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Comprehensive risk assessment of the patient transfer task using the walking belt and floor lift.
Disabil Rehabil Assist Technol
January 2025
Neurorehabilitation Engineering and Assistance Systems Research (NEAR), School of Mechanical Engineering, Universiti Sains Malaysia, Penang, Malaysia.
Work-related musculoskeletal disorders (WMSDs) during bed-to-wheelchair and wheelchair-to-commode transfers are a significant concern, yet prior assessments often focused on specific subtasks, overlooking potential cumulative risks. This study employed Xsens Inertial Measurement Units (IMUs) and force plates integrated with an automated Rapid Entire Body Assessment (REBA) system to provide a continuous and comprehensive evaluation of WMSDs risks associated with the use of a walking belt and a floor lift. The continuous assessment revealed peak REBA scores ranging from 8.
View Article and Find Full Text PDFPostanesthesia Sling Lift Transfer and Upright Extubation of an Adult Secured in a Motorized Wheelchair: A Case Report.
A A Pract
January 2025
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
This case report describes a 29-year-old patient with cerebral palsy whose mother, for safety reasons, requested that before extubation in the postanesthesia care unit, her son be transferred from the padded stretcher to his personal motorized wheelchair. Using a sling lift, we safely transferred the anesthetized, intubated patient from a supine position to an upright sitting position. Although sling lifts are often used in critical care and rehabilitation environments, use in the perioperative space is rare.
View Article and Find Full Text PDFLeaving Slings and Other Transfer Devices Under Patients: A Clinical Decision Support Quality Improvement Project.
J Wound Ostomy Continence Nurs
January 2025
Sarah E. Bradley, PhD, MPH, CPH, James A. Haley Veterans Hospital and Clinics, Tampa, Florida, and Center for Healthcare Outcomes & Policy, University of Michigan, Ann Arbor, Michigan.
Purpose: The purpose of this quality improvement project was to develop guidance for safe patient handling and mobility efforts to prevent pressure injuries (PIs) within the Veterans Health Administration (VHA) when slings and other transfer devices are left under patients.
Participants And Setting: Health care staff (n = 112) in patient safety and nursing at 77 unique VHA facilities responded to surveys between November and December 2019. Interviews (n = 24) were conducted using purposive sampling with VHA staff at facilities with highest and lowest PI rates (n = 9) between January and March 2021.
A preliminary biomechanical assessment and user perceptions of a motorized lifter for patient transfer.
Assist Technol
October 2024
Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia.
A "no-lift" policy in healthcare discourages manual patient lifting to reduce worker injuries. This study explores modifications to a floor lift (NEAR-1) to align with this policy. NEAR-1 features a shorter lower lifting arm and a redesigned sling, enabling patients to (a) transfer in a sitting position, unlike a floor lift's semi-reclining position, and (b) feel more in control by removing the sling's rotational degree of freedom and letting the patient's feet rest on the lifter base.
View Article and Find Full Text PDFNovel approaches facilitating neuraxial anesthesia placement in pregnant women with morbid obesity: case descriptions.
Int J Obstet Anesth
November 2024
University of Maryland School of Medicine, Baltimore, MD, United States.
Clinical management of pregnant women with morbid obesity poses challenges in performing neuraxial anesthesia as well as positioning for cesarean delivery. Occupational injuries are also known to occur while caring for patients with morbid obesity. We describe two novel approaches to assist neuraxial anesthesia administration and positioning for cesarean delivery.
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