Management Health Action Planning Systems -Manual Handling

Management & Health Action Planning Systems -Manual Handling. MHAP ©Paul. Semans 2009 Do not reproduce without permission

‘The purpose of health and safety legislation is to give structure, procedures, and routines, which can be included in the everyday life of the individual. The risk assessment should be part of the employee’s life and not a piece of paper locked away in a file. ’ Hutter (2001) MHAP ©Paul. Semans 2009 Do not reproduce without permission

Legislation • • • H&SAW 1974 PUWER 1998 LOLER 1998 MHOR 1992 (2004) Care Act 2014 Standard 13. 3 a, b, c – Care Certificate – Assessment framework MHAP ©Paul. Semans 2009 Do not reproduce without permission

What is Working ? üManual handling training is mandatory üPolicies are in place üAssessments are in place üDocumentation is audited üMOHR 1992 is applied üAll is well? MHAP ©Paul. Semans 2009 Do not reproduce without permission

What Still Happens? deaths relating to MH incidents reported involving SU Staff regularly injured Thousands of £’s lost in sickness/absence Thousands of £’s lost in litigation SU and staff exposed to risk everyday Falls happen! Poor communication of care plan MHAP ©Paul. Semans 2009 Do not reproduce without permission

Health and Safety at Work Act, 1974 • The Act imposes general duties on employers to secure the health, safety and welfare of people at work, and protect others against risks arising from the work activity. MHAP ©Paul. Semans 2009 Do not reproduce without permission

Health and Safety at Work Act, 1974 • Section 2(1) of the Act makes it the duty of every employer to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all his employees. • This includes: • provision & maintenance of plant and systems of work that are safe and without risks • Provision of Information, instruction and training MHAP ©Paul. Semans 2009 Do not reproduce without permission

Health and Safety at Work Act, 1974 • Section 3(1) of the Act makes it the duty of every employer to conduct their undertaking in such a way as to ensure, so far as is reasonably practicable, that persons not in his employment who may be affected thereby are not exposed to risks to their health or safety MHAP ©Paul. Semans 2009 Do not reproduce without permission

Layers of protection MHAP ©Paul. Semans 2009 Do not reproduce without permission

Layers of protection • • • Legislation and regulation Policy and procedure Approved codes of Practice (ACOP) Risk assessments Patient centred care plans (PCCP) Dynamic risk assessments MHAP ©Paul. Semans 2009 Do not reproduce without permission

Some 'holes' due to active failures DANGER Defences in depth Other 'holes' due to latent conditions

Multi-Causal Theory “Swiss Cheese” diagram (Reason, 1991) 12 MHAP ©Paul. Semans 2009 Do not reproduce without permission

Factors Contributing to Human Error • Environmental Factors – Light – Noise and Vibration- Alarms! – Temperature – Humidity – Restrictive/ protective clothing – Equipment layout and design – Physical environment MHAP ©Paul. Semans 2009 Do not reproduce without permission 13

Factors Contributing to Human Error • Some examples of personal factors – Fatigue – Stress – Workload – Distraction – Drugs/ Alcohol – Hypoglycaemia – Hypovolaemia MHAP ©Paul. Semans 2009 Do not reproduce without permission 14

Discussion • If people try hard enough they will not make any errors • If we punish people when they make errors, they will make fewer of them MHAP ©Paul. Semans 2009 Do not reproduce without permission 15

Discussion • If people try hard enough they will not make any errors • If we punish people when they make errors, they will make fewer of them MHAP ©Paul. Semans 2009 Do not reproduce without permission 16

To help you comply with LOLER and PUWER, MHAPS Ltd have designed this poster -displayed in the key areas. -reminds staff of their duties -demonstrates to all visitors that patient safety is taken seriously -helps express due diligence MHAP ©Paul. Semans 2009 Do not reproduce without permission

MHAP ©Paul. Semans 2009 Do not reproduce without permission

Pictograms designed to be - easily understood - easily interpreted - cross language barriers -give clear instruction, at a glance -multiple scenarios covered MHAP ©Paul. Semans 2009 Do not reproduce without permission

Development of PEEP information Patient requires evacuation by BED Patient requires evacuation By CHAIR (with or without assistance) See MHAPS Plan Patient is MOBILE (with or without assistance) See MHAPS Plan MHAP ©Paul. Semans 2009 Do not reproduce without permission ! Patient Emergency Evacuation Plan

MHAPS poster - clearly visible - easily interpreted - cross language barriers -give clear instruction, at a glance -can be displayed in clients room -indisputeable instruction -training tool MHAP ©Paul. Semans 2009 Do not reproduce without permission

Demonstration MHAP ©Paul. Semans 2009 Do not reproduce without permission

4 th April 2010 25 High Mr Nipper Lombardy Rt Sided Stroke 15 st 7 lb Paul Sylvester / Mo Johnson (OT) Complete Assessment Handling Belt Oxford Midi Develop Action Plan QF deleux 2 hourly Large Slide sheet T 01 10 10 MHAP ©Paul. Semans 2009 Do not reproduce without permission Assessment Review Date

PEEP ACTION Mr Nipper Lombardy 4 th Rt Sided Stroke April 2010 25 High 15 st 7 lb Paul Sylvester / Mo Johnson (OT) Handling Belt T Staff Action Plan Oxford Midi QF deleux 2 hourly 01 10 10 MHAP ©Paul. Semans 2009 Do not reproduce without permission Large Slide sheet Management data

Any Questions? For further information please contact Paul Semans 07590 055 515 MHAP ©Paul. Semans 2009 Do not reproduce without permission