title: The need to legislate the health-care industry in the state of Washington to protect health-care workers from back injury.
abstract: There is an epidemic of health-care worker back injury in the State of Washington. Voluntary programs are not keeping pace with the increasing back injury rates to health-care workers. Adding all the health-care industry SIC codes, hospitals, nursing homes, home health and residential care puts health-care as the leading industry in the State of Washington for back injury. Licensed practical nurses, nurses aides, and registered nurses account for the majority of all claims in the health-care industry. Self-insured hospitals led the state for lost time compensable back injuries between 1993 and 2001, and combined Washington State Fund and self-insured health-care hospitals and nursing homes led all other industries for compensable soft-tissue disorders of the neck, back, and upper extremities. Legislation is needed to protect this group of workers in this type of industry. A bill will be re-introduced in the 2006 session that calls for hospitals to implement back injury prevention programs through either the Zero-Lift model, with nursing staff use of lift equipment, or the Lift-Team model, with a specially trained team using lift equipment, or a combination of the two, for all shifts. The State of Washington should provide funding, through savings created by back injury prevention programs, for small rural health-care institutions to assist them in compliance with the legislation.
authors.affiliation: National Consultant in Occupational Health, President of Healthcare Safety Consulting, Seattle, Washington, USA. williamcharney@aol.com
authors.forename: William
authors.initials: W
authors.lastname: Charney
mesh_terms: D019567:Back Injuries / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006268:Health Facilities / Q000331:legislation & jurisprudence*; D006301:Health Services Needs and Demand; D006801:Humans; D017770:Lifting / Q000009:adverse effects*; D008297:Male; D009740:Nursing Staff / Q000331:legislation & jurisprudence*; D016272:Occupational Health / Q000331:legislation & jurisprudence*; D014861:Washington / Q000453:epidemiology