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Recommendations for Turning Patients With Orthopaedic Impairments

Gonzalez, Cynthia M.; Howe, Cynthia M.; Waters, Thomas R.; Nelson, Audrey

doi: 10.1097/NOR.0b013e3181997a64
Article

Nurses and other caregivers face high risk for developing work-related musculoskeletal disorders associated with turning (logrolling) patients with orthopaedic conditions. The task is considered high risk on the basis of weight limits and awkward positioning. A task force including representatives from the National Association of Orthopaedic Nurses the American Nurses Association, the National Institute for Occupational Safety and Health, the Patient Safety Center of Inquiry at the James A. Haley Veterans Administration Medical Center in Tampa, Diligent Services, and Guldmann, Inc., developed an ergonomic tool for determining best practices for safe patient turning. Scientific evidence, concepts of ergonomic safety, and safe patient handling equipment were incorporated into this ergonomic tool.

Cynthia M. Gonzalez, MSN, RN, OCNS-C, APN, National Association of Orthopaedic Nurses, and Nurse Educator, Weiss Memorial Hospital Chicago, IL.

Cynthia M. Howe, MSN, RN, ONC, National Association of Orthopaedic Nurses, Chicago, IL, and Director, TCU, City Hospital, Martinsburg, WV.

Thomas R. Waters, PhD, CPE, National Institute for Occupational Safety and Health, Cincinnati, OH.

Audrey Nelson, PhD, RN, FAAN, Patient Safety Center of Inquiry, James A. Haley VAMC, Tampa, FL.

Disclaimer: The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the National Institute for Occupational Safety and Health. The NAON recommendation reflects the views of the clinicians and scientists participating on the task force.

The authors have disclosed that they have no financial relationships related to this article.

© 2009 National Association of Orthopaedic Nurses