Introduction
While patient lifting is a major source of musculoskeletal disorders (MSDs) in healthcare facilities, research indicates that a significant number of work-related MSDs occur during other tasks.
For example, using a shower gurney to bathe non-weight-bearing patients can reduce bending and reaching, making patient handling safer for caregivers.
Slips, Trips, and Falls
Potential Hazards:
Slips, trips, and falls can occur due to spills or environmental hazards, including:
- Slippery or wet floors
- Uneven floor surfaces
- Lifting in confined spaces
- Cluttered or obstructed passageways
- Poorly maintained walkways or broken equipment
- Inadequate staffing, leading to single-person lifts and higher fall risk
- Insufficient lighting, especially during evening shifts
Possible Solutions:
To reduce the risk of slips and falls, implement engineering and work practice controls:
- Correct uneven floor surfaces
- Install non-slip surfaces in toilet and shower areas
- Promptly clean up spills
- Use equipment to reduce awkward positions in confined spaces
- Maintain clear, unobstructed work areas
- Ensure adequate staffing levels to manage workload safely
Awkward Postures
Potential Hazards:
Awkward postures when lifting or moving patients can increase injury risk:
- Forces on the spine increase when bending or twisting
- Muscles work less efficiently in awkward positions, requiring more effort
- Holding fixed positions (e.g., reaching forward) leads to fatigue, soreness, and joint strain
- Twisting or leaning to support a patient during walking assistance
Possible Solutions:
- Avoid awkward postures when lifting or moving patients
- Educate and train employees on safe lifting techniques
- Use assistive devices or equipment whenever possible
- Apply team lifting strategies based on proper assessment