Promote, Monitor and Maintain Health, Safety and Security in the Working Environment.
(Level 3)
1. There is much legislation dealing with health and safety in the workplace. The health and safety at work act 1974 contains general provisions but it has been supplemented by many regulations and guidelines dealing with specific areas. The main specific regulations important to care workers are:
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Control of substances hazardous to health 1988 (COSHH) Reporting of injuries, diseases and dangerous occurrences regulations 1985 (RIDDOR) Manual handling regulations 1992 Other applicable legislation and regulations include:
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Care standards act 2001 Disabled persons act 1986 Disability discrimination act 1995 Data protection act 1998 Human rights act NHS & Community care act 1990 Environmental protection act 1990 Public health act 1984 General Social Care Council codes of practice
2. Care workers must follow the care plan and read the risk assessment prior to carrying out any activity. Communicate with client and ensure that their opinion is heard. Always give the client a choice in matters and do not assume you know what is best for them. Support and encourage the client to carry out tasks for themselves but at the same time be wary of any health and safety issues. Explain to the client the importance of remaining safe and the methods that you use in order to maintain safe working practices. 3. If a care worker is not trained in first aid then they cannot carry out first aid procedures, however there are things that they can do to help in an emergency. ■ Firstly ensure that P.P.E. is worn ● Get help – either ringing an ambulance or getting a qualified first aider ● Help the person who is dealing with the emergency ● Clear the area to avoid risk to safety, eg broken glass ● Offer support to anyone who is distressed, eg family member/passer-by ● record details in the care plan daily record log, accident book and inform superiors/next of kin. During an emergency or incident the care worker is primarily responsible for their own safety then the clients. They are accountable to themselves, the client, supervisor, manager and clients family/next of kin.
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The purpose of this paper is to discuss the importance of providing increased access to primary care and the expected impact of the 2010 Affordable Care Act on the delivery of primary care in the United States, extending current trends through the year 2023. Addressed topics will include a brief overview of the Affordable Care Act, current state of primary care and the impact of the Affordable ...
4. (a) Data protection act 1998, Access to health records act 1990, Medical reports act 1988 (b) Health and safety at work act 1974, Safe guarding of vulnerable adults, minimum care standards, manual handling operations regulations 1992 (c) care standards act 2001, General social care council codes of practice, human rights act, NHS and community care act 1990, Race relations act 1976 (d) Public health act 1984, care standards act 2001, health and safety at work act 1974, NHS and community care act1990, COSHH regulations, RIDDOR, manual handling operations regulations 1992 (e) care standards act 2001, general social care council codes of practice, RIDDOR, health and safety at work act 1974 5. The supervision should take place in an area within which the care worker feels comfortable but should also be in an area where confidentiality can be maintained. The supervision will offer support to the care worker due to distress which can result from either being directly involved in the incident or indirectly as a witness. To praise their actions or offer guidance and further training if required. To provide them with feedback on the incident/emergency. 6. The organisations training provider can offer further training on how to deal with emergencies ie, appointed first aider. Asking your care supervisor/coordinator/manager for advice/guidance. Research via the library or internet. Consulting specialist magazines/publications. Contacting voluntary organisations such as St Johns Ambulance. Consulting organisational policies and procedures. 7. Stress and distress have many effects on an individual. There are some general indications to show when a person is becoming distresses:
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Changes in voice – it may be raised or at a higher pitch than usual Changes in facial expression – scowling, frowning, snarling Changes in eyes – pupils dilated, eyes wide open Face and neck – likely to be reddened Excessive sweating Breathing patterns may change – faster that normal
Changes also occur in normal behaviour such as: Someone who is normally talkative may become quiet and withdrawn or someone who is normally quiet may shout or talk very quickly. Someone who is normally lively becomes stiff and rigid or someone who is normally relaxed may start to walk around and possibly wave their arms. 8. Clients stories/experiences can be moving and distressing that you may feel grateful or even guilty about your own circumstances. Dealing with terminally ill clients can cause distress and if you feel that you are becoming stressed or distressed then your supervisor/co-ordinator/manager needs to be informed.
9. (a) Allowing your clients the opportunity to express their opinions and views without interruption, allowing choice and offering them advice and guidance on matters that concern them. By asking them open and appropriate questions about their care needs, not telling or assuming what they need. (b) Provide encouragement and allow them to make a choice. By allowing them to contribute to their own needs assessment and care plan. Help them to understand the risks to their health and well being if they are attempting activities in an unsafe way. (c) By allowing them to provide feedback at regular intervals about their package of care (quality monitoring).
Care worker can monitor their care needs and ask their opinion on how they think they are coping and encourage their independence. 10. Basic guidelines when dealing with conflicts are:
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Remain calm and speak in a firm, quiet voice – but do not raise your voice Make it clear that neither verbal nor physical abuse will be tolerated Listen in turn to all sides of the argument – don’t interrupt Look for reasonable compromises which involve all parties in winning some points and losing others Make it clear that all will have to compromise – total victory for one but not the other is not an option.
