Safe Patient Handling and Movement Survey - (copy)

This survey is being conducted as part of efforts to continually improve employee and patient safety through the use of equipment and processes for safe patient handling and movement. Your responses are confidential and individual responses will not be tracked. Information will only be reported in aggregate format and used for program improvement. Please contact your Employee Health Department or Manager with questions."
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A red asterisk (*) indicates required questions.

  1. Do you know who the mobility coaches are on your unit?*
    Yes
    No


  1. Does your unit support the Safe Patient Handling and Movement Process?*
    Yes
    No


  1. Do you have the equipment to accomplish safe patient handling and movement?*
    Yes
    No


  1. Do you recommend safe patient handling techniques to your colleagues when you have the opportunity?*
    Always
    Usually
    Infrequently
    Never


  1. Please share any ideas for program improvement or equipment needs for Safe Patient Handling and Movement.


  1. Please select the equipment in which you feel you have had adequate hands-on training to use safely:*
    Maxi-Lift
    Sally Slide Sheets
    Gait Belts
    Transfer Boards
    Other Transfer Devices in your work area(s)


  1. If you selected "Other Transfer Devices" for the above question please explain.





Rose Patrick
Lexington, KY