Perioperative nurses have several high-risk tasks. Musculoskeletal disorders (MSDs) are severe problems, while preventive measures are mostly insufficient. The ‘Ergonomic patient handling card®’ education scheme was introduced in Finland in 2009 aimed at improving both nurses’ and patients’ safety. Experiences of this multicomponent program from the care units and home care are good; the physical workload and sickness absences due to MSDs are decreasing. As the perioperative nurses’ work in operating rooms (OR) varies considerably from the work in care units, a special education scheme needed to be developed.
OBJECTIVE:
The aim was to plan the ‘Ergonomic patient handling card®’ perioperative care education scheme [later pCard] and to define competencies, skills, and knowledge levels required to perform perioperative work safely, complying with legislative requirements, OR-safety and care quality.
METHODS:
Using a focus group and risk assessments in the acute care hospital the most stressful tasks in ORs in Finland were defined. The planning of the pCard content was based on the risk analysis aimed at defining competencies to mitigate the physical risks and on the evaluation of two pilot courses.
RESULTS:
The requested, approved corrections were incorporated into the new pCard scheme. Practical training emphazises working with safe methods and the safe usage of appropriate equipment.
MeijsenP, KnibbeH. Work-related musculoskeletal disorders of perioperative personnel in the Netherlands. AORN J. 2007;86(2):193–208.
2.
BosE, KrolB, StarL, GroothoffJ. Risk factors and musculoskeletal complaints in non-specialized nurse, IC nurse, operation room nurse, and X-ray technologists. Int Arch Occup Environ Health. 2007;80:198–206.
3.
ChoobinehA, MovahedM, TabatabaieA, KumashiroM. Perceived demands and musculoskeletal disorders in operating room nurses of shiraz city hospitals. Industrial Health. 2010;48:74–84.
4.
Nieves Serratos-PerezJ, Hidalgo-ValadezC, Negrete-GarciaMC. Ergonomic risks in operating rooms: An unexplored area in mexico. Science Direct, Procedia Manufacturing. 2015;3:67–73.
5.
Gremark SimonsenJ, ArvidssonI, NordanderC. Ergonomics in the operating room. Work. 2012;41:5644–6.
6.
HughesNL, NelsonA, MatzMW, LloydJ. AORN Ergonomic Tool 4: Solutions for prolonged standing in perioperative settings. AORN J. 2011;93(6):767–74.
7.
SperaP, LloydJ, HernandezE, HughesN, PetersenC, NelsonA, SprattD. AORN ergonomic tool 5: Tissue retraction in the perioperative setting. AORN J. 2011;94(1):54–58.
8.
WatersT, BaptisteA, ShortM, Plante-MallonL, NelsonA. AORN Ergonomic Tool 1: Lateral transfer of a patient from a stretcher to an OR bed. AORN J. 2011;93(3):334–9.
9.
WatersT, BaptisteA, ShortM, Plante-MallonL, NelsonA. AORN Ergonomic Tool 6: Lifting and carrying supplies and equipment in the perioperative setting. AORN J. 2011;94(2):173–9.
10.
WatersT, LloydJD, HernandezE, NelsonA. AORN ergonomic tool 7: Pushing, pulling, and moving equipment on wheels. AORN J. 2011;94(3):254–60.
11.
WatersT, ShortM, LloydJ, BaptisteA, ButlerL, PetersenC, NelsonA. AORN ergonomic tool 2: Positioning and repositioning the supine patient on the OR bed. AORN Journal. 2011;93(4):445–9.
12.
WatersT, SperaP, PetersenC, NelsonA, HernandezE, ApplegarthS. AORN Ergonomic Tool 3: Lifting and holding the patient’s legs, arms, and head while prepping. AORN J. 2011;93(5):589–92.
HignettS, FrayM, RossiM, Tamminen-PeterL, et al. Implementation of the manual handling directive in the healthcare industry in the european union for patient handling tasks. International Journal of Industrial Ergonomics. 2007;37:415–23.
16.
RantsiH. Potilaan liikkumisen avustus- ja siirtomenetelmien opetus sosiaali- ja terveysalan oppilaitoksissa. Selvityksiä 2005:26. Sosiaali- ja terveysministeriö. Helsinki.
17.
KiviniemiK. What is the role of management in reducing aged care physical workload? Presentation in NIVA-course Ergonomics and New ways of Working in the Field of Aged Care at Home, Helsinki, Finland, 2017, pp. 24–25.
18.
JägerM, JordanC, TheilmeierA, et al. Lumbar-load quantification and overload-risk prevention for manual patient handling – The Dortmund Approach. In:
R. Mondelo P. Karwowski W. Saarela K et al. Editors. Proc of 8th Int Conf Occup Risk Prevention ORP 2010, CD-ROM, 2010 Valencia, Spain.
Tamminen-PeterL, NygrenK, MoilanenA. Ergonomic criteria and good practices for bariatric patients’ care. In Proceedings of NES-Conference, Kuopio, Finland, 2016.
21.
Tamminen-PeterL, FagerströmV. Did the Finnish ‘Ergonomic patient handling card®’ -scheme evoke changes in vocational education and workplaces? In the Proceeding of 5th International Conference on Applied Human Factors and Ergonomics AHFE, Krakow Poland, 2014.
22.
YasakK, VuralF. Investigation of the Physical ergonomic conditions of the Operating Rooms in the Province of Izmir. Proceedings of the 2nd Asian Conference on Ergonomics and Design, 2017.
HalbeckS, LowndesB, AbdelrahmanA, BingenerJ. Impact of intraoperative microbreak exercises on surgical team performance. In HEPS 2016 Conference Proceedings. 2016.
30.
Coleman WoodKA, LowndesBR, BuusRJ, HallbeckS. Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room. Work. 2018;60:649–59.
