Manual handling operations regulations, the manual handling operation operations regulation 1992, applies to you when you take part in manual handling in the work place. It guides you and helps you reduce the number or accidents or injuries that could occur to you from taking part in manual handling. Many injuries can occur to you when you are manual handling such as back pain. Before every use of manual handling you have to assess the operation you are going to carry out and see which would be the best way to carry out the task and the risk-free way, it is also essential that the …show more content…
employee is provided with the right training which is essential in using any manual handling apparatus.
Lifting operations and lifting equipment regulations, this is a set of regulations created by the health and safety at work. It states that all apparatus used should be safe and fit for purpose, everyone who will be carrying out these tasks using the apparatus/machinery should be suitably trained to use it and all equipment should be kept and maintained in a safe condition. Examinations and inspections should be carried out every 6 months or every year.
Control of substances to health, (COSHH) is to reduce the risk of diseases or illnesses resulting from exposure to hazardous substances. There should be appropriate control measures for storing these substances such as a room that is locked at all times and only few people can access it with a key, that employees using the substances use the expected measures of responsibility that is expected of them for example: not leaving them lying around where someone could cause harm to themselves. These regulations apply to a wide range of substances which can be inhaled, ingested, injected and absorbed through the skin.
Reporting of injuries, diseases and dangerous occurrences regulations, - these regulations were created so that employees or employers or the responsible persons are responsible for reporting death, serious workplace injuries or accidents or serious/dangerous illnesses and diseases.
1.2- health and safety policy- moving and handling with the residents must be don’t properly and only allowed if you have been given the correct training, security measures are out into place such as CCTV and restricted areas only staff can access with a key fob, risk assessments done correctly and on time, reporting important information back to the nurses or manager whether it be about abuse or a sudden change is residents behaviour e.g.
they have become unwell very suddenly, given the correct PPE, employees must give the appropriate personal care to the resident to the best of their ability, making sure you follow nurses instructions, for example such as a residents diet has changed from normal to puree and if wasn’t followed there would be a risk of choking etc., knowing how important your own personal safety is and not doing anything you aren’t comfortable or confident in doing by yourself, also reporting any injuries inflicted to
you.
Fire safety policy- go to appropriate training, regular fire drills to ensure we keep ourselves up to date, make sure everyone reads the fire safety policy and knows the assembly points, make sure everyone knows how to report and react to a fire and understands what to do, how to react to a resident (depending on what has happened)
Infection control policy- appropriate PPE is given, employees know which residents have infections so that they know which appropriate PPE to wear, a strict hand washing regime is put into place and information be put up about infection control and the appropriate way to wash your hands to remind you, the appropriate waste disposals for example individual bins for infectious residents so that there is a low risk of it spreading round the residential home, training should be attended when necessary.
Emergency situation policy- what to do in an emergency situation, how to enter an emergency situation such as look for any risks such as electrical, water or flammable liquids or gases, attend training so you understand thoroughly, how to report an emergency and who to, how to react to the resident in an emergency situation (depending on what has happened).
1.3-
Self- take care of my own health and safety in the workplace (within reason), take care not to put anyone (residents, co-workers or members of the public) at any risk inside or outside of work, make sure you co-operate and communicate correctly with your employer ensuring you have the appropriate training and follow the health and safety policies, not to interfere or misuse anything that has been provided for your, your co-workers or residents health and safety/care, report anything that has happened to you whilst being at the workplace such as injuries, illnesses or strains, letting your employer know important information about you that could affect your work such as becoming pregnant or having an injury/illness, not to undertake anything that you haven’t completed or had any sufficient training for e.g. moving and handing.
Employer/Manager- provide a safe place for your employees to work in (also proving PPE), give the correct information on health and safety, provide free training, make sure you provide a safe way to enter and leave the workplace.
Others in the work setting- follow the health and safety advice which has been given to you, cooperate with you in using equipment the safe and proper way that has been shown, take reasonable care of themselves when it comes to their health and safety.
1.4- medication- you cannot carry out giving resident their medication without training as you could potentially kill someone or make them seriously unwell, you wouldn’t understand what to give them, how much of it and how and where to record it.
Manual handling- you could injure someone or yourself as you wouldn’t know how to use the machine properly, how to put a sling on, attach it to the hoist and how to safely remove it.
First aid- you could potentially make an injury worse if you attempted to give first aid to someone as you wouldn’t know what you were doing or the correct equipment to use. You could also injure yourself.
