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ISSN Druckformat: 1050-6934
ISSN Online: 1940-4379
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Texas Passes First Law for Safe Patient Handling in America: Landmark Legislation Protects Healthcare Workers and Patients from Injury Related to Manual Patient Lifting
ABSTRAKT
On June 17,2005, Texas Governor Rick Perry (R) signed into law Senate Bill 1525, making Texas the first state in the nation to require hospitals and nursing homes to implement safe patient handling and movement programs. Governor Perry is to be commended for this heroic first stand for safe patient handling in America. The landmark legislation will take effect January 1, 2006, requiring the establishment of policy to identify, assess, and develop methods of controlling the risk of injury to patients and nurses associated with lifting, transferring, repositioning, and movement of patients; evaluation of alternative methods from manual lifting to reduce the risk of injury from patient lifting, including equipment and patient care environment; restricting, to the extent feasible with existing equipment, manual handling of all or most of a patient's weight to emergency, life-threatening, or exceptional circumstances; and provision for refusal to perform patient handling tasks believed to involve unacceptable risks of injury to a patient or nurse.
Manually lifting patients has been called deplorable, inefficient, dangerous to nurses, and painful and brutal to patients; manual lifting can cause needless suffering and injury to patients, with dangers including pain, bruising, skin tears, abrasions, tube dislodgement, dislocations, fractures, and being dropped by nursing staff during attempts to manually lift. Use of safe, secure, mechanical lift equipment and gentle friction-reducing devices for patient maneuvering tasks could eliminate such needless brutality.
Research has proven that manual patient lifting is extremely hazardous to healthcare workers, creating substantial risk of low-back injury, whether with one or two patient handlers. Studies on the use of mechanical patient lift equipment, by either nursing staff or lift teams, have proven repeatedly that most nursing staff back injury is preventable, leading to substantial savings to employers on medical and compensation costs.
Because the healthcare industry has relied on people to do the work of machines, nursing work remains the most dangerous occupation for disabling back injury. Back injury from patient lifting may be the single largest contributor to the nursing shortage, with perhaps 12% of nurses leaving or being terminated because of back injury. The US healthcare industry has not kept pace with other industries, which provide mechanical lift equipment for lifting loads equivalent to the weight of patients, or with other countries, such as Australia and England, which are more advanced in their use of modern technology for patient lifting and with no-lifting practices in compliance with government regulations and nursing policies banning manual lifting.
With Texas being the first state to succeed in passing legislation for safe patient handling, other states are working toward legislative protection against injury with manual patient lifting. California re-introduced safe patient handling legislation on February 17, 2005, with CA SB 363, Hospitals: Lift Teams, following the September 22, 2004, veto of CA AB 2532 by Governor Arnold Schwarzenegger, who said he believes existing statutory protection and workplace safety standards are sufficient to protect health care workers from injury. Massachusetts HB 2662, Relating to Safe Patient Handling in Certain Health Facilities, was introduced December 1, 2004. Ohio HB 67, signed March 21, 2005 by Governor Bob Taft (R), creates a program for interest-free loans to nursing homes for implementation of a no-manual-lift program. New York companion bills AB 7641 and SB 4029 were introduced in April, 2005, calling for creation of a 2-year study to establish safe patient handling programs and collect data on nursing staff and patient injury with manual patient handling versus lift equipment, to determine best practices for improving health and safety of healthcare workers and patients during patient handling. Washington State is planning re-introduction of safe patient handling legislation, after WA HB 1672, Relating to reducing injuries among patients and health care workers, was stalled in committee in February, 2005. Language from these state initiatives may be used as models to assist other states with drafting safe patient handling legislation. Rapid enactment of a federal mandate for Safe Patient HandlingNo Manual Lift is essential and anticipated.
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Tullar Jessica M., Brewer Shelley, Amick Benjamin C., Irvin Emma, Mahood Quenby, Pompeii Lisa A., Wang Anna, Van Eerd Dwayne, Gimeno David, Evanoff Bradley, Occupational Safety and Health Interventions to Reduce Musculoskeletal Symptoms in the Health Care Sector, Journal of Occupational Rehabilitation, 20, 2, 2010. Crossref
-
Cheung Kin, The incidence of low back problems among nursing students in Hong Kong, Journal of Clinical Nursing, 2010. Crossref
-
Schoenfisch Ashley L., Pompeii Lisa A., Myers Douglas J., James Tamara, Yeung Yeu-Li, Fricklas Ethan, Pentico Marissa, Lipscomb Hester J., Objective measures of adoption of patient lift and transfer devices to reduce nursing staff injuries in the hospital setting, American Journal of Industrial Medicine, 54, 12, 2011. Crossref
-
Dionne Francois, Mitton Craig, Shoveller Jean, Peacock Stuart, Barer Morris, How to Control the Costs of Health Care Services — An Inventory of Strategic Options, Healthcare Management Forum, 22, 4, 2009. Crossref
-
Porter Renee M., Thrasher Jodi, Krebs Nancy F., Implementing a Pediatric Obesity Care Guideline in a Freestanding Children's Hospital to Improve Child Safety and Hospital Preparedness, Journal of Pediatric Nursing, 27, 6, 2012. Crossref
-
Fadul Rose M, Brown Lisa M, Powell-Cope Gail, Improving transfer task practices used with air travelers with mobility impairments: A systematic literature review, Journal of Public Health Policy, 35, 1, 2014. Crossref
-
Howard Krista, Howard Jeffrey, Wurtz Roxie, Chronic pain in a specific population: low back, in Chronic Pain, 2013. Crossref
-
Thomas David R., Thomas Yoke Leng N., Interventions to reduce injuries when transferring patients: A critical appraisal of reviews and a realist synthesis, International Journal of Nursing Studies, 51, 10, 2014. Crossref
-
Charney William, Hudson Anne, Gallagher Susan, Lloyd John, Baptiste Andrea, Nelson Audrey, Matz Mary, Owen Bernice, Garg Arun, Villeneuve Jocelyn, Gilmore Justin, Martin Willis, Back Injury Prevention in Health Care, in Handbook of Modern Hospital Safety, Second Edition, 2009. Crossref
-
Katsevman Gennadiy A., Daffner Scott D., Brandmeir Nicholas J., Emery Sanford E., France John C., Sedney Cara L., Complexities of spine surgery in obese patient populations: a narrative review, The Spine Journal, 20, 4, 2020. Crossref