Unit Based Safety Leader/Champion Programs - PowerPoint Presentation

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Unit Based Safety Leader/Champion Programs

Presented by

Lynda Enos, RN, BSN, MS, COHN-S, CPEErgonomics Consultant, HumanFit, LLC.Tel: 503-655-3308 Email: HumanFit@aol.com

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide2

Management Commitment

(visible program champion)

Employee Involvement (inc. Labor)A Business Plan (strategic & tactical)Program Management (program facilitator)

Worksite AnalysisHazard Prevention & Control (SPH equipment and safe work practices)

Education & Training

Disability Management

(After Action Review)Culture (Behavior change re equipment use and sensitivity)Planning for Sustainability

Components of Sustainable & Effective Safe Patient Handling Programs

Multifaceted programs are more effective than any single intervention.

(NIOSH, 1997; OSHA 1991 & 2003; VAH 2010)

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Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide3

Unit Based Safety Leader/Champion Programs

Unit based champion programs play a key role in sustaining patient and staff safety initiatives and programs

A unit base champion is a staff person that:Has advanced training and expertise about a specific safety issue e.g. using patient handling equipment and best work practicesSupports the facility and the unit leadership to meet program goals e.g. successful implementation and maintenance of the SPH program3

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide4

Unit Based Safety Leader/Champion Programs

A unit base champion assists to meet the SPH program goals by:

Assisting to integrate evidence based practice that achieves effective and safe care and thereby facilitating culture change on a unitActing as a leader, mentor, advocate to promote and raise the collective awareness of a program e.g. SPH to peers and other staff Performing as a coach that will demonstrate and assist coworkers in using patient handling equipment and troubleshoot issuesAdvocating new ideas or initiatives and working diligently to promote them.4

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide5

Unit Based Safety Leader/Champion Programs

Evidence base supporting the use of unit based champion programs:Skin championsPatient safety champions

Safe patient handlingOther industries5Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide6

Challenges With Implementing and Sustaining a Champion Program

Recruitment and retentionTime for education/trainingTime to perform champion activities

Resources to manage/support a champion groupKeeping the program ‘fresh’6Unit Based Safety Leader/Champion ProgramsPresented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide7

Champion Program Structure

Unit basedAt least 1 champion per shiftCould be RNs and CNAs on patient care unitsTechnicians e.g. for Imaging depts.

TransportersFacility Wide May be beneficial for larger hospitalsMust have clearly defined program plan and management, champion roles and responsibilities7Unit Based Safety Leader/ChampionsPresented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide8

Characteristics of Effective Champions

Creative, energetic, and enthusiastic about champion roleStrong communication and interpersonal skillsAbility to influence others to practice evidence-based care/serves as a role model (is respected by peers on unit)

8Unit Based Safety Leader/Champions

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide9

Characteristics of Effective Champions

Is willing to take the time to educate, elicit feedback from, and provide regular updates to unit staff members about the SPH program and progress on the unitRecognized as credible by those with whom they work and senior management

(Bergquist-Beringer et al 2009)May have had a previous work related injury from patient handling9Unit Based Safety Leader/ChampionsPresented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide10

Recruiting Champions

Hand picked by SPH or Safety coordinator and/or unit managers or volunteers (preferred)Recruit at staff training for SPH and/or unit staff meetings

Be careful if choosing staff who are already volunteered for many committees of other champion rolesDefine role and ‘what is the benefit for them’10Unit Based Safety Leader/Champion Programs

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide11

Training

Competency based ExampleFoundation and evidence base for SPHFacility SPH program/policy informationHow to teach and coach

Hands on equipment trainingReturn demonstration and teaching of other champions in classAssist to teach a staff SPH class with trainerFollow-up by SPH coordinator on unit to review skills, processes and answer questions11Unit Based Safety Leader/Champion Programs

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide12

Activities PerformedExample from SPH programs

Review safe and appropriate use of SPH equipment and processes with new and existing unit staffCoaching staff and review use of SPH processes e.g.,

Patient assessment toolsDocumentation and communicationsAssist to design SPH marketing initiatives on unit to facilitate staff engagement in program 12Unit Based Safety Leader/Champion Programs

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide13

Activities Performed Example from SPH programs

Troubleshoot equipment & supply issues e.g. lift battery is dead, lift slings neededConduct ‘real time’ competency based audits of equipment use, processes and patient experience

Identify barriers to equipment useActively participate in Daily Safety Huddles13Unit Based Safety Leader/Champion Programs

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide14

Activities PerformedExample from SPH programs

May be involved in after Action Review of patient handling related injuries on the unitAssist staff and unit leaders to address specific SPH related issues e.g. safe care of a dependent bariatric patient

Educates patients, families and other non unit staff about the SPH program and use of equipment Communicate ideas/program feedback to unit leader, SPH coordinator, committees etc.14Unit Based Safety Leader/Champion Programs

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide15

Ongoing Champion Support

Give the safety champion the power to come up with quick solutions to certain problems, such as getting equipment fixed or replaced.Champion group meetings

Linkage to other champion groupsRegular communicationsEmail groupNewsletterRounding by SPH coordinator15Unit Based Safety Leader/Champions

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide16

Ongoing Champion Support

Periodic Refresher trainingPeriodic review of champion effectiveness

Recognition & celebration of successes unit/facility wide16Unit Based Safety Leader/Champions

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide17

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Questions & Discussion

Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide18

Selected References

Bergquist-Beringer et al (2009). Embracing the use of skin care champions. Nursing Management, 40(12): 19-24Champions Improve Staff Education and Compliance with Pressure Ulcer Prevention Strategies (2013).

Onslow Memorial HospitalJacksonville, North Carolina, USAandAppoint a Safety Champion for Every Unit (2014). Retrieved from the Institute for Health Care Improvement http://www.ihi.orgNelson, A. Matz M, Chen F, Siddharthan K , Lloyd J, Fragala G (2006). Development and Evaluation of a Multifaceted Ergonomics Program to Prevent Injuries Associated with Patient Handling Tasks. International Journal of Nursing Studies, 43(6):717–733.

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Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14Slide19

Selected References

Patient Care Ergonomics Resource Guide: Safe patient handling and movement. Nelson, A.L. (Ed). (2001 rev 2005). Tampa, FL: Veterans Administration Patient Safety Center of Inquiry.

Safe Patient Handling and Movement: A Practical Guide For Health Care Professionals (2006). Audrey Nelson Editor. Springer Publishing http://www.springerpub.com/Veterans Health Administration (VHA) Directive 2010-032 June 28, 2010 - Safe Patient Handling Program and Facility Design19Presented at Washington State Hospital Association LEAPT – Hospital and Worker Culture of Safety Meeting 7/18/14