The Prism Multiglove is a wearable low-friction anti-shear handling aid worn by the carer to reduce skin shear at carer-to-resident contact zones during repositioning and sit-up manoeuvres, particularly on profiling beds. Can be used independently or alongside slide sheets. Compact and simple to apply. Contributes to MHOR 1992 skin shear risk reduction. PUWER 1998 staff training required. NCL-2002ACCPM-MGLOVE.
| Specification | Detail |
|---|---|
| Type | Wearable carer handling aid |
| Material | Anti-shear low-friction specialist fabric |
| Primary Use | Guided repositioning; profiling bed sit-up assistance |
| Combination Use | Compatible with slide sheets and positioning systems |
| Reference | NCL-2002ACCPM-MGLOVE |
| Compliance | MHOR 1992; PUWER 1998 (staff training) |
The Prism Multiglove is a handling aid subject to MHOR 1992. Its use must be documented as part of the resident's manual handling risk assessment, specifying which repositioning tasks it is used for and the skin shear risk reduction it provides. PUWER 1998 requires staff to be trained in correct application and use before the glove is deployed. The Multiglove does not substitute for a full sliding sheet where whole-body repositioning is required; it addresses the carer-to-skin contact zone specifically and is used as one element of the complete repositioning system specified in the care plan.
What is skin shear and why does reducing it at the carer-contact zone matter during repositioning?
Skin shear is a mechanical force that acts parallel to the skin surface, caused when the skin is pulled or dragged in one direction while the underlying tissue tends to remain in its original position; this stretching and sliding force at the skin surface damages the microvasculature and connective tissue in the dermis and subcutaneous layer, even when the visible skin surface appears intact. During repositioning, shear occurs at both the body-to-mattress interface (which slide sheets address) and at the carer-to-skin interface where the carer's hand contacts the resident during guided movement - for example, the palm contact on the resident's back when guiding a sit-up. A bare-skin-to-bare-hand contact has a relatively high friction coefficient, meaning the hand and the skin tend to move together while the tissue below slides relative to the skin surface; this is the shear mechanism at the carer-contact zone. The Multiglove's low-friction surface reduces this friction coefficient, allowing the carer's hand to slide slightly relative to the skin during the guided movement, which distributes the contact force more evenly and reduces the shear at the skin surface. This is particularly important for residents with thin or fragile skin where the shear tolerance is low and where even brief shear events during routine repositioning can initiate skin breakdown.
Can the Prism Multiglove be washed and reused, and what are the infection control implications?
The Multiglove is a fabric handling aid and can be laundered between uses; the care setting's IPC policy should specify the laundering frequency and temperature appropriate for handling aids that contact resident skin. As a fabric item that contacts both the carer's hand and the resident's skin or clothing during use, the Multiglove should be laundered after each resident use to prevent cross-contamination between residents; if a single carer uses the Multiglove with multiple residents in sequence without laundering between uses, there is a risk of transferring skin flora or infective organisms from one resident's skin to another. The care setting's IPC lead should be consulted to confirm whether the Multiglove can be laundered at the temperatures required by the care setting's decontamination schedule; if the anti-shear fabric cannot withstand the required wash temperatures, a single-use or patient-specific allocation policy may be more appropriate for settings with high infection control requirements such as those caring for residents with MRSA or C. difficile.