Information

  • This assessment form is to be used to assess manual handling competency of SVPHM employees. Once completed it is to be emailed to: manualhandling@svpm.org.au

  • Location of assessment

  • Conducted on

Staff attendance

  • Attendees

  • Employee
  • Name

  • Site

  • Fitzroy

  • Department

  • Competency

  • Inserting slide sheets - patient unable to assist

  • Comments / actions

  • Inserting slide sheets - patient able to assist

  • Comments / actions

  • Removing slide sheets

  • Comments / actions

  • MovIng patient up & down bed - patient unable to assist

  • Comments / actions

  • MovIng patient up & down bed - patient able to assist

  • Comments / actions

  • Turning dependent patient - slide sheet method

  • Comments / actions

  • Lateral transfer of patient

  • Comments / actions

  • Sitting a patient forward in bed

  • Comments / actions

  • Assisting a patient out of bed

  • Comments / actions

  • Legs on bed

  • Comments / actions

  • Stedy

  • Comments / actions

  • Hoist - floor or ceiling

  • Comments / actions

  • Sit to stand machine

  • Comments / actions

  • Hovermatt

  • Comments / actions

  • Hover jack

  • Comments / actions

  • Application of TED stockings

  • Comments / actions

  • Supine to prone with Hovermatt

  • Comments / actions

  • East Melbourne

  • Department

  • Competency

  • Inserting slide sheets - patient unable to assist

  • Comments / actions

  • Inserting slide sheets - patient able to assist

  • Comments / actions

  • Removing slide sheets

  • Comments / actions

  • MovIng patient up & down bed - patient unable to assist

  • Comments / actions

  • MovIng patient up & down bed - patient able to assist

  • Comments / actions

  • Turning dependent patient - slide sheet method

  • Comments / actions

  • Lateral transfer of patient

  • Comments / actions

  • Sitting a patient forward in bed

  • Comments / actions

  • Assisting a patient out of bed

  • Comments / actions

  • Legs on bed

  • Comments / actions

  • Stedy

  • Comments / actions

  • Hoist - floor or ceiling

  • Comments / actions

  • Sit to stand machine

  • Comments / actions

  • Hovermatt

  • Comments / actions

  • Hover jack

  • Comments / actions

  • Application of TED stockings

  • Comments / actions

  • Kew

  • Department

  • Competency

  • Inserting slide sheets - patient unable to assist

  • Comments / actions

  • Inserting slide sheets - patient able to assist

  • Comments / actions

  • Removing slide sheets

  • Comments / actions

  • MovIng patient up & down bed - patient unable to assist

  • Comments / actions

  • MovIng patient up & down bed - patient able to assist

  • Comments / actions

  • Turning dependent patient - slide sheet method

  • Comments / actions

  • Lateral transfer of patient

  • Comments / actions

  • Sitting a patient forward in bed

  • Comments / actions

  • Assisting a patient out of bed

  • Comments / actions

  • Legs on bed

  • Comments / actions

  • Stedy

  • Comments / actions

  • Hoist - floor or ceiling

  • Comments / actions

  • Sit to stand machine

  • Comments / actions

  • Hovermatt

  • Comments / actions

  • Hover jack

  • Comments / actions

  • Application of TED stockings

  • Comments / actions

Comments

  • Additional Comments

  • Assessors Name & Signature

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