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11. (a) Before commencing any activity an assessment must be carried out by the care worker to ensure that the planned activity can be carried out safely. This could simply be visually ensuring that there is adequate space, there are no trip hazards in the area, wearing appropriate P.P.E. Etc. Also the Organisational risk assessment must be carried out every 6-12 months or if there is a change in the clients circumstances such as moving home, has recently come out of hospital or general health declines. Any potential hazards ie; an area of carpet is beginning to wear excessively; should be reported to the supervisor/coordinator/manager, highlighted in the care plan and marked to warn others. (b) Chemicals should be stored inside correctly labelled bottles and should have a data sheet within the clients care plan, details of the correct P.P.E. to wear when using any chemical must be in the care plan, Chemicals must be stored away from food and drink, materials and equipment must be stored in such a way that they will not cause a trip hazard or fall and injure someone. Follow organisational procedures in relation to COSHH regulations. Apply brakes on equipment when not in use, report faulty electrical wiring or plugs. (c) Wear gloves, wash hands before and after the activity or when you come into contact with soiled linen, bodily fluids or clinical waste, clean equipment properly, wearing protective clothing appropriate for the activity ie apron/gown, ensure hair is tied back, dispose of waste correctly and take special precautions when it is known that the client suffers from an infectious disease.
12.
Dealing with hazardous waste:
Yellow bags, clearly labelled with contents and location. This waste is incinerated. Yellow sharps box. Never put sharps into anything other than a hard plastic yellow sharps box. This sealed and incinerated. Cleared and flushed down sluice drain (toilet if in clients home).
Area to be cleaned and disinfected wearing PPE Red Bags, direct into laundry room, bags disintegrate in wash. PPE to be worn when handling Blue bags, to be returned to CSSD for recycling and sterilising (Not applicable to domiciliary setting)
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The purpose of the risk management plan is to identify any event or condition that may occur which could have a positive or negative affect on the project. Risks management is the process of identifying, assessing, responding to, monitoring, and reporting risks. The Risks Management Plan will define how risks associated with the Baderman Island Casino Hotel project will be identified, analyzed, ...
Clinical waste – used dressings
Needles, syringes, cannula (Sharps) Body fluids and waste – urine, vomit, blood, sputum and faeces Soiled linen
Recyclable instruments and equipment
Details of how to deal with hazardous waste must also be within the care plan for all team members to follow safely and correctly. When dealing with non-hazardous waste care workers must take reasonable care for their own safety and that of others, co-operate with the organisational policies/procedures, dispose of the waste correctly and not leave it lying around. Wear Appropriate work clothing,PPE and be aware of clients with infectious diseases. 13. Good practice when moving and positioning:
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Assess the need to lift or move the client or object Assess the risks from moving the client or object keep your back straight, bend your knees, head up and lift with your legs NEVER twist your spine or stretch up when lifting or lift with your arms outstretched Never lift a client alone Encourage clients to help you in moving them Attend manual handling course and also attend regular training on new techniques
Follow the client care plan, gain the clients permission prior to commencing any activity, explain what actions you are about to carry out to the client so they fully understand. Various equipment used for moving and positioning individuals: Hoists, transfer boards/sheets, slide boards, turn discs, monkey pole or lifting handle, handling belts, patient hand block. As a care worker you will also come across sharps containers and contaminated waste bags and dispose of refuse.
14. By carrying out a risk assessment prior to the clients package of care commencing. Risk assessments are required by law to identify and assess risks in the workplace which includes any situations where potential harm may be caused. They are vitally important in order to protect the health and safety of the care worker, client, key people and others. There are five key stages to undertaking a risk assessment:
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What is the purpose of the risk assessment? Who has to assess the risk? Whose risk should be assessed? What should be assessed? When should the risk be assessed?
Once the assessment has been completed then the employer then has to carry out risk control measures which means taking action against risks that have been identified; ie, this could be removing rugs which are a trip hazard or requesting equipment from the wider health care team (eg; grab handles).
15. There are many incidents and emergencies that a care worker may face such as a client who has fallen and is unable to get up, heart attack, epileptic seizure, burns from cooking etc, damaged property ie; broken window, client may have a communicable disease such as scabies, broken key safe or missing key within key safe. 16. Health related incidents: Arrive at clients home, gain access via key safe and find client on the floor following a fall. Even though the client is conscious and able to communicate effectively I am not able to assist the client to their feet as we are not allowed to manually lift. The client is not able to get himself off the floor so I have no option but to call an ambulance. While waiting for the ambulance I keep the client warm with a blanket and talk to them to ensure they stay calm. Then when the ambulance crew arrive I ensure the area is safe for them to work in and that they have adequate space to carry out their activities. I inform the office of the incident and record the incident in the accident book and the care plan daily log. Security related incident: Arrive at clients address to find that the key is missing from the key safe. I can see the client through the window but he is unable to answer the door due to mobility problems. He can however signal to me that he is ok. I phone the office to explain the situation and they phone the clients next of kin. Within 5 minutes the next of kin arrive with a spare key and also arrange for the locks to be changed as a precaution. I inform office that I have now gained access and of new key safe code number. I also log incident in the care plan daily log record.
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1.2 All practitioners have a duty of care all the children the setting, this also includes the staff. A duty of care is where a practitioner has to take care of them and not let them get harmed in any way. This will involve the children attention, watching out for hazards and preventing mistakes or accidents. If a practitioner has not met the duty of care required then they can be held accountable ...
17. Having no first aid training to deal with an accident or emergency and depending on the severity of the persons injury I would take the following actions:
■ Firstly ensure that P.P.E. is worn Get help – either ringing an ambulance or getting a qualified first aider Help the person who is dealing with the emergency Clear the area to avoid risk to safety, eg broken glass Offer support to anyone who is distressed, eg family member/passer-by Record details in the care plan daily record log, accident book and inform superiors/next of kin.
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Remain professional at all times, lead by example, follow the care plan, attend training sessions regularly and as required, if you come across a particular problem deal with it professionally and don’t leave the problem for the next care worker to deal with, find out further information on issues affecting your clients that they may ask for – don’t ignore them.
