Healthcare Project: Bethesda Hospital's Premium Patient Lifter System

Desklib provides past papers and solved assignments for students. This project details the implementation of a patient lifting system.

PRM6001
Project Management and Risk

Contents
Introduction......................................................................................................................................2
Task1................................................................................................................................................3
Task2................................................................................................................................................6
Task 3.............................................................................................................................................11
Summary........................................................................................................................................15
References......................................................................................................................................16
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Introduction
In healthcare organizations, a patient lift could be a sling lift or patient in and out of the bed lift.
Lifting device allows assisting a patient in a healthcare organization and nursing homes by
offering services of patient lifting in special conditions by using electrical or hydraulic sources.
Sling lifts are mainly used for the patient who could not able to move or whose mobility is very
hard. These patients could be of any age and lifting system affects the daily life of these patients
with ease of doing. It is so powerful and tested for loading heavyweight patient that allow
caregivers to reduce their stress for moving a patient, and it can easily reduce the number of staff
that is required to lift and move a patient. The biggest advantage of lifting is it reduces the
chance of injury that may be possible during lifting of a patient. But it also has a dark side like a
normal mistake during patient lifting may result in orthopedic injury or sometimes can because
of improper use of the lifting system. So it is very important to make a good investment on
training session of staff on the use and maintenance of patient lifting system. The whole paper is
contributed to gathering what kind of training and maintenance they needed from the supplier
organization and evaluation of the cost of training that will invest.
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Task1
Proposed project and its need
Bethesda Hospital is a prestigious healthcare organization who dedicatedly works on the
improvement of internal core business functions to provide the best care to their patient. So as a
part of a team of an ongoing project for patient lifting in and out of bed, who works in a
healthcare organization Bethesda Hospital, designed a patient lifting system and named it
Premium Patient Lifter. All the equipment for Premium Patient Lifter needed to procure, and the
supplier is not in list of approved supplier. The installation and use of the system required some
kinds of special training and maintenance of the system from the supplier organization. Premium
Patient Lifter is a special kind of system which is capable of loading a patient to lift out or in a
patient from bed using the manual or electric power source. The Premium Patient Lifter consists
of rechargeable battery and other manual equipment could be operate using hydraulics.
The equipment which is supplied by the supplier is a mast, a boom, spreader bad, a sling and
number of clips to secure the sling. The Premium Patient Lifter could be operating manually or
through hydraulic power. Premium Patient Lifter has six major drivers called a support base
which includes caster that allows lifting to roll, mast, boom, lifting system, swivel bar, and seat
also called sling. This model has a good quality of caster-brake to prevent the base of the
Premium Patient Lifter from moving during the lifting process. This is a U-Shape design that
connects with a base to boom and supports the lifting process.
Bethesda Hospital always keen to have a system that could enable them to handle a patient who
has a serious injury, disabled patient and to make improvement in the labour ward. The
organization needed to have a Premium Patient Lifter to safely enable staff to lift a patient during
caring and to assist the staff in handling a patient who is weak, obese or disabled. The goal
behind preparing the design is to provide a Premium Patient Lifting solution that can facilitate
hospital staff to lift out or into the bed as per need by caring in all safety and health issues.
During this design, we also have considered the ward size and critical aspect to tailor the design
that could best be fitted within the environment of the hospital. The ultimate goal to consider this
product is to completely manufacture this using the material that is available in-country domain
(Fda.gov, 2019).
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Critical evaluation for selected life cycle
For the implementation of the premium patient lifter, we have selected “Standard” Project Life
Cycle. Within this kind of project life cycle the first phase is planning; allow preparing
objectives and identification of need. A feasibility study has been performed to document
business case with all recommended solutions and a final recommendation solution has been
identified. Once the first phase of the recommended solution completed and approved, it is
moved to another step that is the implementation phase. This phase allows getting all equipment
that is needed to design a patient lifter. During the installation of the device, it is very important
to maintain control of the overall system and communicate with another member of the team.
The whole process of configuration and installation are recorded to match the requirement
identified in the initial phase. Once the installation phase is complete, it is required a training
phase to operate it. Within the training phase, supplier organization assigns an engineer as per
the demand of client organization that is Bethesda healthcare organization and provides training
sessions for controlling and monitoring of the system. Once the training session is complete now,
in the end, it is a time of testing. Testing phase states about efforts of all the above phase that is
implemented that was performed. During testing, a staff controls the premium patient lifter by
checking its installation, connection and by lifting a person. Once all phase is completed, it is
required to assign an engineer for maintenance of powerlifter.
