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Version 1- 01/10/10
In Association With
Learning work book to contribute to the
achievement of the underpinning
knowledge for unit: HSC 037
Promote and Implement
Health and Safety in
Health and Social Care
Credit value 6
All rights reserved, no parts of this publication may be
reproduced, copied, stored or transmitted without the prior
permission of
The Learning Company Ltd
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7
Page 2
Learner’s Name:
Learner’s Signature:
(Please sign inside the box)
Employer’s Name:
Employer’s Address:
Start Date:
Anticipated End Date:
College Provider:
Learner’s Enrolment Number:
Mentor’s Name:
Assessor’s Name:
Internal Verifier’s Name:
I V’s Sampling Date:
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 3
INTRODUCTION
This workbook provides the learning you need to help you to
achieve a unit towards your qualification. Your qualification on the
Qualification and Credit Framework (QCF) is made up of units, each with their own credit value; some units might be worth 3 credits,
some might have 6 credits, and so on. Each credit represents 10
hours of learning and so gives you an idea of how long the unit will
take to achieve.
Qualification rules state how many credits you need to achieve and
at what levels, but your assessor or tutor will help you with this.
Awarding Organisation rules state that you need to gather evidence
from a range of sources. This means that, in addition to completing
this workbook, you should also find other ways to gather evidence
for your tutor/assessor such as observed activity; again, your
assessor will help you to plan this.
To pass your qualification, you need to achieve all
of the learning outcomes and/or performance
criteria for each unit. Your qualification may
contain essential units and optional units. You’ll
need to complete a certain amount of units with
the correct credit value to achieve your
qualification. Your tutor/assessor can talk to you more about this if
you’re worried and they’ll let you know how you’re doing as you
progress.
This workbook has been provided to your learning provider under
licence by The Learning Company Ltd; your training provider is
responsible for assessing this qualification. Both your provider and your Awarding Organisation are then responsible for validating it.
THE STUDY PROGRAMME
This unit is designed for individuals who are working in or wish to
pursue a career in their chosen sector. It will provide a valuable,
detailed and informative insight into that sector and is an
interesting and enjoyable way to learn.
Your study programme will increase your knowledge, understanding
and abilities in your industry and help you to become more
confident, by underpinning any practical experience you may have
with sound theoretical knowledge.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 4
WHERE TO STUDY The best way to complete this workbook
is on your computer. That way you can type in your responses to each activity
and go back and change it if you want
to. Remember, you can study at home,
work, your local library or wherever you
have access to the internet. You can also
print out this workbook and read through it in paper form if you prefer. If you choose to do this, you’ll have to
type up your answers onto the version saved on your computer
before you send it to your tutor/assessor (or handwrite them and
post the pages).
WHEN TO STUDY
It’s best to study when you know you have time to yourself. Your
tutor/assessor will help you to set some realistic targets for you to
finish each unit, so you don’t have to worry about rushing anything.
Your tutor/assessor will also let you know when they’ll next be
visiting or assessing you. It’s really important that you stick to the
deadlines you’ve agreed so that you can achieve your qualification
on time.
HOW TO STUDY
Your tutor/assessor will agree with you the
order for the workbooks to be completed;
this should match up with the other
assessments you are having. Your
tutor/assessor will discuss each workbook
with you before you start working on it,
they will explain the book’s content and how they will assess your
workbook once you have completed it.
Your Assessor will also advise you of the sort of evidence they will
be expecting from you and how this will map to the knowledge and
understanding of your chosen qualification. You may also have a
mentor appointed to you. This will normally be a line manager who can support you in your tutor/assessor’s absence; they will also
confirm and sign off your evidence.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 5
You should be happy that you have enough information, advice and
guidance from your tutor/assessor before beginning a workbook. If
you are experienced within your job and familiar with the qualification process, your tutor/assessor may agree that you can
attempt workbooks without the detailed information, advice and
guidance.
THE UNITS
We’ll start by introducing the unit and clearly explaining the
learning outcomes you’ll have achieved by the end of the unit.
There is a learner details page at the front of each
workbook. Please ensure you fill all of the details in
as this will help when your workbooks go through
the verification process and ensure that they are
returned to you safely. If you do not have all of the
information, e.g. your learner number, ask your
tutor/assessor.
To begin with, just read through the workbook. You’ll come across
different activities for you to try. These activities won’t count
towards your qualification but they’ll help you to check your
learning.
You’ll also see small sections of text called “did you know?” These
are short, interesting facts to keep you interested and to help you
enjoy the workbook and your learning.
At the end of this workbook you’ll find a section called
‘assessments’. This section is for you to fill in so that you can prove
you’ve got the knowledge and evidence for your chosen
qualification. They’re designed to assess your learning, knowledge and understanding of the unit and will prove that you can complete
all of the learning outcomes.
Each Unit should take you about 3 to 4 hours to complete,
although some will take longer than others. The important
thing is that you understand, learn and work at your own
pace.