Peg feeding- you should never attempt to out in a peg feed without the correct training as you could hurt the resident, you could also pull the peg feed out or give them the wrong supplement that goes into the peg feed so you could also make them unwell.
Fighting fire- you should never try to tackle fire on your own especially without the correct training as you could make things worse or seriously injure you or others around you.
2.1- well you would use them every day in the work setting, you would use them to understand and to educate you further on what can be done, what you can do, what you can’t do, how to do things and how not to do things etc., they can be very helpful to you and are very useful to have especially printed out as you can refresh your knowledge on them if you needed to.
2.2- by supporting others I would ask someone to give them help with something if they didn’t understand it or if I knew myself what they would confused about I would give them guidance, I would also speak to the manager on maybe putting up information on that subject or maybe asking them to provide some training for the subject we are unsure about.
2.3- health and safety risks is a big category in the health and social care work setting, to monitor one of these could be to keep an eye on a machine that has been faulty the last few times you have used it, to watch joe blogs because he has been unsteady on his feet today and you will need to check he is ok to stay up or will have to be put to bed as he could be at risk from hurting himself or another resident, to let the nurses know that resident A hasn’t got an appetite that they usually have and you could be concerned for their health etc., to report any of these I would go to whoever is the right person to tell, either the nurses, manager or handyman and then depending on what’s been reported will depend on how it is recorded.
2.4- if you walked into a residents room and they had fallen out of bed I would use a risk assessment which is in stages first you would identify the hazards around you, you would then decide on what to do with them hazards or seek help, they you would decide who might be harmed and how it happened, then you would evaluate the risks and decide on what precautions you will take if you have to intervene with the resident (also seek help or support while doing this or call for an ambulance), you would then record all of your findings you then report it and wait to see what has been done about fixing that situation so that it doesn’t happened again such as the nurse asked the residents family to sign for cot rails to go up on their bed so that they can’t fall out again.
2.5- to minimise the risks of hazards and risks you should first think of can I get rid of the hazard all together? If not how can I control the risk so the outcome of harm to myself or someone is unlikely? You could also just take a practical approach to it and try a less risky option, you could prevent access to the hazards or find a way around it, you could wear PPE or ask for it to be provided for you if you don’t already have it, have first aid nearby in case any accidents occurred, consulting your issues with your manager or other colleagues, report anything you feel could be a risk or a hazard whether it be to you or your colleagues or your residents and request it to be made safer.
2.6- if you were looking for additional support on health and safety you could ask your manager or colleagues to help you out, read about it whether it be in a book or online on the internet or you could ring someone to talk about it.
3.1- a lot of resident still have full mobility or have aids to help them walk such as a rollator, walking stick etc.,. but sometimes as they become unwell or are very tired they can fall, as their bones are very brittle they are extremely prone to a fracture or a break. Some sudden illnesses that can occur is a common cold which can be easily spread round the care home as their immune systems would be very weak, some residents can catch the common cold and it can develop into something serious also. As care workers moving and handling resident’s everyday can take a toll on your back, serious back pain can be a regular accident at work or even a slipped disk in your back.
3.2- if an accident or sudden illness should occur you should shout for help and shout for a nurse or ring for an ambulance (depending on the situation) you will explain what you saw when you have come in and report everything you know and saw to them, never touch a resident if they have fallen for example as moving them could potentially cause more harm you should stay with them and reassure them everything will be ok and help is on its way this will also calm the resident down.
4.1- everything I do will be showing an example so I will make sure I am doing everything correctly for example I will wear PPE at the correct ties, I will show them what goes into which bins, I will wash my hands before and after going to a resident to give them personal care, I ensure I follow these practices as they are very important and I will explain why it is and why we do it, there are also posters all around the care home to remind you so I would also show them then in case they were still not sure.
4.2- the recommended method for washing your hands should last around 30 seconds there are seven steps to these to ensure your hands a thoroughly washed, they should be washed before and after you enter a residents room or before you touch them to transfer them etc. after you wash your hands you should ensure that you turn the tap off with the paper towels you dried your hands with as you could contaminate your hands all over again and have to repeat the process, here are the seven steps: Step one
Palm to palm.
Step two
Right palm over back of left hand. Change hands and repeat.
Step three
Interlace fingers of right hand over left. Change hands and repeat.
Step four
Rotational rubbing backwards and forwards with clasped fingers of right hand in left palm. Change hands and repeat.
