Ceiling Hoists Lets raise the requirements to the
- Slides: 16
Ceiling Hoists: Let’s raise the requirements to the ceiling Agnieszka Kuna, Manager Specialist Equipment Services Lisa-Marie Arthur and Matthew Massy-Westropp Domiciliary Equipment Service Department for Communities and Social Inclusion
• • • DES Provision of ceiling hoists Changing trends Risks – client, user, funder Equipment vs Home Modification • Review of practice • Considerations
What is DES? • SA government provider since 1996 of: • Equipment - readily available and customised • Equipment repairs, maintenance and modifications • Home modifications - simple to complex • Clinical support and technical expertise • Centralised warehouse and procurement • Focuses on refurbishment of 50, 000 loan items = responsive and more efficient
Ceiling hoists What and why? • Mobile vs ceiling • Gantry vs fixed tracking • Portable vs fixed motor • Advantages and disadvantages
Ceiling hoist considerations Person Environment Assistive technology
Ceiling hoist considerations Person • Person with a disability – functional capacity, prognosis • Care giver providing assistance – consideration of ‘work’ environment Environment (for installation) • Private home vs Work setting • Construction requirements and standards • Physical limitations and space • Ownership of property Assistive technology & Funding • Specifications of item • Policy of the funder
Context in SA Ceiling vs all hoists 1200 Funding • Specific eligibility criteria • Numbers of hoists vs ceiling hoist (provide percentage) 1000 800 600 Installation • Installed by ceiling hoist suppliers Equipment item • But is it? 400 200 0 FY 14 FY 15 FY 16 Ceiling All hoists FY 17
So what triggered a review? http: //activerain. com/blogsview/3573368/funny-friday-s-tgiff-call-it-what-you-like-there-s-a-hole-in-the-roof
Changing trends Reforms • Reforms in both ageing and disability • Funding changes – where equipment impacts care hours. Ability to evaluate life-cycle costs and whole of life costs and effectiveness of items Environmental • House and room size • Impact on manual tasks for care givers New technology • changing functionality of slings and tracking
Risks • Incidents – related to tracking, straps or use • Product failure – maintenance schedule and responsibility • Construction – asbestos, termites, roof trusses and loading • Costs associated with re-positioning due to changed needs
Roof trusses and New home construction cartoon – renewableenergyworld. com • In 2002 sections of the prefabricated timber roof truss frame at the Riverside Golf Club, in South Australia, collapsed (Raising the roof: a guide to roof truss safety) • Prefabricated trusses are used extensively in the building industry • It cannot be assumed that roof trusses are capable of supporting additional loads after manufacture • Without engineering checks, could lead to failure
Is this assistive technology an equipment item or a home modification? What about other items: • Bidet (with the required RPZ devices) • Electronic door openers
Other considerations • Responsibility – for ensuring correct installation, ongoing review, programmed maintenance, building structure remains intact, training in use • Property Ownership and consent – to install ceiling hoist • Legislation – NCC and AS • Work environment (work health safety) • Quality service • Installation and by whom • Engineering checks
What have we done and what do we plan to do? • Specification forms with sign off from home owner • Engineer sign-off • Process in place • Admin support dedicated to overseeing these • Panel of providers • Comparison chart & clinical considerations • Programmed maintenance
Thank You! Phone: Repairs: Email: Catalogue: Web: 1300 295 786 1300 130 302 des. frontdesk@sa. gov. au www. des. domcare. sa. gov. au www. des. sa. gov. au
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