Suitable methodologies
To ensure safety and health use of lifting system, it is most important to have risk assessment and
best training session for the staff, nurse and technical team. Best training sessions allow avoiding
the unconditional issues that may be raised with the system. It is recommended to care about
suitable equipment and government approved to avoid legislative issues. There are to suitable
methodologies for a premium patient lifter called use and maintenance and the other one is
setting up an environment where it can be used. There are should be a long term stable power
source with the latest wiring techniques to avoid unconditional issues.
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Timeline to successful install the Premium Patient Lifter is as follows
S.No Phase of lifecycle Time required
1 Identification and documentation
for Required Equipment
3 Days
2 Installation 5 Days
3 Testing 2 Days
4 Training 10 Days
5 Maintenance As Needed (2 Days Approx.)
The budget for the proposed patient lifter is as follows:
S.NO Factors Costing
1. Equipment £10000
2. Annual Maintenance £7000
3 Repair cost £100
4. Service cost annually £500
5. Charges for callout an expert £100
6 Charges for Training £5000(For 20 Staffs)
Total £22700
(Innova Care Concepts, 2019)
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Task2
Risk assessment
Within this assessment, we have to perform a risk assessment for the proposed project Patient
Lifting system to in and out of bed including procurement of correct equipment, needed training
for use and also with requirement of maintenance. Use of proposed project, caring of system and
equipment, procurement of equipment and etc. are the major risks that could be rise with the
proposed project. These risks associated with lifting, transferring, and mobility of the patient. A
Premium lifting patient sometime could raise a condition and be a deplorable, inefficient and
also hazardous for the staff. It also could because suffering and serious injury to the patient
including extreme pain, skin tears, dislocation, and sometimes fracture. Research has
demonstrated that patient lifting is amazingly unsafe to medicinal services labourers, making the
considerable danger of low-back damage, regardless of whether with a couple of patient
handlers. Concentrates on the utilization of mechanical patient lift gear, by either nursing staff or
lift groups, have demonstrated more than once that most nursing staff back damage is
preventable, prompting considerable funds to businesses on therapeutic and pay costs. Since the
medicinal services industry has depended on individuals to take the necessary steps of machines,
nursing work remains the most unsafe occupation for incapacitating back damage. Back damage
from patient lifting might be the single biggest supporter of the nursing lack, with maybe 12% of
medical caretakers departing or being ended due to back damage. The US social insurance
industry has not kept pace with different businesses, which give mechanical lift hardware to
lifting loads equal to the heaviness of patients, or with different nations, for example, Australia
and England, which are further developed in their utilization of present-day innovation for
patient lifting and with no-lifting rehearses inconsistency with government guidelines and
nursing strategies restricting manual lifting. There are several risk factors associated with the
proposed system that may increase the chance of injury.
 Too heavyweight- There is no such weight limit has been defined by the engineers. It is very
serious that could happen while lifting a patient.
 Unbalanced- it is very important to maintain the centre of gravity during the lifting. If the
system becomes unbalance during lifting it may be a patient can get injured.
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Issue during procurement
The issues that can be raised during the procurement of equipment for the patient lifting system
are as follows:
 Base- The base is the most important part of the system which requires special attention
during procurement. If an individual didn’t check the quality of base, then the whole design
of the lifting system get fail and cause serious injuries.
 Lack of market research- Lack of market research about the equipment that is required to
design a complete caregiving system can result in high loss. Because it may possible that
other suppliers sell required equipment at low prices or they have much better equipment.
 Selection of equipment- The issue associated with the selection of equipment states that if a
team selects the equipment without testing and during installation or handling a patient the
part of the system could be failing.
The issue that could be raised during Installation
 Use of equipment without testing by the experts.
 An unstable load of power could raise a bigger issue for the installer.
 Insufficient amount of room size to carry out the activities.
 A bad position of the lifting equipment can cause muscular pain or bend in elevated arms.
 Variation of working floor level which requires a different level of load.
 Another risk associated during the installation phase is unstable temperature, the humidity of
room and ventilation. This type of risk can unstable grip on the equipment or hand numb.
 It is also a serious case of an insufficient amount of light which could result in a serious
accident or forcing to work in an improper way.
 Lack of personal and professional experience about the procedure of installation of
equipment can also result in failure of the project.
 Apart all of this a patient lifting system can cause injuries if the load get increase suddenly.
