Identify themanual handling needs of the client

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Reference no: EM13954781

Instructions for OSCE Station

Hazard identification

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Statement

In the workplace there will be many hazards and associated risk of exposure. Examples of health care industry hazards can include infectious diseases, chemicals, body fluids, sharps, cytotoxic medication and waste, occupational violence, bullying, stress and fatigue.

The resulting risks from these hazards may include:
• Falls or near misses
• Medication errors
• Needle stick injury

Regular workplace inspections to identify unreported hazards is a good quality improvement exercise.

Practical Assessment

1. Complete a WHS workplace inspection checklist

2. Provide constructive feedback by verbally explaining to your educator what measures could be taken to reduce/control the risk(s) that you have identified.

Work Areas

S

U

Comments

1.    Work surfaces are set up at appropriate height for tasks undertaken

 

 

 

2.    Layout of work area is suitable for tasks and reduces bending / twisting / overreaching

 

 

 

3.    Adequate rest breaks taken during repetitive tasks or those requiring sustained postures (e.g. sitting or standing)

 

 

 

4.    Heavy or frequently used items are stored at waist height

 

 

 

5.    Persons protected from sharp objects

 

 

 

6.    Free standing fittings secure and stable

 

 

 

7.    Serviceability of office equipment

 

 

 

8.    Windows - safety condition

 

 

 

Manual Handling (MH)

S

U

Comments

1.    All manual handling hazards are identified

 

 

 

2.    Risk assessments are carried out for all manual handling risks

 

 

 

3.    Appropriate MH equipment is provided

 

 

 

4.    Staff are trained to undertake the MH tasks associated with their work

 

 

 

5.    Staff use correct manual handling techniques for tasks

 

 

 

6.    Repetitive actions are minimized

 

 

 

7.    Rest breaks and preparatory exercises undertaken

 

 

 

8.    Adequate space for use of appropriate manual handling techniques or mechanical aids

 

 

 

9.    Adequacy and serviceability of lifting devices/stacking aids/ trolleys/handcarts etc.

 

 

 

10. Equipment is stored safely and appropriately

 

 

 

Housekeeping

S

U

Comments

1.    Floors, including aisles, passageways and landings - cleanliness and condition

 

 

 

2.    Access/egress points always kept clear

 

 

 

3.    Tidiness - storage areas

 

 

 

4.    Tidiness - work areas

 

 

 

5.    Tidiness - tea making/rest areas

 

 

 

6.    Provision of waste disposal with adequate servicing

 

 

 

7.    Waste minimisation is addressed

 

 

 

Indoor Environment

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U

Comments

1.    Adequacy of ventilation/airflow

 

 

 

2.    Adequacy and suitability of lighting

 

 

 

3.    Glare levels satisfactory for tasks

 

 

 

4.    Temperature range comfortable

 

 

 

5.    No smoking policy maintained

 

 

 

6.    Noise levels meet standards

 

 

 

Access/Egress

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U

Comments

1.    Passageways - free from obstructions, electrical cords and other trip hazards

 

 

 

2.    Exits - accessible, signposted, adequately lit, not locked

 

 

 

3.    Adequacy of traffic flow

 

 

 

4.    Condition of floors, carpets, stair treads, handrails, landings, etc.

 

 

 

Fire Safety

S

U

Comments

1.    Fire equipment serviceability

 

 

 

2.    Fire equipment adequacy

 

 

 

3.    Fire equipment accessibility

 

 

 

4.    Storage of flammable materials

 

 

 

5.    Fire escape facilities and evacuation plans and procedures in place

 

 

 

First Aid and Hygiene

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U

Comments

1.    First aid kit/s easily accessible and in prominent position

 

 

 

2.    First aid signage - posters, directional arrows prominently displayed

 

 

 

3.    First aid labels on wall mounted/portable first aid kits & first aid posters showing nearest first aid officers' names, locations and phone numbers are up-to-date

 

 

 

4.    Ablutions - adequacy

 

