OR Manager April 2022 - 15
Employee Safety
improving ergonomics among OR
nurses.
She says they used the Cairo study
as an inspiration for their design. It
included many of the outcomes they
were striving for and an educational program.
The Cairo group saw a substantial
decrease in ergonomic injuries and staff
sick leaves.
They modeled their project after the
four-part structure of the Cairo study:
* Part A: Pre-education phase-
includes a pre-evaluation questionnaire
with demographic material,
a quiz, and pre-observations in the
OR. This phase involved two monthly
early morning team meetings and
conversations with staff members
about the challenges they were facing
and what they wanted to see
come out of the program.
* Part B: Education phase-includes
closely working with an injury prevention
specialist to produce an educational
video and presentation for
staff. The Cairo study did not include
a video.
* Part C: Post-test phase-includes
post-observations in the OR and a
test that had the same questions as
the quiz in Part A but with different
demographic questions. " We wanted
to know how the staff felt about the
education we presented to them and
whether they felt better prepared to
undertake ergonomic tasks, " she
says.
* Part D: Education phase for the
future-includes education for all
new staff and yearly education on
ergonomic practices for all OR staff.
Garbarino adds that they are hoping
to expand the education sessions to
staff in other areas of the hospital
who move patients, move supplies,
and move equipment.
The team created their quizzes using
REDCap (Research Electronic Data Capture).
REDCap is a web-based application
developed by Vanderbilt University
in Nashville, Tennessee, which can be
www.ormanager.com
used to create surveys and quizzes
that can be sent out online. REDCap is
free for nonprofit organizations and is
HIPAA (Health Insurance Portability and
Accountability Act) compliant. As more
people take the quiz, that data updates
in real time.
A total of 124 staff members took
the initial pre-education quiz, for a
participation rate of 83%. The average
quiz score was 68%, which Garbarino
says the ergonomics taskforce knew
they would be able to improve with education.
the
success of the safety practices
and project.
" Having the staff's perspective was
extremely important to us, " says Garbarino.
" We wanted this to be something
that worked for the staff and kept them
safe. We based a lot of our training on
staff feedback gleaned from questions
we asked them. "
Among the questions were:
* " What do you need for ergonomic
training? "
* " What are we lacking? "
* " What can we offer you? "
* " What do you want to see more of? "
* " What are your ergonomic challenges
when carrying out high-risk
tasks? "
Years of repetitive
high-risk tasks
lead to cumulative
injuries.
* " What would you like to see in your
education sessions? "
Garbarino says they got many of
the same responses from staff, but,
overwhelmingly, they wanted a video of
the safety practices being performed.
The AORN seven ergonomic tools were
invaluable in writing the script for the
video, she says, as well as for writing
the quizzes.
Short-term, long-term goals
" We set out goals early on and we stuck
to them, " Garbarino says. The ergonomics
taskforce's short-term goals were to:
* decrease the incidence of staff injuries
in the OR setting
* decrease absences due to work related
injuries
* increase staff knowledge with educational
classes
* increase staff perceptions of safety
and preparedness when performing
ergonomic tasks.
Their long-term goals were to:
* provide education for new staff members
and yearly education for existing
staff
* lower the cumulative effects of workrelated
injuries over time
* conduct regular audits to ensure
safe practices became ingrained in
the culture
* get feedback from staff members on
COVID-19 roadblocks
" COVID-19 hit us midproject
and presented
us with a huge challenge, "
says Taneka
Curtis, MHA, BSN, RN,
CNOR, nurse manager
at the Hospital of the
University of Pennsylvania.
Elective cases had
stopped, and staff were
not readily available.
Taneka
Curtis, MHA,
BSN, RN,
CNOR
" Our unsung hero was our timeline, "
says Garbarino. " We didn't realize when
we created it how essential it would be,
but having a strong, detailed timeline
helped the team stay connected and
stay on task " (sidebar, Ergonomics's
Taskforce Project Timeline).
The timeline had specific tasks that
had to be completed each month. It had
Continued on page 16
OR Manager | April 2022
15
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OR Manager April 2022
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