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Issue during testing
The issues that are associated with the use of patient lifting equipment are:
 The issue related to the load of the patient during lifting or moving the base of the lift during
the lifting. This could be raised because of the use of wrong kinds of slings
 Falling from the lift during testing of the system could affect the whole working team.
 Poor communication between the team member or lack of confidence.
 Lack of good quality of cable can also create an issue with the complete system (Oshwiki.eu,
2019).
Recommendations
The risk assessment activities on equipment procurement and training allow us to identify all
recommendation that should be available within the contract and it is also very important to
perform the task to make a recommendation that should be maintained in the contract for
maintenance and training. Healthcare organization should have to make a contract with the
domain organization for all pre-build phase, installation training, and maintenance training. The
engineer should provide a detailed overview of the potential issue or risk about the system design
and possible improvements that could be made to avoid the risks. The organization has to take
necessary action to avoid the construction-related risks by:
 Creating a policy that only allows purchasing equipment after detail testing and measuring
the safety requirements.
 Creating requirements in tender about the health and safety to match the criteria of
government legislation.
The recommendation that should be quoted within the contract for the maintenance of the system
that is purchased from the supplier should include:
 Preventive maintenance- The healthcare organization should make a contract with the
supplier organization for preventive maintenance to identify risks and make improvements.
This type of preventive maintenance considers inspections of the system to identify the risks
that are available or could rise in the near future. The engineer who comes for the inspection
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should be enough experience to create risks assessment strategies and make an improvement
to reduce the chance of risk.
 Routine maintenance- Routine maintenance within the contract should also be proposed to
adjust or lubricate the system to perform well and satisfy the patients and staff who use this
system.
 Compliance maintenance- This is another type of maintenance inspection that should be
mention in contract to satisfy the requirement by the support of trained inspector and
technicians.
The entire above proposed maintenance and inspection task should be mentioned in a bundle of
contract and should be accepted by the domain supplier.
The recommendation that should be quoted within the contract for the training of the employees
of the Bethesda hospital should include:
 Selection of staff- The recommendation for the training that should be available in the
contract is the selection of staff from all department including managers, nurse, ward boy and
the doctors too. All these types of staff should be trained and able to carry the work without
risks.
 Training for installation- The contract for training should also conclude a recommendation
for the training for installation because a professional can train in a more convenient way to
use equipment and accessories during the installation.
 Training for the manual and automated system- Patient lifter could be operated in both
automated and manual approach, so it is required to mention a recommendation for the
training about the use of the system for both manual and automated way.
 Handling of patient lifter- Within the contract, it is also mentioned that the engineer or a
trainer will assist the hospital staff in handling the patient lifter practically while lifting a
patient in and out of bed.
 Special session- The healthcare organization should have a contract with the supplier that
they will get special session whenever it is required in the handling of equipment,
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replacement of equipment and monitoring of the system (Safe Patient Handling - Equipment
Purchasing Checklist, 2019).
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Task 3
Consideration for selection of team members
It is very difficult but important to make a selection of a team member for the projected premium
patient lifter. A good selection of team member could help to successfully implement the whole
concept and successfully design the proposed project. To select the team member, it is very
important to analyze all departments of the healthcare organization. As we have analyzed the
organization has several leaders, technical experts, and CIOs who can contribute effectively in
installation and configuration of the proposed project. The following role should be covered to
create an effective team.
 Clinical leadership- The team member from the clinical leadership can effectively test and
implement the equipment and could resolve the minor issue arise in the process.
 Technical leadership- The individual member from the technical expertise has deep
knowledge about the equipment handling, area inspection for the suitability, power
connections and humidity of the environment.
 Day to day leaders- The selection of team member with having leadership skills in day to day
activities can help to plan the whole day working activities with considering the issue and the
possible solutions. This type of team member could help in data collection, analysis and
quick change in the implementation plan and also can effectively communicate with the other
team member to perform activities.
 Project sponsors- A member from the project sponsor has all the skills to monitor the
expenditure for equipment, detail knowledge about the dark side of the equipment and can
collaborate with higher authorities of management and suppliers. This type of member didn’t
participate in the day to day activities with the team. He/she can join the team as per the
requirement to check the progress of project design and assist the team in obtaining the
required assets and in resolving the barriers.
A well-managed team for QI in between six to ten should also be there. The major concern is not
the number of a team member but the quality based skills that could help in the implementation
of the proposed project successfully. The successful completion of a task depends on a different
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