Standard Operating Procedures for Treatment Tables

Guy Princi - Monday, February 15, 2016
Every treatment table in your practice should be covered by a Standard Operating Procedure (SOP). All major Australian training centres and hospitals’ use this best practice procedure.
A SOP is a set of step by step instructions for carrying out a specific task. It will note the equipment that is used in the task and list all the limitations, risk assessments, warnings and precautions, that are involved in using the equipment.

The advantages of having an SOP is that it:
  • provides therapists with numbered step by step instructions on specific procedures or use of equipment with minimum variability;
  • ensures that the procedures are performed consistently and in compliance with governing regulations;
  • protects the health and safety of therapists and patients by enabling treatments to be carried out in the safest possible way. They ensure that all of the safety, health, environmental and operational information is available to perform or instruct on specific procedures with minimal impact;
  • facilitates training in procedures, for both new therapists and for those that need re-training (ie. after extended absence from a position). Having step by step instructions aids trainers to ensure that nothing is missed;
  • serves as a historical record for use when modifications are made to that procedure and when the SOP is revised;
  • promotes quality though consistent collection of the data, even if there are changes in the personnel undertaking the monitoring; and
  • encourages improvements and work evaluation by ensuring that the procedures are completed, and can be used in incident investigations to improve operations and safety practices.

Reference. 3661 Guide to Writing Standard Operating Procedures (SOPs) dec wa gov 20090812 revised

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Castors and why they wear out

Guy Princi - Wednesday, July 13, 2016
The rubber compound castors used by Athlegen are custom manufactured to our specifications. Athlegen castors feature steel bearings (not plastic), and we do not use inferior small diameter, plastic stool castors. We use 75mm wheel diameter castors - if all other specifications are equal larger diameter castors last longer.
Rubber compound (TPE - Thermoplastic Elastomers) is a mix of polymers, usually a plastic and a rubber. The new compound has the advantages of both the rubber and plastic materials used. For castors this is typically cushioning, from the rubber component, and hardness/durability, from the plastic component.
Rubber compound wheel treads are chosen over the longer lasting nylon wheel treads because they cause less impact on most floor surfaces due to their natural cushioning properties. They are also generally quieter in their operation. Nylon castors can mark and dent wooden floorboards and vinyl floor surfaces.
Over time, as the rubber component of TPE ages, it dries out and hardens. No product is available to condition or prevent this characteristic of rubber. Once rubber hardens it can become brittle and start to spilt, (known as stress cracking or crazing). If this happens the castors will need to be replaced.

Factors that cause your castors to wear out
  • Exposure to harsh chemicals used to disinfect and clean some floor surfaces.
  • Direct exposure to sunlight will prematurely dry and harden the rubber component.
  • Exposure to extreme temperature fluctuations.
  • If the table is positioned on gritty, uncleaned hard surfaces, such as tiles or vinyl flooring.
  • Leaving the table in the exact same position over long periods of time can cause “flat spotting”. Flat spotting is where the tread fails to spring-back to its original shape, the result is a permanent distortion of the wheels shape.
  • Trying to move the table with the castor lock in place.
  • Any one of the above will result in the premature hardening of the rubber tread which will then lead to the tread crumbling and falling apart.
How to care for your castors
  • We recommend that you only clean your castors with a damp cloth.
  • Stubborn stains can be removed with a soft natural bristle brush.
  • Do not lubricate with oil, if necessary use a heavy bodied good quality bearing grease.

Standard Operating Procedures for Treatment Tables

Guy Princi - Monday, February 15, 2016


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