Step five
Rotational rubbing of right thumb clasped in left palm. Change hands and repeat.
Step six
Grasp left wrist with right hand and work cleanser into skin. Change hands and repeat.
Step seven
Rub hands and wrists for 30 seconds, then rinse and dry thoroughly.
4.3- well we always wash our thoroughly before and after we have given a resident personal care, we always have a clean uniform as that can stop the risk of cross infection and it just doesn’t look professional, we always have our hair tied back due to health and safety and it is professional and hygienic, we always wear our PPE (gloves, aprons etc.) we have different bins one for out nurses, one for our residents who have an infection and our normal ones on our trolley for wipes and dirty pads etc., we also have red bags which separated soiled clothes or clothes off a resident who has an infection, this separates their clothing from the normal wash and will be put on a sluice wash.
5.1- refer back to 1.1
5.2- in the report we get every day we are told if someone has to be transferred a different way, for example if Joe Bloggs can’t support themselves like their own weight while we help to transfer them the best thing to do is have them assessed and usually they will them be hoisted as it’s the safest option, we only transfer people who can’t walk on their own but can support their own weight, any resident who can walk or walk with help such as a rollator won’t need help from us as it is important for them to still feel independent and able to do as much for themselves as possible, we follow everyone’s care plan as its very important also advice form the nurses helps us to understand if a resident who usually gets transferred by one carer will now need two carers as they aren’t as stable on their feet as they used to be, moving and handling should never be done without the correct training as you could injure the resident or yourselves. It also depends on each carers capabilities as if you don’t feel comfortable moving and handling a resident by yourself or have an injury that would be taking a risk so it’s better to ask for help.
5.3- you need to make sure before moving and handling someone you are following the care plan and the nurse’s advice, you will need the correct training before you attempt moving and handling as you don’t want to injuries to yourself, co-worker or the resident. For example when we toilet Mrs ABC we will change her into her nightclothes and attach a sling to her which supports her back whilst we use the standing hoist, the sling then connects to the hoist which Mrs ABC will pull herself in so that she is standing up straight, she can support her own weight but the sling needs to be attached to her for health and safety, we will then transfer her to the toilet then back onto the chair in her room as she likes to stay up past our shift.
6.1- some form of hazardous substances that may be found in the work setting are: dusts, liquids, vapours, gases, mists, fibres, solids, smoke and cleaning products that the domestics will use to clean the home.
6.2- to store hazardous substances there are kept in a cleaning store under double lock and key and only a few staff members have access to it.
Whilst using hazardous substances you should insure firstly that you have had the correct training to handle these products, you should then insure you are wearing the appropriate PPE such as gloves then you should also read the products label to insure you can be as fully protected from them as possible.
To dispose of hazardous substances and materials we will put materials into a specific bin bag and it is placed into a bin before being transferred outside, other infectious items are disposed into a different coloured bag. For sharps and other hazardous objects they are put into a sharps box but the nurses will deal and dispose of this.
7.1- preventing fires- Keep heating and electrical equipment clean, clear, and in good repair.
Maintain machinery to prevent overheating and friction sparks.
Use and store chemicals safely. Read the label and safety materials. Provide adequate ventilation when using and storing these substances. Take precautions to prevent ignition in potentially explosive atmospheres, such as those containing flammable liquid.
Clear the clutter, which contributes to fires by providing fuel, so keep paper products, aerosols, and other flammable materials and liquids away from heat sources.
Clutter also prevents access to emergency equipment and exits or escape routes.
Smoke only in designated areas, and extinguish smoking materials safely. Never smoke in storerooms or chemical storage areas.
Check, replace or have professionally fixed any appliance with frayed or loose cords and wires.
Report electrical hazards. Many fires start in faulty wiring and malfunctioning electrical equipment.
It’s also important that you have a clear idea what to do in case a fire does occur.
Help ensure that fire protection equipment (for example, sprinklers, smoke/heat detectors, alarms, fire hoses, fire extinguishers, and fire blankets) are maintained and available for use.
Know where fire extinguishers are located and how to properly use them. Learn which extinguishers to use for the specific types of fire.
Besides training in fire prevention and protection, make sure you understand your company emergency policy and evacuation plan.
Take fire drills seriously. They are designed to save lives and property in case of the real thing.
Know the location of fire alarms and the telephone numbers for emergency services.
