Competency Statement: Manoeuvring an In-Patient with a Spinal or Suspected Spinal Injury.

Transcription

1 Competency Statement: Manoeuvring an In-Patient with a Spinal or Suspected Spinal Injury. 1 st Level 2 nd Level 3 rd level 4 th level Competently participate as part of the manoeuvring team; To turn (Log roll) To lateral transfer For a patient with a spinal or injury:- Describe the aims of correct manoeuvring and positioning of spinal injured patient. Describe how spinal alignment will be maintained whilst manoeuvring the patient. Discuss, with specific reasons, the requirements of a spinal injured patient with regards to: Bed Mattress Environment. All of Level 1, plus appropriate handling requirements for a patient with a spinal or suspected spinal injury:- Handling, Positioning Turning Lateral transfer In accordance to nature and level of spinal injury for all of the below:-. Describe basic anatomy and physiology of the vertebrae, spinal nerves and spinal cord. Describe a stable and unstable fracture of the spine awareness to check if neck clearance has been documented in medical notes All of Level 1&2, plus To lead appropriate handling requirements for a patient with a spinal or suspected spinal injury:- Handling, Positioning Turning Lateral transfer Transferring for investigations or to other unit In accordance to nature and level of spinal injury for all of the below:- Be able to undertake the role of team leader by ensuring the following:- To understand implications of spinal injury and ensure correct techniques are employed and care plan instigated and maintained in accordance to patient need. All of Level 1&2&3 plus To lead in the continued development of handling requirements for a patient with a spinal or injury:- troubleshooting knowledge to include other possible injuries Manage and lead assessment process, instigate more indepth investigations indepth knowledge of spinal anatomy and physiology Utilise expert judgement to facilitate timely referrals to specialist practitioners or critical care to improve patient outcome

2 your role & responsibility within the manoeuvring team in relation to correct:- Positioning within the team Placing hands correctly on patients body in order to support the the need to listen & follow instructions from team lead throughout the. Awareness for additional person in manoeuvring team on opposite side of bed to:- Check Skin Maintain hygiene needs Check all potential pressure areas for signs of redness or skin damage Underlying sheet is smooth & free from any particles of debris. Describe how to Triple immobilise patient as required in relation to level of spinal injury awareness to check for any manoeuvring restrictions as per medical notes. Describe the requirements of head holding & log rolling with regard to level of spinal injury & taking into account other injuries.. Assess requirements & plan for frequency of moves, with regard to patients skin care and elimination needs ability to explain manoeuvring procedure to patient and team responsibility that patient and team understand requirements prior to initiating move. Ensure team / patient understands their requirements within a specified spinal. Be able to head hold for s and lateral transfers. continuous monitoring throughout the to ensure patient s alignment is maintained. Be able to lead the team to ensure all practitioners within team & patient are ready before commencing the and demonstrate clear instructions of Ready, set, move to coordinate each stage of the Refer to healthcare professional, recognising personal and professional limitations assessment including sensory and motor function, at beginning and end of a & Act as an expert resource advising, teaching and supporting,members of health care team, patients and relatives Lead and contribute to the Trust Falls policy, whilst sustained a injury.

3 Work within the Trust sustained a suspected spinal injury. responsibility to leave patient post ensure spinal alignment, dependant on patient drinking tube / call bell to hand. Feet positioned. If applicable, collar care and teach patient responsibility to check correct positioning of cervical collar (if insitu) and neck is supported in neutral position Initiate the Trust sustained a injury. document. Lead in lateral transfer as required for MRI, CT scanning ensuring spinal alignment is maintained continued assessment of spinal injured patient in relation to moving and handling requirements. Ensure to refer to medical notes or request further advice for confirmation of spinal If applicable Correctly measure and fit cervical collar as required by patient Teach Cervical collar care to members of Health care team Lead within the Trust that has fallen, as an a injury.

4 Portsmouth Hospitals NHS Trust Consent Policy. Portsmouth Hospital Patient Handling Policy. PHT Falls Policy for the nursing and Midwifery assessment and management of adults who are in-patients and are at risk of falling or who have already fallenappendix 3 In-house Training as per competency. Level 1 In-house training updates. The Royal Marsden hospital Manual of Clinical Nurse Procedures (8 th Ed.) pages Moving and positioning of the patient with spinal compression. Education resources to support your development Level 1 and 2 Acute management of spinal cord injury: The Duke of Cornwall spinal Treatment Centre, Salisbury. Bowel Care for patients with a Spinal cord Injury: The Duke of Cornwall spinal Treatment Centre, Salisbury. Level 1,2 and 3 Author: Ross Sherrington and Jo sawyer Department: MSK Review June 2015 Record of Achievement. To verify competence please ensure that you have the appropriate level signed as a record of your achievement in the boxes below either by the educator/ trainer if attendance on study session and or the workplace assessor when performed in practice. Level 1 Level 2 Level 3 Level 4 Signature of Educator or/trainer References to Support Competency 1 Grundy,D., Swain, A. (2002) Management of Spinal Cord Injury. 2 Kneale, J,. Davis, P.(2005) Orthopaedics and Trauma Nursing (2 nd Ed),Churchill Livingstone 3 Maher, A., Salmond SW, Pellino A., (2003) Orthopaedic Nursing (3 rd Ed) WB Saunders Company 4 NMC.(2008) Code of Professional Conduct. London: NMC. 5 Royal Marsden Hospital. (2011) Manual of Clinical Nursing Procedures Mallet, J and Dougherty, L (8 th Ed) Blackwell PP Harrison,P. (2007) Managing spinal Cord Injury: The first 48 Hours. Milton Keynes, Spinal Injuries Association. 7 SIA (2000) Managing spinal injury: Critical Care.

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