 

 

5.    Supply of running water, soap, towels, etc.

 

 

 

6.    Area for clothing storage (if required)

 

 

 

Emergency Procedures

S

U

Comments

1.    Site emergency plan readily available

 

 

 

2.    Warden contact details readily available

 

 

 

3.    Emergency checklists readily available (bomb threat, chemical, radiation etc.).

 

 

 

4.    Emergency evacuations/drills practiced at least once per annum

 

 

 

5.    Emergency equipment available and accessible e.g. eye wash bottles or deluge showers

 

 

 

6.    Audibility of sirens and alarm signals

 

 

 

Electrical Safety

S

U

Comments

1.    Serviceability of light fittings

 

 

 

2.    Serviceability of power outlets

 

 

 

3.    Adequacy of power outlets (quantity and rating)

 

 

 

4.    No double adaptors, or piggybacking

 

 

 

5.    Serviceability of power leads, extension cords and power boards

 

 

 

6.    Electrical equipment tested and tagged or risk assessment indicating test/tag not required

 

 

 

7.    Records kept relating to all inspections carried out on electrical equipment

 

 

 

8.    Labelling of outlets with panel &  circuit breakers information for power isolation

 

 

 

9.    Accessibility of circuit breakers, fuses and main switches for power isolation

 

 

 

Personal Protective Equipment (PPE)

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U

Comments

1.    All PPE requirements are expressed in job use sheets which are readily available

 

 

 

2.    Adequacy, condition and suitability of:

 

 

 

  • Eye protection

 

 

 

  • Hearing protection

 

 

 

§  Face shields

 

 

 

  • Gloves

 

 

 

  • Respirators

 

 

 

  • Safety shoes

 

 

 

  • Protective clothing

 

 

 

§  Requirements for PPE enforced

 

 

 

3.    PPE is stored and maintained appropriately

 

 

 

Storage Areas

S

U

Comments

1.    Accessibility and layout

 

 

 

2.    Defined areas

 

 

 

3.    Labelling of substances

 

 

 

4.    Material Safety Data Sheet (MSDS) provided for all hazardous substances

 

 

 

5.    Ventilation

 

 

 

Cleaning Areas

S

U

Comments

1.    Ventilation

 

 

 

2.    Storage of cleaning fluids - MSDS available for hazardous substances

 

 

 

3.    Storage of disposal waste

 

 

 

4.    Condition of air hoses and fittings

 

 

 

5.    Availability of SOPs

 

 

 

6.    Escape routes available

 

 

 

Lifting Devices

S

U

Comments

1.    Risk assessment documentation readily available for all lifting devices

 

 

 

2.    Serviceability of lifting devices record books and licenses

 

 

 

3.    SOPs readily available and current

 

 

 

4.    Labelling of load rating

 

 

 

5.    Serviceability of trolleys, handcarts etc.

 

 

 

6.    Suitability and serviceability of step ladders / step stools etc.

 

 

 

General

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U

Comments

1.    Adequacy of Unit's policies and procedures

 

 

 

2.    Adequacy of procedures for travel off campus (staff and students)

 

 

 

3.    Adequacy and availability of risk assessment documentation

 

 

 

4.    Adequacy and availability of SOPs

 

 

 

5.    Protocols sufficient for alerting others to action, e.g. spraying

 

 

 

6.    Procedures sufficient for afterhours access

 

 

 

7.    Procedures sufficient for carrying of cash or valuables

 

 

 

8.    Procedures sufficient for health and safety of visitors to Unit

 

 

 

9.    Procedures sufficient for health and safety of engaged contractors

 

 

 

Other

S U Comments

1.    Management of stress

 

 

 

2.    Management of violence and aggression

 

 

 

3.    Management of drugs and alcohol

 

 

 

4.    Management of isolation

 

 

 

5.    Management of bullying and harassment

 

 

 

6.    Management of fatigue

 

 

 

7.    Use of non-slip surfaces

 

 

 

8.    Vehicle - speed limitation adhered to

 

 

 

Incident report

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Scenario

Incident:

Following the successful transfer of your client, your colleague, the new EN returns the hoist to its storage area. He fails to lock the hoist; it rolls out from its position knocking an elderly resident (Jim Fletcher) on the foot and leaving a large contusion and skin tear to the top of their foot.

