SAFETY PATIENT

HANDLING

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Statistik
80-90% orang cidera punggung
1/3 disebabkan oleh manual handling
12.3 juta hari kerja hilang, karena
cidera muculoskeletal
Cidera meningkat akibat suatu insiden

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 CARA MEMINDAHKAN PASIEN

X
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 STRUCTURE
OF
THE SPINE
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 OBJECTIVES
Skeletal system
(Bones & joints of spinal column)

Discs
Soft tissue
(muscles & ligaments)
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 SKELETAL SYSTEM
Central Region:-
( Skull, ribs, spine, pelvis )
Provides support & protection
Outer region:- ( Arms & legs)
Allows movement

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 SPINAL COLUMN
33 irregular shaped bones (vertebrae)

S-shaped

Lumber region most often

injured when handling loads

Sacro-iliac joint (Pregnancy)

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 POSTURE
Jaga tulang belakang
dalam posisi s-shape alami
Sehingga terlihat selaras
Dengan tekanan minimal
pada sendi & jaringan lunak

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
Posture yang hrs dihindari
STOOPING TWISTING

X X

X OVER-
HOLDING REACHING
LOADS AWAY
FROM THE
BODY
X
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
EFFECT OF MOVEMENT ON THE DISC

Pressure increased towards the back

when bending forwards & to the
front when bending backwards

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Hindari Membungkuk

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 FACET JOINTS
A joint is where 2 bones meet
A ‘facet joint’ is formed when the
vertebrae interlock with the one
above & below
Take approx. 20% of the force
on the spine
These joints are prone to wear
& tear (Arthritis)
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
SOFT TISSUE: LIGAMENTS

Taut bands of fibrous

tissue
Flexible but not elastic
(Avoid over-stretching)
Poor blood supply
(Heal very slowly)

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Muscle Structure

 Otot terdiri dari

kumpulan serat
 Kemampuannya
memanjang dan
memendek shg
menghasilkan
gerakan

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Bagaimana Tl.
Belakang bisa
cidera ?
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 DISC DEGENERATION
Natural Ageing Process

Begins @ age 30

Disc Looses its Water

Content
Accelerated by poor posture
& lifting techniques

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
EFFECTS OF DISC DEGENERATION

SLACK LIGAMENTS SLIPPED DISC & ARTHRITIS

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 SOFT TISSUE INJURIES
Overstretched
 Ligamen robek karena tidak elastis &
kendur jika disc merosot



Overloaded
Otot robek jika beban terlalu berat
X
Otot tidak punya cukup waktu untuk
sembuh (kerja berulang)

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
Membungkuk Vs Mengangkat
lurus

X P

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
Hindari Membungkuk dn memutar

X X
STOOPING TWISTING

P P
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Apa yg dapat dipelajari ?

• Cedera bisa terbentuk seiring

berjalannya waktu.
• Postur tubuh yang buruk dan
teknik penanganan yang
buruk dapat menyebabkan
masalah di kemudian hari.

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 BONE INJURY
Arthritis (Wear & tear)
Gerakan yang salah
dilakukan berulang-ulang
Sacro-iliac joint
(Ligaments slacken)
(Wanita hamil berhati-hati
karena ligamen
mengendur)

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 Definisi Ergonomis
Ergonomi bertujuan untuk "menyesuaikan
pekerjaan, lingkungan dan peralatan dengan
orang tersebut" alih-alih membuat orang
tersebut sesuai dengan yang di atas
(misalnya, perlengkapan olahraga, peralatan
dapur, desain dapur.

Ini akan memastikan bahwa pekerjaan dilakukan

dengan cara yang meminimalkan usaha fisik dan
mental sambil memaksimalkan efisiensi.

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
POSTURES TO BE AVOIDED
STOOPING TWISTING

X X

X OVER-
HOLDING REACHING
LOADS AWAY
FROM THE
BODY
X
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
ANDA HARUS MENILAI PEKERJAAN ANDA UNTUK MELIHAT
JIKA ANDA MAMPU MELAKUKANNYA SAJA

T task
I individual
L load
E environment
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 MANFAAT ERGONOMIS

Jika anda mengkaji pekerjaan anda, anada

akan :
Lebih mampu mengenali tugas yang berpotensi
membahayakan
Lebih aman - penurunan risiko cedera
Lebih nyaman - lebih banyak energi, kurang
stres
Lebih efisien & produktif
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 SAFER HANDLING PRINCIPLES
(Set of tools)
 Menilai (TILE) Mengetahui kemampuan Anda sendiri
Luas dasar
 Bend Knees / gunakan transferensi berat

 Good Back Posture (Posisi netral & hindari gabungan

bending & twisting)
 Good Grip (Palmer / siku terselip)

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 SPINAL BIOMECHANICS

P X X
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 TEAM HANDLING
Sadari keterbatasan TIM
Bekerja bersama orang yg tingginya sama
Tunjuk pemimpin
Rencanakan / sepakati manuvernya
Setujui perintah, agar gerakan
terkoordinasi

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 CHECKLIST FOR USING
HOISTS

Assess – What are the Have as many carers as

patients needs? situation requires
Does the hoist meet those Be confident in use of the
needs? hoist
Is the hoist appropriate for Ensure hoist is serviced 6
the environment? monthly
Check the patients weight Vs
capacity of hoist Remove and Report if faulty
Follow manufacturer’s Remember brakes off except
instructions. when parked & hoisting from
Has visual inspection been the floor
carried out? Check emergency lowering
Remember pushing & pulling button
techniques

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
 PENGGUNAAN SLINGS
• Menilai dan menetapkan kebutuh
pasien
• Familiar dg Sling yg tersedia
• Pilih sling yang benar
• Menggunakan ukuran sling yang
benar
• Check kondisi sling sblm dipakai

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
Alat bantu untuk Safety
Handling

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
Brankart

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
EASY MOVE

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
SPREADER BAR SLING

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
DEPENDEN STANDING

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
EASY MOVE

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EASY MOVE 2

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH
SLIDE TRANSFER BOARD

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Safety First © Andria O’ Donovan Bsc (Physio), Dip SHWW (Physio), M.I.S.C.P. MIOSH