Pamela Simpson MCSP Moving And Handling Consultant.

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