The incident occurred in the Main Corridor East wing, in vicinity of hoist storage area, at 0910 on 15/09/2014. You assist Jim to his room and call the medical officer to review the wound to his foot before cleaning and dressing the injury, Jims is notified of the injury.

Practical Assessment

1. Complete an incident report.

2. Verbally explain to your educator how you would assist and guide your EN colleague with checking for potential risks/incidents and on how to fill in the incident form.

3. Provide constructive feedback by verbally explaining to your educator what measures could be taken to reduce the risk of a similar incident occurring again.

Transfer a client by repositioning and use of slide sheets

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Case Study

Mrs Sandy James an80-year-old lady has recently fallen in the shower and requires hip replacement surgery. She has nowbeen hospitalized for three (3) weeks. As a result of her injury she is unable to turn herself and has been lying in the one (1) position for a prolonged period of time. Due to her immobility and age, she is at high risk of developing skin tears, tissue damage andpressure ulcers (PU).

As per her care plan, frequent repositioning of Mrs James has been recommended as a means of preventing pressure ulcers (PU).

You are the EN on duty and are required to transfer Mrs. Sandy James by repositioning her.

Practical Assessment

1. Use no lift technique and follow the principles of manual handling no lift policy.

2. Identify themanual handling needs of the client.

3. Demonstrate how to reposition a client using two (2) person assist.

4. Demonstrate how to reposition a person using slide sheet using two (2) person assist repositioning the client from one (1) side to the other and moving the client up the bed using the slide sheets.

5. Verbally discuss with the RN,your evaluation of the effectiveness of the manual handling you completed.

Transfer a client using sit to stand method

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Case Study

Mr. Frank Smith is a 68 year old man with multiple sclerosis (MS) and suffers from paralysis on the right side of his body. As per his care plan, he is due for a second daily shower at 10:00am.

You are the EN on duty and are required to assist Mr. Frank Smith with his shower.

Practical Assessment

1. Demonstrate a sit to stand with one (1) person transfer.

2. Demonstrate a sit to stand with two (2) person transfers.

3. Verbally explain with the RN,your evaluation of the effectiveness of the manual handling you completed.

Transfer a client using mechanical lifter (hoist)

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Case Study

Mr. Frank Smith is a 68 year old man with multiple sclerosis (MS) and suffers from paralysis on the right side of his body. As per his care plan, he is due for a second daily shower at 10:00am.

You are the EN on duty and are required to assist Mr. Frank Smith with his shower.

Practical Assessment

1. Demonstrate transferring a client from bed to chair using mechanical lifter (hoist).

2. Verbally explain with the RN,your evaluation of the effectiveness of the manual handling you completed.

Transfer a client with PAT slide/walking frames/walking sticks/wheel chair/shower chair/stand-up lifter

Please read and hand back to the Assessor. You have 20 minutes to complete this assessment from the sound of the bell.

Case Study

Mr. Frank Smith is a 68 year old man with multiple sclerosis (MS) and suffers from paralysis on the right side of his body. As per his care plan, he is due for a second daily shower at 10:00am.

You are the EN on duty and are required to assist Mr. Frank Smith with his shower.

Practical Assessment

1. Obtains relevant equipment and checks to ensure it is in good working order.

2. Identifies if one (1) or two (2) persons are required for lift.

3. Demonstrate your ability to transfer a client using PAT slide, walking frames, walking sticks, wheelchair and shower chair.

4. Demonstrate correct use of a stand up lifter (if available).

5. Verbally discuss with the RN,your evaluation of the effectiveness of the manual handling you completed.

Reference no: EM13954781

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