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Force Testing Data
Slide Sheets

A tool for encouraging staff to use slide
sheets

Corey White
Haines Medical Australia




                               Corey White - Force Data Testing
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
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
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
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
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
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
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
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
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
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
% 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
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
Up the Bed Move – No Transfer
Board




                  Corey White - Force Data Testing
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
Reusable Slide Sheet
Consistency

Both Sides / All 4 Directions


6% Variation
                    Corey White - Force Data Testing
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
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
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
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
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

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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
  • 16. Reusable Slide Sheet Consistency Both Sides / All 4 Directions 6% Variation 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