1:1 Outline the anatomy and physiology of the human body in relation to the importance of correct moving and positioning of individuals The anatomy which the physical structure of the body and physiology which is the normal functions of the body help individuals to move their limbs. Muscles have the power of contraction thus it produce movement of the body and allow the bones to work like hinges. When moving someone/individual it is important to remember that the muscles can only move the joint as far as the bones will allow them.
1:2 Describe the impact of specific conditions on the correct movement and positioning of an individual If an individual has suffer from a stroke this may cause loss of movement in the limbs on one side of the body (hemiplegia). In that case it is very important to remember that when you are assisting an individual with regards to dressing you need to dress the individual firstly the bad side and when undressing him/her you do the bad side lastly to prevent discomfort.
Therefore that mean by following this procedure you are not pulling their muscles in the wrong direction. 2:1 Describe how legislation and agreed ways of working affect working practices related to moving and positioning individuals How legislation and agreed ways of working affect working practices: Current, local, UK and European legislation affects procedures and practices.
This include Manual Handling Operations Regulations 1992 (as amended 2004), Reporting of Injuries, Health and Safety at Work Act 1974 (England, Wales and Scotland) Health and Safety at Work (Northern Ireland) order 1 978, Lifting operations and lifting Equipment Regulation (1998( – LOLER, The Workplace (Health, Safety and Welfare) Regulations 1992, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995, Provision and Use of Work Equipment Regulations (PUWER) 1998, Management of Health and Safety at Work Regulations (MHSWR) 1999; Disability Discrimination Act (1995), Human Rights Act (1998).
In the workplace there is Code of Practice and Conduct, Standards and Guidance relevant to individual’s role and responsibilities eg health and safety policies, moving and handling policies, moving and handling techniques, Policies on information sharing, risk assessment documentation, individual care plans, infection control procedures, recording and reporting procedures ect.
All these policies and procedures can affect our working practices for example Manual and Handling is about supporting the weight of someone or moving them yourself by using an equipment, If you do not carry this procedures safely it could result injury to self, to service user and other individual that are working with you. The Health and Safety Work Act (1974) state that 50% or all accident reported each year are from assisting people with manual and handling.
The regulation that are set impose duties on employers, self- employed and employees, they state that employers must avoid all hazardous manual handling activities where it is practical to do so. Employees must follow the work system set by the employer to promote care for the health and safety of self and others, comply with the requirement imposed on the employer, never misuse or interfere with anything provided for health, safety and welfare. Also use material or equipment only according to recommended procedures.
2:2 Describe what health and safety factors need to be taken into account when moving and positioning individual and any equipment used to do this Health and safety factors that need to take into account when moving and positioning individual and any equipment used to do this are as follows: Environmental hazards: wet or slippery floor, wires that are hanging or are on the floor and items in the immediate area that could cause a trip or a fall or preventing you to move freely when using equipment, precautions for infection prevention and controls, ensuring any equipment is ready for use and fault free, individual trained in the use of any equipment and have the skills for the moving and positioning required; any factors that might affect the individual’s ability to move or position others eg physical disability or injury, pregnancy or other medical condition; procedures to minimise risk of injury (back injury) to the individual carrying out the moving and handling; importance of not dragging including effect on pressure sores; importance of wearing suitable clothing that allows free movement when bending or stretching; suitable, safe footwear, equipment eg hoists, slides, slide sheets, slings, pillows. 3:3 Identify any immediate risks to the individual: The immediate risks to the individual are as follows environmental factors, equipment, service user and person involved in the moving and handling.
The service user could be in danger or harm if procedures has not carried out correctly, individual could be at risk of infection, it could cause pain, discomfort or friction from moving, not having proper moving and handling techniques could be a risk to individual. Those assisting in the moving and handling, others within the environment and servicer. Equipment can be faulty. Risk can occur any time at your work place that why it is important to always check and identify risks and try to correct it straight away ( ie) if you are using a sling to hoist a service user and it has a tear on it no matter how small the risk is, if it is not being corrected straight away this could lead to a big risk and may cause detrimental damage to self, service user and others involved.
Therefore a risk assessment plan should be in place so that it can be changed and implement as to requirement of service user’s needs. 3:4 Describe actions to take in relation to identified risks Action that needs to be taken in relation to identified risk are as follows: To report it to Nurse in Charge on duty or Manager so that risk assessment plan can be updated. Ensure service user and all people involved in the care are made aware of the changes, ensure staff are implement procedures according the update risk assessment. Ensure the plan design comply with the trust requirement policy and staff are working within those guidelines. Communicating with the team to find out from staff whether the plan in place are working or any changes needs to be done.
3:5 Describe what action should be taken if the individual’s wishes conflict with their plan of care in relation to health and safety and their risk assessment Policy and procedures in relation to moving and handling may conflict with service user wishes. Due accident that happening in workplace due to lifting. Many workplace has now adopted NO-Lifting policy which means that hoists are to use according to their needs. However on many occasions service user do not want to be hoisted and if dealt with it incorrectly, it could leave service user feeling scared, undignified, humiliated, distressed and degraded. As much as employees has to follow policies but you find yourself in trouble due to basic human right may have been violated.
.To prevent conflict between service user and workplace policies relating moving and positioning you must involve service user in their own risk assessment and mobility service plan if appropriate. . Risk assessment to be focus on service user needs only on Employer needs. . Patient Centred Care Plan with agreement to service user taking into account requirement needs. . Wishes of service user need to be balanced to ensure employer are not putting themselves at risk through moving and positioning activities. By involving service user in their care this will promote independence, autonomy and dignity. Service user may change and mobility can improve or deteriorate – which may lead changes to their mind on how they wish to be moved or positioned.
If their wishes conflict with their plan of support, it is important to document this in the service user care plan and inform the manager and outside agency that are involved in the care of the service user. 6:1Describe when advice and/or assistance should be sought to move or handle an individual safely You would seek advice: . When individual that need moving has preferences that conflict with safe practice. . When risk cannot be dealt with . When equipment appears to be worn, damaged or unsafe to use . When techniques or equipment used require more than one person to use it safely . When working unaided would exceed personal handling limit
. When individual care plan and/or risk assessment cannot be follow as planned . When Organisational policies and procedures cannot be followed. 6:2 Describe what sources of information are available about moving and positioning Sources about moving and positioning is available within the work setting such as policies, procedures and manuals, there is also advice from other practitioners such as nurse, welfare officer, physiotherapist or team advising on health and safety eg back care, sources external to the setting including local authority, primary care trust and organisations promoting health and safety and caring for those with physical disability, Back care advisor (BCA).
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