Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Force Testing Data Slide Sheets
1. Force Testing Data
Slide Sheets
A tool for encouraging staff to use slide
sheets
Corey White
Haines Medical Australia
Corey White - Force Data Testing
2. Why do this Testing?
Manufacturer - prove longevity
after washing and slip qualities of
our slide sheets
For end users to have objective
data to encourage use (Theatre
Staff)
Quantify the benefits of slide sheet
use
Corey White - Force Data Testing
3. Have you heard these Staff
Excuses?
Too hard to find the slide sheet
Don’t know how to use it
Took it home as moving this
weekend
Takes too long
Draw sheet is already there
An objective % force reduction may
help reduce these
Corey White - Force Data Testing
4. A Reminder!
Survey of 269 nurses, 40%
had an injury from Manual
handling
Manual handling activities and injuries among nurses: an Australian hospital study.
Retsas A et al. J Adv Nurs. (2000)
Corey White - Force Data Testing
5. Force Testing - Method
In a N.A.T.A. approved facility, using a
force data gauge connected to 2 points
on a draw sheet to represent one
person pulling the sheet.
Corey White - Force Data Testing
6. Force Testing - Method
A sliding device (e.g. slide sheet, rollboard, etc) was
positioned under the patient underneath a cotton/poly
draw sheet.
Patient Transfer Board was used to bridge
the gap for lateral transfers
60kg, 90kg and 150kg tested
3 transfers were measured and averaged for each move
Slide sheets were washed at Independent Laundry to
Australian Standard
Corey White - Force Data Testing
7. Force Testing - Method
Maximum Force was recorded (the
highest force detected to move the
patient – often deemed to be the
“initial force” required to get a
patient to move) as well as the
Ongoing Force (the average of the
forces required over the entire move
once moving).
Corey White - Force Data Testing
8. Limitations
Assessor may have changed angle of pull in
each test which may possibly have altered
results - 3 trials for each test were done
We only had access to one hospital mattress
thus transfer was made from one bed to the
other without a mattress however both surfaces
were kept level and we could still compare each
of the sliding tools as they all were used on the
same surface )
Patient Transfer Board was used for all lateral
transfers
Corey White - Force Data Testing
9. Initial Force to Move 90kg
Patient
167.3N vs
85.8N
Draw sheet alone Reusable Slide Sheet
17.1kgs 8.7kgs
48% reduction in initial force required
Corey White - Force Data Testing
10. Ongoing Force to Move 90kg
Patient
120N vs
69.7N
Draw sheet alone Reusable Slide
Sheet
12.2kgs 7.1kgs
Corey White - Force Data Testing
11. Varying Patient Weights
18
16
14
12
10
Initial Force (kg)
8
Ongoing Force (kg)
6
4
2
0
60kg patient 90kg Patient 150kg patient
Corey White - Force Data Testing
12. % Force Required of Weight
Moved
14%
12%
10%
8%
Initial Force
6% (kg)
Ongoing
4% Force (kg)
2%
0%
60kg patient 90kg Patient 150kg patient
Corey White - Force Data Testing
13. Reusable Slide Sheet- After 250
Washes – Ongoing Force – 90kg
89.6N vs
69.7N
After 250 Washes When New
9.1kgs 7.1kgs
Corey White - Force Data Testing
14. Up the Bed Move – No Transfer
Board
Corey White - Force Data Testing
15. A slope of 5 degrees to the
pulling end – 90kg patient
Decreased initial force required
from 103N (10.5kgs) to 47N
(4.79kgs)
Decreased ongoing force
required from 91N (9.31kgs) to
34N (3.47kgs)
Corey White - Force Data Testing
17. Roll Board Comparison
Initial Force to Move 90kg
Patient
134.3N vs
85.8N
RollBoard Reusable
Slide Sheet
13.7kgs 8.7kgs
57% increase in initial force required - Testing
Corey White - Force Data
18. PE TUBES COMPARISON
90kg Patient – Ongoing Force
73.6N vs
153.6N
SallyTube Single PE TUBES
Patient Use - 7.5kgs 15.7kgs
Corey White - Force Data Testing
19. Summary – 90kg Patient
- 48% reduced initial force
- 42% reduced ongoing force
- 5% downward slope decreased
ongoing force by 62%
(Remember all tests were one force data
gauge)
Corey White - Force Data
Testing
20. Testing Next Time
- Test without a Pat Slide for lateral
transfer
- Patient knees bent / not bent
- Alternating mattresses
- Soft foam mattresses
- With Pat Slide / Without Pat Slide
- 2 force data gauges to understand
reduction simulating 2 staff
Corey White - Force Data Testing
21. Results / Raw Data
Copy of Raw Data, Summary findings
and this presentation please contact
Corey White
cwhite@hainesmedical.com.au
Corey White - Force Data Testing