Emergency Evacuation Seminar Hosted by TagEvac in association with AVIVA Insurance Presented by INTRODUCTION STEVE CLARK SALES amp MARKETING DIRECTOR Spectrum Healthcare UK Ltd 1 KINGSTHORPE BUSINESS CENTRE ID: 912281
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BARIATRIC EVACUATION
How to cope with the challenges presented by the moving and safe handling of larger persons.
Emergency Evacuation Seminar
Hosted by TagEvac in association with AVIVA Insurance
Presented by:
Slide2INTRODUCTION
STEVE CLARKSALES & MARKETING DIRECTOR
Spectrum Healthcare (UK) Ltd1, KINGSTHORPE BUSINESS CENTRE63, STUDLAND ROADKINGSTHORPE
NORTHAMPTONNN2 6NEwww.spectrumhealthcare.co.uk steve@spectrumhealthcare.co.uk 01793 762928
Slide3DEFINITIONS TO CONSIDER AND RELATED CONFUSION!
Slide4DEFINITION
BARIATRICS IS THE BRANCH OF MEDICINE THAT DEALS WITH THE STUDY AND TREATMENT OF OBESITY
Slide5DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH
)
Slide6DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH
)
A PATIENT WHO WEIGHS OVER 159KG OR HAS A BODY MASS INDEX OVER 30 (NEWCASTLE)
Slide7DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH)
A PATIENT WHO WEIGHS OVER 159KG OR HAS A BODY MASS INDEX OVER 30 (NEWCASTLE)
BARIATRIC REFERS TO ALL PATIENTS OVER 158KG OR A BODY MASS INDEX OVER 40 (SHETLAND)
Slide8Slide9Slide10Slide11INITIAL CONCLUSIONS
With the variation in definitions of the term “Bariatric” and the quite obvious variations in size of patients within this broad categorization it is immediately apparent that no single piece of equipment will meet the needs of all patients!
Slide12CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.
Slide13CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.PRESSURE ON INTERNAL ORGANS: Undue pressure may be placed on internal organs in certain positions.
Slide14CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.PRESSURE ON INTERNAL ORGANS: Undue pressure may be placed on internal organs in certain positions.PRESSURE ON ULCERATED AREAS: Depending upon the method of transfer being used extra care is required to avoid damage to ulcers etc.
Slide15DIGNITY OF TRANSFER
With the likely number of carers required for non motorised movement of patients it is important to consider the personal dignity of each individual patient!
Slide16INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.
Slide17INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.Thought needs to be given to the most appropriate part of the building to house Bariatric Patients.
Slide18INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.
Thought needs to be given to the most appropriate part of the building to house Bariatric Patients.
Further thought has to be given to gaining access to other parts of the premises such as operating theatres, x-ray clinics etc.
Slide19NUMBER OF AVAILABLE CARERS
For a number of reasons, including moving & handling, transfer of patients and evacuation in an emergency, the availability of carers to assist such procedures may be of paramount importance.Detailed planning needs to be undertaken to ensure that all of these situations can be accommodated and conducted safely.
Slide20TRANSPORT OF BARIATRIC PATIENTS
London: Three bariatric vehicles and stretchers which can take patients up to 70 stone (444.5kg). For emergencies, it uses a third party provider.
East Midlands: 225 bariatric capable vehicles for patients up to 50 stone (317.5kg). Six have hoists and lifts.
East: Eight vehicles, with 16 bariatric stretchers, at a cost of £432,000 over three years.
Slide21TRANSPORT OF BARIATRIC PATIENTS
South Central:
Has 10 bariatric vehicles arriving this year. South West: All ambulances have bariatric capability, including one 'Megasus trolley' for patients up to 60 stone (381kg).
West Midlands: All 420 A&E ambulances are bariatric capable, but there are eight specialist vehicles and seven on the way, costing £114,000.
Yorkshire: All ambulances are bariatric capable and the service has 109 bariatric stretchers.
Slide22BARIATRIC VIDEO
Time required v standard patient evacuationLINK TO VIDEO
Slide23NON CLINICAL ENVIRONMENT
The Regulatory Reform (Fire Safety) Order 2005
Summary: Responsibility to provide the means of safe egress lies with the operator (not necessarily the owner!) of the building. Evacuation Plans should NOT be reliant on the involvement of Fire & Rescue Services to work.
Slide24NON CLINICAL ENVIRONMENT
Equality Act 2010
Summary: People of ALL mental and physical capabilities are owed the same duty of care when it comes to the evacuation of a building.It therefore follows that to evacuate a 400Kg person in an emergency is of equal importance to anyone else of a lower weight!
Slide25BARIATRIC EVACUATION EQUIPMENT
Slide26EZ GLIDE POWERTRAXX - Max Load 227kg (35st)
LINK TO VIDEO http://www.fernoems.com/powertraxx
BARIATRIC EVACUATION EQUIPMENT
Slide27BARIATRIC EVACMAT – Max Load 350kg (55st)
LINK TO BARIATRIC EVACMAT VIDEO
BARIATRIC EVACUATION EQUIPMENT
Slide28BARIATRIC EVACUATION EQUIPMENT
MED SLED
– Max Load 450kg (70st)
http
://www.spectrumhealthcare.co.uk/products/bariatric-med-sled
/
Slide29HOVERJACK – Max load 544kg (85st)
http://www.hovermatt.com/Evacuation-HoverJack.html
BARIATRIC EVACUATION EQUIPMENT
Slide30CONCLUSIONS
There are no exceptions when it comes to making provisions for larger peopleCareful planning is required in advance of occupancy of premises
Consideration must be given to ALL areas of premises where larger persons may be presentWhat do you do if the lift/elevator fails? Back-up plan essential!
Slide311, KINGSTHORPE BUSINESS CENTRE
63 STUDLAND ROADKINGSTHORPENORTHAMPTON
NN2 6NEwww.spectrumhealthcare.co.uk Email:
info@spectrumhealthcare.co.uk Tel: 01793 762928