Section 209 of Part 14 of the OHS Code is entirely new and refers specifically to the healthcare industry. If you need more detail on how to implement this change, you can find out more information in Worksafe Alberta’s publication, No Unsafe Lift Workbook.
To explain a little more about the changes and how they came about, this has historically been an area with high rates of injury, both acute and cumulative. Heathcare organizations have identified several challenges in trying to reduce injuries related to patient handling tasks, such as:
- Lack of appropriate numbers and types of patient lifting devices
- Facility design issues that compromise the ability to provide proper ergonomic solutions to lifting and transferring tasks
- Reluctance of staff to employ mechanical lifting aids in patient handling tasks
- Inadequate training of caregivers in biomechanics
- Lack of communication about the status of patients (for example, requirements for specific lifting/transferring strategies
- Increased weight of many patients, impacting the ability to use standard lifting devices
The new sections, 209.1 (1-3) and 209.2 (1-4) were added to establish site and program requirements for safe lifting of patients, clients and residents in healthcare facilities. For easy reference:
Work site design – health care facilities
209.1(1) An employer must ensure that appropriate patient/client/resident handling equipment is adequately incorporated into the design and construction of (a) a new health care facility, and (b) a health care facility undergoing significant physical alterations, renovations or repairs.
209.1(2) An employer must ensure that any new patient/client/resident handling equipment installed at an existing work site, including vehicles in which patient/client/resident handling occurs, fits adequately in the space intended for it.
209.1(3) Subsections (1) and (2) do not apply to health care facility construction, alterations, renovations or repairs started before July 1, 2009.
Patient/client/resident handling
209.2(1) An employer must develop and implement a safe patient/client/resident handling program if workers are required to lift, transfer or reposition patients/clients/residents.
209.2(2) The program required by subsection (1) must include an annual evaluation of its effectiveness at preventing worker injuries.
209.2(3) An employer must ensure that workers follow the safe handling program required by subsection (1).
209.2(4) Workers must follow the safe handling program required by subsection (1).
Section 209.1 requires that patient handling equipment be incorporated into the design and construction of health care facilities. An effective method of reducing patient handling injuries is the provision of mechanical devices to assist in patient lifts, transfers and repositioning tasks. Successful MSI prevention programs have reduced manual lifting and increased the use of equipment that limits the physical stress on workers. The explanation guide lists some criteria to be considered in choosing appropriate equipment.
Section 209.2 requires employers to develop and implement a patient handling program if workers are required to lift, transfer or reposition patients. Tips on maximizing the benefits of such a program are included in the explanation guide.
EWI Works has already developed comprehensive ergonomic programs specific to the healthcare industry. Equipment trials and training has been developed and implemented at a few health care facilities with successful results. Keep reading for some case studies featuring these ergonomic initiatives for patient handling.
- by Kirsten Willms, Ergonomic Consultant, EWI Works