Report a fire, even if it seems minor. Firefighters would rather arrive and find nothing, than be called after it’s too late to save people or property.
Prevention of spreading a fire-
1. Identify the hazards: anything that could’ve started the fire or what could make the fire worse
2.identify who could be at risk – activate the fire alarm
3. Evaluate the risks and take action to reduce them – use fire blanket or extinguisher
4. Ring the emergency services- follow fire plan/policy
7.2- refer to 7.1
7.3- on hearing the alarm raised you should-
1. Check fire is not in your area
2. Remove self to place of safety/Assembly Point in a calm safe manner
3. Remove others if it does not compromise your own safety
4. Ensure the Fire Brigade has been called
You should also be prepared for when the emergency services arrive be ready to provide details so that decisions can be made about dealing with the fire. Information such as the number of people left in the house, their physical ability, location of their bedroom or last known location, position of fire fighting equipment, position of mains services particularly gas and electricity
7.4- if you were unable to get out these are the steps to take –
Stay calm and take steps to protect yourself
Go to a room with an outside window, and telephone for help if possible
Stay where rescuers can see you and wave a bright coloured cloth to attract attention
Open windows if possible, but be ready to shut them if smoke rushes in
Stuff clothing, towels, or newspapers around the cracks in doors to prevent smoke from entering your room
8.1- premises- visitors gain access through the front door as they ring a bell it will have a camera on it which will show their faces they will be buzzed in by someone only if they are recognised, then they will sign in to a book by recording their name and time of visit etc., relatives who visit regularly you do become familiar with but if we don’t recognise someone or if someone is requesting to come in we will inform the nurses or manager etc. to speak to them beforehand.
Information- to check someone’s identification or to identify a relative we would look through the residents personal information or ask a nurse or manager to so to validate that they are who they say they are, also by asking a nurse or manager to check and see if the recognise them as they could’ve seen them before us and know they are who they say they are.
8.2- to protect our own security and others in work all staff members have a key fob which gives you access to all the areas of the home (except the clinical room as nurses have a special key fob for that) that’s how we get in and out of work and into such things as the staff room and the laundry room. The doors are unavailable to anyone else but they do provide a doorbell on them for the public/relatives/delivery men to ring so that we can let them in. Other rooms such as the store room which stores pads and wipes has to be accessed by a key, the door has a double lock on it just for safety and so does the cleaners store were we get bags from and our gloves as they are hazardous chemicals contained in that room.
8.3- your work colleagues will need to know your whereabouts at all times, as if an accident occurs there will be no one there to get help from, if something did go wrong and you weren’t there or didn’t inform anyone about where you were going etc. you could be accused of what happened to that resident because you didn’t tell anyone where you were going and just say you only went to the toilet but were the accident occurred was where you were and there was no proof. So it could end very badly always remember to inform your colleagues the nurses or the manager of your whereabouts whether you be going to the toilet, out for a smoke or going to get the tea trolley.
9.1- signs and indicators of stress- Moodiness
Irritability or short temper
Agitation, inability to relax
Feeling overwhelmed
Sense of loneliness and isolation
Depression or general unhappiness
Memory problems
Inability to concentrate
Poor judgment
Seeing only the negative
Anxious or racing thoughts
Constant worrying
Eating more or less
Sleeping too much or too little
Isolating yourself from others
Procrastinating or neglecting responsibilities
Using alcohol, cigarettes, or drugs to relax
Nervous habits (e.g. nail biting, pacing)
9.2- when I feel stressed I usually feel like this:
Negative or depressive feeling
Disappointment with yourself
Increased emotional reactions - more tearful or sensitive or aggressive
Loneliness, withdrawn
Loss of motivation commitment and confidence
Mood swings (not behavioural)
Confusion, indecision
Can’t concentrate
Poor memory
9.3- when I feel under pressure I feel stressed, when other work colleagues aren’t a team player and you have to do their work also on top of yours, when too much is asked of you, when you’re working with a time limit can also be stressful, as all you want to do at work is ensure all residents are well looked after and they all get what’s needed done by us as carers on time and in our sift if that’s what they require, no one wants to leave work knowing that you couldn’t see to Joe Bloggs personal care because you were short staffed and simply didn’t have the time.
9.4- Identify what is causing the stress? then decide if anything that can be changed and do this by talking to someone such as a colleague or a nurse, give yourself a break even a few minutes to re-look over the situation and not work yourself up over it.