Patient Mobility Team “Lift Team” Proposal Susan Crabtree Lynn Kirman
Background l Pushing issues – – – – Nursing shortage Aging workforce Increase in patient size Union activity Focus on Patient Safety – JCAHO Standards Increasing WC costs Failure of “proper body mechanics” Recruitment/Retention tool
GAMC RN Characteristics
“Enough Help to Move Pts. ? ”
Elements of a Complete Program l l Employee Safety Committee – in place “Safe Patient Handling” Policy Patient handling devices – house-wide, easy access Periodic ergonomic assessments of nursing workplace. l l Lift Team On-going training Preventative back exercise program Standardized data collection and reporting – track, trend, revise
GAMC “Patient Mobility Team” l l l 0700 – 1930 7 days/wk, 2 person team C. N. A. required – 5% increase Supervisor – Terry Novelli / Donna Cramer Dispatched thru Escort Process or directly by pager (TBD) Would also coach/instruct floor staff on transfer and lifting techniques.
Worker’s Compensation Costs
Financial Analysis l Costs Before Lift Team – Direct Costs (Average of 2002 & 2003) - $502, 516 l – Indirect Costs (Average of 2002 & 2003) - $244, 350 l – Medical Paid, Medical Reserves = Incurred Costs (also includes temporary disability payments) Lost days ($25. 00 x 12 hours x 814. 5 days) Total W/C Patient Handling Costs = $746, 866
Financial Analysis (continued) l l Costs Before Lift Team $746, 866 Costs After Lift Team (25% reduction in workers injuries) – – Lift Team Wage Costs - $157, 467 Direct Costs - $376, 887 Indirect Costs - $183, 263 Equipment Costs - $15, 000 per year (Depreciation - $75, 000 over 5 years) – l l Total W/C Patient Handling Costs Total Savings Return on Investment – 8% $732, 616 $14, 249
Equipment Costs l Capital (first year - $30, 000 – includes taxes) – Equipment to be shared by units (for example CSDU and CCU) l l l 5 mobile hoist heavy duty (444 lbs) = $18, 711. 80 1 floor lift heavy duty (600 lbs) = $6, 478. 09 Additional Equipment – – – Gait belts Sliders Slings
Lift Team Roll-Out l l l Approval by Operations Council - done Evaluate and Order Equipment – in process Hire necessary staff – in process Provide appropriate training on equipment for new staff – PT working on this Provide training/orientation for nursing staff on lift team procedures Start date – September, 2005
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