Authors (including presenting author) :
Wong HT(1), Kwok MK(2), Poon YC(1), Wong KW(1)
Affiliation :
(1)Department of medicine - Intensive Care Unit, Tseung Kwan O Hospital
(2)Department of medicine - MED Specialties Services, Tseung Kwan O Hospital
Introduction :
Lean Management in Bed Making Procedure (LiBMP) was introduced to Intensive Care Unit (ICU) / High Dependency Unit (HDU) of TKOH from 1st November,2018 to 6th June,2019 to reduce the potential wrist and torso injuries due to change of dirty linens during bed making procedure (BMP).
The disposable mattress cover (DMC) is waterproof and anti-bacteria, therefore, dirt or small blood stain on the cover sheet can be easily removed. As a result, the frequency of changing the whole bed sheet under the critically ill patient can be decreased and the cleanliness can also be maintained to reduce cross contamination.
Objectives :
1.To facilitate lean management on BMP in ICU/HDU;
2.To increase overall efficiency;
3.To eliminate staff injury related to BMP;
4.To increase staff awareness on OSH related to manual handling procedure during bed making.
Methodology :
The risk factors of BMP were identified based on direct observation and interviewing staffs. As BMP was identified as a repeated task that is associated factor with potential wrist and torso injuries to nurses, substitution measure was considered, and DMC was adopted.
The process of bed making was reviewed and modified. Two Briefing sessions on the revised bed making procedure in ICU/ HDU was conducted in February to all nurses and supporting staffs for LiBMP implementation.
Result & Outcome :
Questionnaires were distributed to all ICU/HDU nurses on 25th April to 16th May after the pilot to collect the feedback for further improvement.
1.Staff satisfaction on BMP reached 70%;
2.Reduce the time of bed making procedure for each patient;
3.Maintain standard infection control measures that no report on patient infections related to dirty linen during the pilot period.
Total 30 questionnaires were returned for analysis.
1.63.3% nurses agree the project was very supportive of positive change and made thing better. As a result, the staff worked happier than before without jeopardize quality patient care.
2.93% nurses agreed LiBMP project could reduce time for making the bed during bed bathing. Total estimated 240 minutes was reduced in nursing time per day. 80% nurses worried about wrist or torso injuries before the project commencement whereas 63.3% of colleagues agreed BMP was easier to comprehend than before. 70% nurses agreed the project did not cause much disturbance and interruption to patients.
3.No infectious related dirty linen was reported during the pilot period.
