Transcript Manual Handling Risk Assessment

Pamela Simpson MCSP
Moving 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 Approach
 Increased 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 work
 Safe systems of work
 Safe equipment
 Competent employees who understand
basic safety instructions and systems
Health and Safety
The legal system provides us with:
 Health and Safety at Work Act 1974
 Management of Health and Safety at Work Regs 1999
 Manual Handling Operations Regulations 1992
 Provision and Use of Work Equipment Regulations
1998
 Lifting 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 1998
 Mental Capacity Act 2003
 Equality Act 210
 Care Standards Act 2010
 Care Act 2014
 In individual circumstances and when assessing
children there will be other legal considerations
Professional Guidelines &
Advice
RCN 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 2005
 Agreed Standard that is as up to date as possible
THE GUIDE TO THE HANDLING OF PEOPLE
5th edition
Balanced decision making and evidence based tools
February 2011
 Agreed Standard that is as up to date as possible
THE 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 user
 Talk to the people who know the service user the best
 Proactively listen!
 Try the solutions for yourself
 Be prepared to compromise and be flexible
 Consider all 4 areas of decision making
 Involve other professionals where necessary
 Write it down together
 CONCENSUS DECISION MAKING
What should we try to avoid?
 Making decisions from a distance
 Being prescriptive and dogmatic
 The words allowed, not allowed, illegal, condemned
 Confrontation
 Quoting 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 skill
 Having knowledge and understanding
 Having the ability to do something well
 Communicating well with others
 Must 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.
Documentation
 Generic risk assessments
 Patient specific risk assessment
 Specific Handling plans
 Do they say enough?
 How often are they reviewed
 ARE THEY EFFECTIVE?
“Success consists of going from
failure to failure without a loss of
enthusiasm”
Winston Churchill