Authors (including presenting author) :
Lam WC, Ho SF, Lai KY, Wong KF, Koon PL, Choa L, Ko CM & Ho WF
Affiliation :
Department of Nursing, Cheshire Home, Chung Hom Kok
Introduction :
As technology advances, overhead ceiling lifts are considered to be a very effective and versatile safe patient handling solution. However, there are many risk factors that may affect patient safety during hoist transfer, especially for fragile patient with poor balance control in CCH. It may induce serious injury if inappropriate usage. One of the important factors is patient factor and the other is the lack of knowledge and non-compliance when operation. The CCH Nursing Department enhances patient safety and controls the risk of recurrence through developing designated instruction guide, conducting training and audit. This promotes safe transfer and helps patients to be much safe.
Objectives :
- To enhance staff’s knowledge, awareness and skills in safe operation of ceiling hoist
- To ensure patient safety during hoist transfer
Methodology :
- Reviewed current use of ceiling hoist skills and practice and identify potential harm factors of fragile patients. - Developed photo guide and video training to the frontline staff focusing at patient’s risk factor of poor balance control and how to perform proper checking, connecting and using hoists in April 2018. Specific practical hints, inspection acceptance and rejection criteria are covered in this training.
- Conducted return demonstration by all clinical staff from June to August 2018
- Performed clinical audit for use of ceiling hoist in September 2018
Result & Outcome :
Result
- No patient injury incident related to ceiling hoist has been reported since the program was implemented.
- 17 RN& 34 EN (88% of nurses) and 66 supporting staff (100% of supporting staff) performed return demonstration
- Audit on the use of ceiling hoist was performed in September 2018 in which 24 frontline staff was recruited with 100% compliance rate. Conclusion
There are many risk factors influencing the safety of using hoist transfer which would result in severe injuries to patients probably. Staff training and compliance to proper usage are the main concerns.
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