pamela simpson mcsp moving and handling consultant
TRANSCRIPT
Pamela Simpson MCSPMoving And Handling Consultant
What and How?Person Centred decision making
Legal and good practice guidance as tools
The process
The practicalities
Risk Management
RISK MANAGEMENT: To act to control and minimise the risks to which a person or an organisation may be exposed.
Risk Management
Balanced decision making, considering all relevant aspects
Best practice happens when your policy, your training content and what happens with the service user everyday matches.
The Balanced ApproachIncreased safety for service users
Increased safety for all staff groups, volunteers and informal carers
Enhanced rehabilitation opportunities
The right to choice and dignity for all concerned
Common Law
Employers must ensure they provide:
Safe place of workSafe systems of workSafe equipmentCompetent employees who
understand basic safety instructions and systems
Health and SafetyThe legal system provides us with:Health and Safety at Work Act 1974Management of Health and Safety at Work Regs
1999Manual Handling Operations Regulations 1992Provision and Use of Work Equipment
Regulations 1998Lifting Operations Lifting Equipment Regulations
1998
ALL REQUIRE RISK ASSESSMENTS TO BE COMPLETED AND ACTION TO BE TAKEN FOR SAFETY
Other Legal Considerations
Human Rights legislation 1998Mental Capacity Act 2003Equality Act 210Care Standards Act 2010Care Act 2014
In individual circumstances and when assessing children there will be other legal considerations
Professional Guidelines & AdviceRCN Guidance 1996
“Manual lifting of patients is eliminated in all but exceptional or life threatening situations”
HSE Guidance 2002
“Implementation of policy & practice on lifting & handling should not place any unreasonable restriction on clients rights to autonomy, privacy or dignity”
More Professional Guidance Chartered Society of Physiotherapy
Guidance on Manual Handling 2002, 2008 and 2014 setting out responsibilities for advice and delegation.
College of Occupational Therapists Manual Handling guidance April 2006
National Back Exchange series of publications, e.g. Standards in Manual Handling
February 2005Agreed Standard that is as up to date as
possibleTHE GUIDE TO THE HANDLING OF PEOPLE
5th editionBalanced decision making and evidence based
tools
February 2011Agreed Standard that is as up to date as
possibleTHE GUIDE TO THE HANDLING OF PEOPLE
6th edition A Systems Approach‘advice must have come from the most accepted body of thought at the time of the
occurrence’
Moving and
Handling Policy
Continuum
Risk Assessment Tools
Task REBA measuring, Borg scales
Load FIM scores, comfort scales
Environment Turning angles and space
Individual Capability Benner scales
How do we make decisions?Involve everyone especially the service userTalk to the people who know the service user the
bestProactively listen!Try the solutions for yourselfBe prepared to compromise and be flexibleConsider all 4 areas of decision makingInvolve other professionals where necessaryWrite it down together
CONCENSUS DECISION MAKING
What should we try to avoid?
Making decisions from a distanceBeing prescriptive and dogmaticThe words allowed, not allowed, illegal,
condemnedConfrontationQuoting from the “rules”Focussing solely on staff safety
It Depends……..
Hoists should always be used by 2 people
It Depends……..
Training makes people competent
It Depends……….
If the hoist isn’t working we must leave someone in bed
It Depends…...
Risk assessments and handling plans are always carried out by senior staff and must be followed
What is Competency?Having sufficient skillHaving knowledge and understanding
Having the ability to do something well
Communicating well with othersMust be measurable and observable
Stages of Learning
Unconscious incompetence
Conscious incompetence
Conscious competence
Unconscious competence
Best practice happens when your policy, your training content and what happens with the service user everyday matches.
DocumentationGeneric risk assessmentsPatient specific risk assessmentSpecific Handling plansDo they say enough?How often are they reviewedARE THEY EFFECTIVE?
“Success consists of going from failure to failure without a loss of enthusiasm”
Winston Churchill
