Redefining Patient Handling Hoist Identification Tool (HIT)
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Hoist Identification Tool (HIT) Redefining Patient Handling

Introduction The hoist identification tool (HIT) is designed to assist those people in the health and social care sectors who have the responsibility for undertaking or contributing to generic manual handling risk assessments and ensuring that suitable and sufficient equipment is available to meet assessed needs relating to any particular ward, department, unit or facility. This could include back care advisors, ward/department/directorate managers and owners and managers of nursing and residential facilities. The tool can be used to demonstrate to line managers and budget holders that an...

FIM Score Explained Before using the hoist identification tool, it is important to understand how FIM scoring works. FIM (Functional Independence Measure) is a widely used tool, particularly within the field of rehabilitation and involves the classification of a person’s mobility according to 7 levels of function, from independence to total assistance. (Granger CV, Hamilton BB, Linacare JM, Heinemann AW, Wright BD, Performance profiles of the functional independence measure. Am J Phys Med Rehabill 1993; 72:84-9). Independent Another person is not required for the activity. (NO HELPER)...

Important Information Before Using the Tool The range of equipment appropriate to a particular ward, department or care facility should be identified as part of an adequate generic manual handling risk assessment carried out in compliance with the Manual Handling Operations Regulations 1992 (as amended) and any local manual handling policy. The table below indicates the type of equipment that may be appropriate in respect of each broad functional independence category of patient/person in order to ensure that safer handling practice can be facilitated. A person-specific risk assessment must...

Generic Manual Handling Risk Assessment Guidance The checklist below and examples on the following pages can be used to identify hoist requirements as part of the generic risk assessment process to ensure that the number and range of hoists are suitable and sufficient for the work area, taking into account any relevant factors including: 1. Number of patients/people in total 2. Functional Independence (see page 5) Consider the number of patients within each classification 3. Weight/BMI of patients Care should be taken not to exceed the load limits of the hoist equipment 4. Number of...

Passive Hoist Identification Example 1 Using example 1 below and the information on pages 4 to 6, the number of passive hoists required for the area being assessed can be calculated. Step 1 Total number of beds. Step 2 Number of nursing teams at busiest period. Step 3 Divide number of beds by number of teams to calculate your key number. Step 4 Your key number is now 6. Use multiples of your key number (result from Step 3) to complete column 1 in the table below. Step 5 Now consider the average number of people in the area being considered who have a FIM score of 1 or 2. For example, about...

Example 1 The particular type(s) of passive hoist required will depend on a number of factors. Assessors should consider their requirements, based on their generic risk assessment, considering the usual factors including: n Load (likely capability and anthropometrics of patients/people) n Individual (skill, training, experience) n Task (type, timing etc) n Environment (location, space, surface etc) n Budget (cost of transfer)

Example 2 Step 1 Total number of beds. Step 2 Number of nursing teams at busiest period. Step 3 Divide number of beds by number of teams to calculate your key number. Step 4 Use multiples of your key number (9) and complete column 1 below. Step 5 Now consider the average number of people in the area being considered who have a FIM score of 1 or 2. For instance, two thirds (66%) would be 24 people. Step 6 Compare the number arrived at in Step 5 to the ranges of figures in each row of column 1. In this example, if you have 24 people that have a FIM score of 1 or 2 then follow row 3 across to...

Template for your own calculation Passive hoists Ward/department/facility Step 1 Total number of beds. Step 2 Number of nursing teams at busiest period. Step 3 Divide number of beds by number of teams to calculate your key number. Step 4 Use multiples of your key number to complete column 1. Step 5 Consider the typical number of people/patients with a FIM score of 1 or 2. Step 6 Compare the number arrived at in Step 5 to the ranges of numbers you have recorded in column 1 and follow the relevant row across to find the minimum number of hoists required. Minimum number of passive hoists (see...

Active Hoist Identification Example 1 In just the same way as passive hoist requirements can be calculated, using the tool in relation to FIM scores 1 and 2, active hoist requirements can be identified by considering the number of people in the work area with a FIM score in the ‘dependent’ category of 3, 4 or 5. Step 1 Total number of beds. Step 2 Number of nursing teams at busiest period. Step 3 Divide number of beds by number of teams to calculate your key number. Step 4 Use multiples of your key number (10) and complete column 1 below. Step 5 Now consider the average number of people in...

Template for your own calculation Active hoists Ward/department/facility Step 1 Total number of beds. Step 2 Number of nursing teams at busiest period. Step 3 Divide number of beds by number of teams to calculate your key number. Step 4 Using multiples of your key number, complete column 1 below in the same way as the previous examples. Step 5 Consider the typical number of people/patients with a FIM score of 3, 4 or 5. Step 6 Compare the number arrived at in Step 5 to the ranges of figures in column 1. Follow the relevant row across to read the results. Minimum number of active hoists (see...

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