Back Injury Control Programs for Nursing Staff.
1989 International Industrial Engineering Conference Proceedings, Industrial Engineering and Management Press, Norcross, Georgia :167-172
Back injury control programs for nurses were discussed. Recommendations for intervention programs for reducing back injury occurrences in nursing personnel derived from a survey of the literature were presented. The program components were organized in a format utilizing a modified Haddon matrix. Person, task, and environmental components constituted the columns of the matrix and before work, during work, and after work stopped because of back injury served as the rows. Person program components included evaluating new nursing staff, training new staff in body mechanics and back care, and training new staff in patient handling techniques before work, providing feedback on patient handling during on the job training and encouraging staff physical fitness during work, and providing prompt treatment and individualized rehabilitation programs and establishing a return to work policy after work stops due to back injury. Task related components included identifying back stressing tasks, eliminating back straining tasks where possible, and providing appropriate patient handling devices before work, providing feedback on the use of patient handling devices and organizing group problem solving sessions during work, and asking staff if the task could be modified to reduce the risk in case of back injury. Environmental program components included identifying and eliminating bumps on floor surfaces, stair hazards, and other hazards that can compromise patient handling techniques before work, encouraging prompt cleanup of spilled fluids and obtaining management commitment to the programs during work, and asking after each back injury whether the environment could be changed to reduce future risks. Because each health care facility has unique needs it is not possible to prescribe specific program elements for individual facilities.
Medical-personnel; Health-care-facilities; Back-injuries; Risk-analysis; Epidemiology; Accident-prevention; Work-analysis; Work-practices; Occupational-health-programs;
1989 International Industrial Engineering Conference Proceedings, Industrial Engineering and Management Press, Norcross, Georgia