Sa conとはno1

Aug 7, 2017Download as PPTX, PDF0 likes9,277 views

SaCoN-Station

「持ち上げない、安全?安心の移動介助」　「Safety &?Comfort?Nursing」

SaCoNとは
京都大学医学部附属病院
総合臨床教育?研修センター
内藤知佐子
Safety & Comfort Nursing
～持ち上げない、安全?安心の移動介助～

1998年3月オーストラリア看護連盟ビクトリア支部
（Australian Nursing Federation）
10年間の活動により法制化
人力のみによって患者さんを移乗することを禁止
した指針のこと
＜ノーリフト?とは＞
定義：人力のみで、下記を行うことを禁ずる
押す ? 引く ? 持ち上げる ? ねじる ? 運ぶ

＜ノーリフト?（No Lifting Policy）が誕生した背景＞
?ビクトリア州：腰痛にかかる経費の合算が10億円に
?看護師が、第二の患者になってはいけない
?看護師も人であり、人として健康でいられないというのは、
基本的人権を侵害されていると同等である
10年間の取り組み
?ビクトリア州：腰痛にかかる経費の合算が1億円に削減
?労働環境の整備（器具が整備されていないと罰金あり）
?教育体制の整備：入職時のオリエンテーション、1回/年の研修
?南オーストラリア州では、看護学生の教育にも導入
※ ノーリフト?ほぼ100％導入の国：オーストラリア、デンマーク、スウェーデン、ドイツ
オーストラリア

＜なぜ今、SaCoNなのか＞
実は今、日本でも問題に！
☆ 看護師の慢性的腰痛の発生
☆ 看護師の急性腰痛による休職?離職
☆ 看護師不足（腰痛のための休職?離職）による
在籍看護師の疲労蓄積と離職
☆ 労働災害としてのコスト

社会的背景を受け、19年振りに指針が改定された
平成25年6月
「職場における腰痛予防対策指針」
＜指針の改定＞

30.1%
19.2%
14.8%
13.6%
6.1%
4.4%
11.6%
保健衛生業
商業?金融?広告業
製造業
運輸交通業
接客?娯楽業
建設業
その他の事業
＜出典元＞厚生労働省http://www.mhlw.go.jp/bunya/roudoukijun/anzeneisei11/h27.html
＜平成27年災害性腰痛発生割合（業種別）＞

＜出典＞厚生労働省?職場における腰痛予防対策指針の改訂及びその普及に関する検討会報告書より
＜保健衛生業の小分類業種別腰痛発生件数＞
2.7倍

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Sa conとはno1

1. SaCoNとは京都大学医学部附属病院総合臨床教育?研修センター内藤知佐子 Safety & Comfort Nursing ～持ち上げない、安全?安心の移動介助～

2. ＜はじめに＞ノーリフト?およびノーリフトケア?が商標登録されたことにもとづき、当院では下記の通り表記を変更しました。「持ち上げない、安全?安心の移動介助」「Safety & Comfort Nursing」 2017年6月吉日京都大学医学部附属病院看護部＝

3. 1998年3月オーストラリア看護連盟ビクトリア支部（Australian Nursing Federation） 10年間の活動により法制化人力のみによって患者さんを移乗することを禁止した指針のこと＜ノーリフト?とは＞定義：人力のみで、下記を行うことを禁ずる押す ? 引く ? 持ち上げる ? ねじる ? 運ぶ

4. ＜ノーリフト?（No Lifting Policy）が誕生した背景＞ ?ビクトリア州：腰痛にかかる経費の合算が10億円に ?看護師が、第二の患者になってはいけない ?看護師も人であり、人として健康でいられないというのは、基本的人権を侵害されていると同等である 10年間の取り組み ?ビクトリア州：腰痛にかかる経費の合算が1億円に削減 ?労働環境の整備（器具が整備されていないと罰金あり） ?教育体制の整備：入職時のオリエンテーション、1回/年の研修 ?南オーストラリア州では、看護学生の教育にも導入 ※ ノーリフト?ほぼ100％導入の国：オーストラリア、デンマーク、スウェーデン、ドイツオーストラリア

5. 以降、ノーリフト?を『SaCoN』と表記します。

6. ＜なぜ今、SaCoNなのか＞実は今、日本でも問題に！ ☆ 看護師の慢性的腰痛の発生 ☆ 看護師の急性腰痛による休職?離職 ☆ 看護師不足（腰痛のための休職?離職）による在籍看護師の疲労蓄積と離職 ☆ 労働災害としてのコスト

7. 社会的背景を受け、19年振りに指針が改定された平成25年6月「職場における腰痛予防対策指針」＜指針の改定＞

8. 30.1% 19.2% 14.8% 13.6% 6.1% 4.4% 11.6% 保健衛生業商業?金融?広告業製造業運輸交通業接客?娯楽業建設業その他の事業＜出典元＞厚生労働省http://www.mhlw.go.jp/bunya/roudoukijun/anzeneisei11/h27.html ＜平成27年災害性腰痛発生割合（業種別）＞

9. ＜出典＞厚生労働省?職場における腰痛予防対策指針の改訂及びその普及に関する検討会報告書より＜保健衛生業の小分類業種別腰痛発生件数＞ 2.7倍

Editor's Notes

#2: 「Safety &?Comfort?Nursing～持ち上げない、安全?安心の移動介助～」「SaCoN（さこん）」
#7: イラスト、あとで差し替え

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Editor's Notes