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Ceiling Lifts and Other Architectural Considerations: Valerie Beecher

This document discusses considerations for planning safe patient handling equipment in new construction or renovation projects. It recommends: 1) Involving key stakeholders like facilities, planning, consultants, and end users in the planning process. 2) Understanding the space thoroughly, including ceiling structure, room layout, equipment, and clinical use. 3) Accounting for budget needs like equipment, installation, and training costs. 4) Validating equipment needs using templates and formulas based on room use. 5) Testing plans using a mock space to evaluate equipment function and optimal layout.

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0% found this document useful (0 votes)
45 views24 pages

Ceiling Lifts and Other Architectural Considerations: Valerie Beecher

This document discusses considerations for planning safe patient handling equipment in new construction or renovation projects. It recommends: 1) Involving key stakeholders like facilities, planning, consultants, and end users in the planning process. 2) Understanding the space thoroughly, including ceiling structure, room layout, equipment, and clinical use. 3) Accounting for budget needs like equipment, installation, and training costs. 4) Validating equipment needs using templates and formulas based on room use. 5) Testing plans using a mock space to evaluate equipment function and optimal layout.

Uploaded by

maryjoyespena
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© © All Rights Reserved
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Ceiling Lifts and Other

Architectural Considerations

VALERIE BEECHER
E RGONOMICS S PECIALIST
UPSTATE UNIVERSITY HOSPITAL
PAULA PLESS
DIRECTOR SAFE PATIENT HANDLING
K ALEIDA HEALTH
Learning Objectives

1) Understand the necessary steps to take to ensure Safe


Patient Handling (SPH) is a serious consideration when
your organization is planning any new construction or
renovations.
2) Recognize the importance in understanding the space
from numerous perspectives, i.e. clinical use, patients,
ceiling and floor.
3) Identify budget considerations needed for planning
SPH.
4) Demonstrate how to determine SPH equipment needs
during early planning.
5) Conduct a meaningful physical evaluation of the SPH
equipment and the space.
1) Planning for Safe Patient Handling

 Reach Out to Key Players


― Facilities Design (Designers, Engineers)
― Planning (Planners, Project Coordinators)
― Consultants (Architects, Equipment, Logistics)
― Physical Plant/Maintenance (especially for renovation)

 Use Committees
― SPH, Ergonomics, Project Steering, Nursing Logistics,
Equipment, Safety
 Who Else Can Help?
― Nursing (Bariatrics, Nurse Managers)
― Physical/Occupational Therapy
― People who worked at SPH Facilities in the past
2) Understanding the Space

 Track Installation
― Structural Capacity

― What is the timing of the work being done?

― What goes in ahead of/after the track?

― What else is/will be in the ceiling?

 Light fixtures, sprinkler heads, vents, technology, IV poles,


curtain tracks, Booms, OR/procedure lights
― What is/will be above the ceiling?
 Ceiling mounted equipment, imaging equipment, HVAC,
electrical, plumbing, ceiling grid, asbestos
Call System Speaker
Sprinklers

TV Vents

Smoke Detector

Boom

Procedure Lights

Light
Curtain Track
2) Understanding the Space

 Layout
― Room design

 Ceiling height, walls, windows, columns, doors, bathroom, drop


ceilings, multi-ceiling levels, arches, thresholds, angled walls
― Bed articulation
― Stationary equipment
― Headwalls/columns/booms
― Built-in cabinets, drawers, shelves
― Toilets, sinks
― Patient area vs. family area
2) Understanding the Space

 Floor Space
– Additional Non-Stationary Items

 Bed, bedside table, recliner, side chair, visitor furniture dialysis


machine, wheelchair
 Clinical Use
– Med/Surg, ICU, Therapy, etc.

 Track design, portable vs. fixed

 Patients
– Bariatric, Pediatric, Geriatric, Medicine, Oncology

 Motor weight capacity (some vendors use two motors for


bariatric weight capacities), portable vs. fixed,
Bariatric Room Dual Motor
3) Budget Considerations

 Cost negotiating with vendors


– Quantity pricing, training

– Options

 Track style, hanger bar style, 2-way vs. 4-way


– Soft goods
 Sling types, sizes, reusable vs. disposable, accessories

 Pre-determined budgets from grants, state monies


 Donations specific for SPH
– Foundation, grants
3) Project Cost for Ceiling Lifts

 Kaleida Health’s 300 Bed LTC Facility


― High Pointe on Michigan

― Move in December 3rd, 2011

 Planning for Ceiling Lifts: Goal


― To have all resident areas ceiling lift ready.

― All structural work above the ceiling tiles would be done in


every area. The Unistrut, Rods and Bracing above the tiles
are done before the ceiling is finished.
― Optimal ceiling lift start-up in place.
Timing is Everything
Cost of Project for a 300 Bed LTC

 Cost of electrical readiness:


― Electrical conduit specific/dedicated to the track and motor
 = $30-$50 per track = $12,720.00
 Track installation, labor, hardware, parts, motors:
― Roughly = $866,192.00

 Soft Goods:
― A variety of slings type/function, variety of resident tasks, sizes
 = $133,000.00
 Total:
 Roughly = $1,011,312.00
Project Cost

Track: 318 areas


 All Shower rooms to be tracked = 15 rooms
 300 resident rooms tracked
 1 Therapy Gym
 1 Pediatric sensory room
 1 Pediatric Therapy Gym
Straight Track-use where appropriate to reduce cost
Project Cost

 Ceiling Lift Motors


― Portable Lift Motors =16 (128 residents covered by the
portable lifts)
― Fixed ceiling motors = 106
 Track Configuration and Transfer Readiness
― 76 % of the rooms are ready for ceiling lift transfers
― 10x10x10 = 181 rooms complete
― 10x10 = 102 rooms staged and ready no center rail
― 10 ft straight track = 35 rooms, 20 Peds beds, 4 tub
rooms, 1 Therapy Gym and 1 Peds Therapy Gym
Going Forward
Budgeting to add to the project: ROI $$

 Center rail for 102 rooms = roughly $100.00 per rail


 Purchase more motors
― Fixed and Portable style.

― About 84 more fixed motors or 10 more portables= roughly


$3,000-3,500 per lift cost depending on lift load capacity and
fixed verses portable lifts.
 Soft Goods, carts, reachers = $100-$225 per item
4) Determining and Validating Need for SPH
Equipment

 Use an equipment template


― Standardize the approach to equipment so that every project
uses the same rationale.
― Handout: Estimated Equipment Needs and Cost for Safe
Patient Handling Programs
 Base equipment need on a formula
― Handout: Steps for Determining Ceiling Lift Need

 Reference Link:
― Patient Lifting Equipment Coverage & Space
Recommendations, Mary Matz, MSPH, CPE
visn8.va.gov/visn8/patientsafetycenter/safePtHandling/default.asp
5) The Best Laid Plans!

 Create a mock space that recreates the same room


dimensions and foot prints of the equipment and
what is in the room
― Doorways, flooring, thresholds, windows, walls, corners,
vents
 Have vendors bring in equipment, gantries and
motors, soft goods
― Physically see and use the equipment in a similar space
― Move the equipment, step it out, push/pull, turn
Mock Up the Space
5) The Best Laid Plans!

 Layout and planning for optimal use of the space


that avoids awkward postures and promotes smart
body mechanics
 Make it a point to trial the equipment with staff
and patients
― Install a ceiling lift or gantry
― Look at charger placement, hanger bar hanging down
Charger Placement
Questions and Answers

Thank you
Valerie and
Paula

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