Appendix A - Facility of Choice

Facility of Choice Checklist

Appendix B - Safe Resident Handling flow chart

Safe Resident Handling component flow chart

Appendix C - Injury Evaluation Tools

Injury calculation data sheet

Injury measure checklist

Appendix D - Preintervention Data Collection

Symptom survey

Symptom survey

Discrepancy survey for Management

Discrepancy survey for staff

Family satisisfaction survey

Injury data breakdown

Resident satisfaction survey

Worker input questionnaire

Appendix E - Priniples of Safe Resident Handling

Evaluaion Form - Introductory Training

Appendix F - Safe Resident Handling Adminstrors evaluation

Evaluaion Form - Management Training

Appendix G - Needs Assessment

Administrative Checklist

Equipment Use Inventory

Facilities Design Checklist

Prioritizing High Risk tasks

Unit Profile and Space

Appendix H - Ergonomic Risk Assessment

Assessment Instructions

Assessment work sheet

Observational assessment

Evaluation form - Ergonomic training

REBA

Summary of Facility Needs and Risk

Appendix I - Equipment evaluation

Equipment purchase considerations

Equipment Sign up sheet

Product Ranking form

Product Rating form

Appendix J - Safe Resident Handling policy

Safe patient handling and movement policy - draft

Appendix K - Safe Resident Handling program implementation

Program implementation timeline

Appendix L - Competence Assessment

Competence Assessment

Venterans Affair Documents

Technology Resource guide

Movement Algorithms

Ergonomics Guide Part One

Ergonomics Guide Part Two