Let’s get it clear: Do no harm! Know your power

Let’s get it clear: Do no harm! Know your power

While some of the seating standards include screening of cushions used in seating, including their physical properties and durability, other requirements offer guidance also. One such assistance file (ISO/TR 16840-95) is around making use of a pressure mapping system as a day-to-day tool to examine the pressure redistribution characteristics of a seating system, and at the exact same time offering feedback to optimise the threats and benefits of various placing set-ups of the seating system.

Related.

Where you require a positioning belt for a wheelchair user, do you demand that it has been tested to BS ISO 16840-33? Many belts may look the very same, but lots of will not pass these tests (see box).

BS ISO 7176-19 Wheeled mobility devices for usage as seats in automobile.

BS ISO 16840-3 Wheelchair seating. Decision of static, effect and recurring load strengths for postural support gadgets.

This approach does not necessarily take account of the long-term extra expenses that a short-term cheap service deals. The best product requires to be offered to do the ideal job to meet your expert standards …, and deliver the best outcome for the customer. Know your power!

Do you follow BS 86254 when you select and place a belt or harness to a chair (note that this basic covers shower chairs as much as wheelchairs)? Frequently this had actually occurred since pelvic placing belts were being put at 45o throughout the hips (like a vehicle or plane seat security belt) rather of across the thighs.

Dr Barend ter Haar has been associated with seating and movement for over 30 years, consisting of lecturing internationally and developing international seating requirements.

Medical professionals swear the Hippocratic Oath as their ethical code for ethical conduct and practice in medicine, which, after starting: “I swear by Apollo the doctor, by Aesculapius, Hygeia, and Panacea …” goes on to consist of the most frequently priced estimate statement “I will prescribe regimens for the good of my clients according to my ability and my judgements and never ever do damage to anybody.”

However how do we prevent possible damages to wheelchair users outside car transportation? The earlier BS/ISO requirements (the BS/ISO 7176 series) focused on security aspects of the wheelchair. From these, purchasers of tested devices ought to be positive that the wheelchair will stand up to daily use, consisting of on rough terrain, be electrically safe, be fire resistant, be safe in lorries, and so on. The next generation of standards looked more at the security of the seated wheelchair resident (the BS/ISO 16840 series). Regardless of the importance of these requirements, they are still not being utilized commonly enough, either by those managers involved in devices choice, nor by clinicians recommending it. Thus this is one location where possible harms are still taking place.

These days most prescribers of a wheelchair, that would be used in a vehicle, would first ask whether it, and its seating system, had actually been crash-tested (by crash-tested, they actually imply crash-worthy i.e. that it had actually passed the test!). What they are truly asking is whether the wheelchair had passed BS ISO 7176-191, and if the seating system (if a different unit) had passed ISO 16840-42. (Interestingly, much of the transport standards were initially oriented around avoiding harm to other car residents from the wheelchair and its parts ending up being loose in the lorry in an accident!).

BES Healthcare and MOVE (a charity which provides training for organisations and schools to make it possible for disabled young individuals to get independent movement) just recently provided a webinar on the Do No Harm subject which can be seen at https://youtu.be/SMsx9dIx-oo.

Your professionalism indicates that you constantly want the best result for your customers and the concept of Do No Harm will resonate with you. Do not accept 2nd best. Be aware that you really do have the power to apply this concept and effect change.

ISO 16840-4 Wheelchair seating. Seating systems for usage in motor cars.

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For best practice guidelines in transportation, download a pdf of BPG1: Transportation of People Seated in Wheelchairs from https://www.pmguk.co.uk/resources/best-practice-guidelines/.

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BS 8625:2019 Selection, positioning and fixation of versatile postural support gadgets in seating. Specification.

Often structures and bureaucracy can get in the method, you do have it in your power, and certainly it is your obligation, to supply the finest solution available at the time for the customer. Sometimes this service may cost a bit more at first, but similarly may not require to be replaced so frequently long term. Proper services might well prevent longer term harms by controlling a source or correcting of something that otherwise will need correction, with a lot more additional cost in the future. The true costing of a solution requires to keep in mind the life-time costs, both scientific and monetary.

Click to check out more from the Lets get it clear series from Dr Barend ter Haar.

To assist you make the very best choices on devices, it is well worth asking your suppliers to offer you with these standardised objective information (obtained from appropriate standards testing), to assist you choose the best seating materials for your client.

A penny invested, a pound saved.

Why do procurement departments need your aid? The reason is that nowadays there is a lot choice in the market, arising from lots of business purchasing designing and producing items that have small, however substantial, incremental improvements for chosen groups of patients. It is for that reason essential that clinicians bring procurement departments updated with not just the brand-new options on offer to the marketplace, however also the standards to which they must have been tested.

The next generation of standards looked more at the safety of the seated wheelchair occupant (the BS/ISO 16840 series). Do you follow BS 86254 when you select and position a belt or harness to a chair (note that this basic covers shower chairs as much as wheelchairs)?

ISO/TR 16840-9 Wheelchair seating. Clinical user interface pressure mapping standards for seating.

Safety in seating.

In this months post, we take a look at the duty of care that must be practiced towards our customers by us as prescribers. This is as relevant whether we are working within the commercial sector or as an allied health specialist in the general public sector. Our responsibility is always to provide our client the very best possible service for maintaining or improving their health outcome. We understand this obviously, but what are the barriers in the way, and what powers do we have to get rid of these barriers?

In conclusion.

These days most prescribers of a wheelchair, that would be used in a car, would initially ask whether it, and its seating system, had been crash-tested (by crash-tested, they really suggest crash-worthy i.e. that it had actually passed the test!). What they are truly asking is whether the wheelchair had actually passed BS ISO 7176-191, and if the seating system (if a different system) had passed ISO 16840-42.

Further products can be discovered at www.beshealthcare.net. If you are interested in receiving additional details on the subject, please contact barend@beshealthcare.net.

Setting standards?

Although its physicians who swear the Hippocratic Oath, undoubtedly this should use similarly to everyone associated with providing client care?. Stories abound of cosmetic surgeons who have declined to carry on with an operation because they were not delighted with the equipment they were being provided with, be it due to not having been appropriately cleaned up and sterilised, or since they thought about a piece of procured devices not being fit for their purposes. For the sake of the client, shouldnt all health professionals put their heads above the parapet and make the very same stand if they find themselves in a circumstance of concern regarding whether they are offering the best service?

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