sed .
tRA
nsF
eR 1
2: t
RAn
sFeR
RIn
g t
he
PAtI
ent
Into
oR
ou
t o
F b
Ath
30 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
FuRtheR InFoRMAtIon
legIslAtIVe And PolIcy FRAMeWoRKThis guide is designed to assist organisations to reduce the risks associated with the handling of patients and assist employers to comply with their legal obligations under the Occupational Health and Safety Act 2004 and its associated Regulations and Compliance Codes . The following references support and complement this document .
OccupatiOnal HealtH and Safety act 2004 The OHS Act sets out general duties of care for employers, employees, designers, manufacturers, suppliers and installers . The OHS Act enables Regulations and Compliance Codes to be made about the health, safety, and welfare of people at work .
occuPAtIonAl heAlth And sAFety RegulAtIons 2007 And coMPlIAnce codes
The Regulations set out specific duties for employers and employees under the Act . Compliance Codes give practical guidance on how to comply with the legislation .
a guide tO deSigning wOrkplaceS fOr Safer Handling Of peOple
This document assists health, aged care, rehabilition and disability facilities to reduce risks to those who handle clients .
IndustRy PolIcIes on ‘no lIFtIng’, FoR exAMPle, AustRAlIAn nuRsIng FedeRAtIon (VIc bRAnch) no lIFtIng PolIcy, 2006
The policies state the manual lifting of people should be eliminated except in life threatening or emergency situations . Patients are encouraged to assist in their own transfers and mechanical handling aids must be used whenever they can help to reduce risk .
dePARtMent oF huMAn seRVIces IMPleMentAtIon FRAMeWoRK FoR the IntRoductIon/ MAIntAnence/extensIon oF nuRse bAcK InjuRy PReVentIon PRogRAMs-nuRsIng .VIc .goV .Au
WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely 31
wORKSAFE VICTORIAWorkSafe offers a complete range of OHS services, including: emergency response; advice; information and education; inspections and audits; licensing and certification; publications; and web-based guidance . WorkSafe publications can be downloaded from worksafe.vic.gov.au
RESOURCES
Casual workers and labour hire
Placing workers in safe workplaces, WorkSafe Victoria, 2006 .
ConsultationTalking safety together, WorkSafe Victoria, 2005 .
Consultation: A user’s guide, WorkSafe Victoria, 2005 .
Information for employees, WorkSafe Victoria, 2005 .
General OHSGuide to the OHS Act 2004, WorkSafe Victoria, 2005 .
Summary of the Occupational Health and Safety Act 2004, WorkSafe Victoria, 2005 .
Manual handlingBallarat District Nursing and Healthcare Inc Safety Development Fund Project Final Report – Musculo-skeletal injury prevention program for district nurses, Ballarat District Nursing and Healthcare Inc, January 2003 .
A guide to designing workplaces for safer handling of people, WorkSafe Victoria, 3rd edition, September 2007 .
No lifting policy, Australian Nursing Federation (Victorian Branch), 2006 .
Victorian nurses back injury prevention project evaluation report, Department of Human Services, Victoria, 2004 .
Copies of the Victorian Acts and associated regulations can be obtained from Information Victoria by phoning 1300 366 356 .
The No lifting policy and Implementation guide and checklist can be obtained from the Australian Nurses Federation (Victorian Branch) by phoning 9275 9333 .
FuRtheR InFoRMAtIon
32 WoRKsAFe VIctoRIA / TRAnSfeRRIng peOple SAfely
AcKnoWledgeMents
This guide was developed by consultants Louise O’Shea, O’Shea and Associates No Lift Systems and Mark Hennessy, Hennessy Services Pty Ltd in conjunction with the Patient/Resident Handling Working Party as part of WorkSafe’s Health and Aged Care Industry Project in 2002 .
Acknowledgement is made to the contribution of:
• TheHealthandAgedCareConsultativeCommittee–JeanetteSdrinis(Australian Nursing Federation), John Brooks ( Aged Care Association of Victoria), Michelle Holian and Sarah Creane (Department of Human Services), Elizabeth Langford (Injured Nurses Support Group), Kerry Shearer (Private Hospitals Association of Victoria), Fleur Limpus (Victorian Association of Health and Extended Care), Frank Mielke and Matthew Casey (Victorian Health Care Association), Andrea Argirides, Margaret Best and Greg Haywood (WorkSafe Victoria)
• TheRiskAssessmentWorkingParty–JanetCasey(AgedCareAssociationofVictoria), Angela Quero (Aged Care Standards Accreditation Agency), Lynn Nicholas (Australian Hospital Care), Katy Marshall and Jeanette Sdrinis (Australian Nursing Federation), Sally Lutter and Sarah Creane (Department of Human Services), Rosemary Paterson (Montefiore Homes for the Aged), Judy Falla (Peter James Centre), Bill Fitzgerald (Southern Health Care Network), Jeanette Kamar (Northern Hospital Care Network), Andrea Argirides and Judith Farrell (WorkSafe Victoria), and
• CarmelBrowne(DandenongHospital),DanielleTaylor(KaringalManor),SueBartelman (Ballan District Health), Matthew Casey (Caulfield General Medical Centre) and the Royal Melbourne Hospital for the trial of tools in the workplace, feedback to the authors and support with photographs .
WorkSafe Victoria
Advisory Service
222 Exhibition Street Melbourne 3000
Phone 03 9641 1444 Toll-free 1800 136 089 Email [email protected]
Head Office
222 Exhibition Street Melbourne 3000
Phone 03 9641 1555 Toll-free 1800 136 089 Website worksafe.vic.gov.au
Local Offices
Ballarat 03 5338 4444 Bendigo 03 5443 8866 Dandenong 03 8792 9000 Geelong 03 5226 1200 Melbourne (628 Bourke Street) 03 9941 0558 Mildura 03 5021 4001 Mulgrave 03 9565 9444 Preston 03 9485 4555 Shepparton 03 5831 8260 Traralgon 03 5174 8900 Wangaratta 03 5721 8588 Warrnambool 03 5564 3200
WSV542/04/03.10