19 CSR 30-20.097 – Safe Patient Handling and Movement in Hospitals
Introduction
A final rule, 19 CSR 30-20.097 Safe Patient Handling and Movement in Hospitals, was published in the Missouri Code State Regulations on Oct. 30 and is effective Nov. 30. To assist hospitals with compliance with the rule, MHA has compiled the text of the rule, a brief overview of the rule and recommendations for compliance, as well as references and resources to assist with implementation. Wrenae Shabel Ph.D., R.N., of Phelps County Regional Medical Center in Rolla, MO chaired the Nursing Technical Advisory Committee, which developed the rule in response to legislative proposals. She has graciously provided additional resources to assist with implementation.
Purpose: This rule specifies the requirements for safe patient handling and movement practices in hospitals
With the recent passing of Safe Patient Handling rule in Missouri, many facilities/customers have question about how this impacts them. The following endeavors to provide some of the answers to commonly asked questions.
1. Why was a Safe Patient Handling rule in hospitals required:
· In 2008, there were 36,130 Occupational MSD cases in private industry where the source of the injury was a health care patient or resident related. This accounts for 11% of all MSD that resulted in at least 1 lost day.
· Almost 98% of all these injuries resulted from patient Handling
· 99%+ of these injuries were deemed to be the result of overexertion
· Over 12% of the nursing workforce leaves the bedside due to back injuries each year
· The cost to train and orient a new nurse is $60,000 - $140,000
2. What is Health Care Regulation 19 CSR 30-20.097 Safe Patient Handling and Movement in Hospitals?
· Health Care Regulation 19 CSR 30-20.097 specifies the requirements for safe patient handling and movement practices in a hospital.
· Hospitals will need to develop a committee responsible for implementing and monitoring safe patient handling and movement program. The program should include the following:
o A safe patient handling policy that will achieve elimination of manual lifting, transferring and repositioning of patients.
o Patient –handling hazard assessment
o A process which assesses patients needs for safe patient handling and movement.
o Safe patient handling program educational materials for patients and their families.
o Annual evaluation of the program.
o Evidence of changes based on the program evaluation.
o Training for all employees in patient care handling activities.
AUTHORITY: section 197.080, RSMo 2000.* Original rule filed April 29, 2011, effective Nov. 30, 2011.
*Original authority: 197.080, RSM0 1953, amended 1993, 1995.
3. When does the change go into effect?
· The regulation goes into effect November 30, 2011.
4. Does the regulation require the use/implementation of Lift Teams?
· No. Lift teams are only one possible solution to meet the requirements of the Safe Patient Handling and Movement Regulation. However, any health care worker providing adequate training and education is provided, will also meet the requirements of the Safe Patient Handling and Movement Regulation.
· Prism Medical can assist your facility in reviewing all of the options that exist and determine which course of action is most appropriate for your operations.
5. Is the use of Safe Patient Handling equipment mandated by this regulation?
· Yes. The purpose of regulation 19 CSR 30-20.097 is to have all employees involved in patient care handling activities to be trained and demonstrate competence on safe patient handling equipment and devices.
6. Is my facility impacted by this SPH regulation?
· At this time, only hospitals are impacted by this regulation.
7. How can Prism Medical help?
· Prism Medical is a North American company with U. S. operations and manufacturing based in St. Louis, Missouri. As a result, we understand the needs of the North American customer and organizations.
· Prism Medical has over 40 years of expertise in the assessment, development, implementation and follow up review of Safe Patient Handling Programs.
· Prism Medical can help your facility determine the most appropriate, customized solutions for your facility and help implement these changes to ensure your facility is compliant with regulation 19 CSR 30-20.097.
For your personalized assessment please contact us at (314) 692-9135 or visit our websites at
· www.prismmedicalltd.com
· www.prismmedicalinc.com
· www.prismmedical.ca