YOU WILL RECEIVE HELP AND SUPPORT
If you find that you need a bit of help and guidance with your
learning, then please get in touch with your tutor/assessor.
If you know anyone else doing the same programme as you, then you might find it very useful to talk to them too.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 6
Certification
When you complete your workbook, your
tutor/assessor will check your work. They will then sign
off each unit before you move on to the next one.
When you’ve completed all of the required workbooks
and associated evidence for each unit, your assessor
will submit your work to the Internal Verifier for
validation. If it is validated, your training provider will then apply for
your certificate. Your centre will send your certificate to you when
they receive it from your awarding organisation. Your tutor/assessor will be able to tell you how long this might take.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 7
Unit HSC 037: Promote and implement health and safety in
health and social care
About this unit
This unit is aimed at those working in a wide range of settings. It
provides the learner with the knowledge and skills required to promote and implement health and safety in their work setting.
Learning outcomes
There are nine learning outcomes to this unit. The learner will be
able to:
1. Understand own responsibilities, and the responsibilities of
others, relating to health and safety
2. Carry out own responsibilities for health and safety
3. Understand procedures for responding to accidents and
sudden illness
4. Reduce the spread of infection 5. Move and handle equipment and other objects safely
6. Handle hazardous substances and materials
7. Promote fire safety in the work setting
8. Implement security measures in the work setting
9. Know how to manage stress
Maintaining health and safety in the workplace
Your responsibility includes the monitoring of workplace practices
such as care activities; care procedures; and the use of care
materials and specialist equipment. You are
also responsible for minimising any risk such
as the possibility of danger, damage and destruction to the environment and goods;
or the possibility of injury and harm to
people. For example, you might be
responsible for dealing with accidents caused
by: falls; illness; disability; weaknesses; sensory impairment; or
frailty. You might also be responsible for dealing with untoward incidents such as: intruders; chemical spillages; missing valuables;
aggressive or dangerous encounters; and fire or bomb scares.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7
Page 8
Legislation Purpose of the legislation
Health and Safety at
Work etc Act (HASWA)
1974.
Ensures the health and safety of
everyone who may be affected by work
activities.
Management of Health
and Safety at Work
Regulations (MHSWR)
1999.
Require employers and managers to
carry out risk assessments to eliminate
or minimise risks to health and safety.
Workplace, (Health,
Safety and Welfare)
Regulations 1992.
Minimise the risks to health and safety
associated with working conditions.
Manual Handling
Operations Regulations
(MHOR) 1992.
Minimise the risks to health and safety
associated with moving and handling
activities.
Personal Protective
Equipment at Work Regulations (PPE) 1992
Minimise the risks to health and safety
associated with cross infection.
Reporting of Injuries,
Diseases and Dangerous Occurrences Regulations
(RIDDOR) 1995.
Require that certain work-related
injuries, diseases and dangerous occurrences are reported to the HSE or
local authority.
Control of Substances
Hazardous to Health
Regulations (COSHH)
2002.
Minimise the risks to health and safety
from the use of hazardous substances.
Provision and Use of Work
Equipment Regulations
(PUWER) 1998.
Minimise the risks to health and safety
associated with the use of equipment.
Electricity at Work
Regulations 1989.
Minimise the risks to health and safety
associated with electricity.
Regulatory Reform (Fire
Safety) Order 2005.
Minimise the risks to health and safety
of fire.
Health and Safety (First
Aid) Regulations 1981.
Ensure that everyone can receive
immediate attention if they are injured
or taken ill in the workplace.
Disability Discrimination
Act (DDA) 1995.
Ensures that people with a disability
have safe access to the workplace and
a safe way out in the event of needing to evacuate the premises.
Food Safety Act 1990 and the Food Hygiene
Regulations 2006.
Minimise the risks to health and safety associated with food handling.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 9
Data Protection Act 1998. Ensures everyone’s right to privacy of
their personal information.
Corporate Manslaughter
and Homicide Act 2007.
Allows an organisation to be convicted
when, due to negligence, the death
occurs of someone to whom it owes a
duty of care, such as a worker or
person using the service.
The Health and Safety Executive (HSE) is responsible for regulating
health and safety at work. The HSE does this via a code of practice for employers which aims to prevent illness and accidents at work
through the provision of guidance and up to date information
(www.hse.gov.uk). The HSE has the power to prosecute employers
who fail to safeguard the health and safety of people who access
and use their premises. The Health and Safety at Work Act 1974
lays down the duties of employers and employees. Under this Act the employer has to protect the health, safety and security of staff,
service users and visitors. In order to do this, the employer is
required to draw up safety policy and procedures, and to make
arrangements for these policy and procedures to be carried out, and
then regularly reviewed. Also, employers have to provide:
� A safe working environment
� Safe access to and from the workplace
� Information on health and safety
� Health and safety training � A risk assessment of potential hazards
The employee has a responsibility to:
� Take reasonable care of his or her own health and safety as
well as the health and safety of others e.g. Service users and
their visitors
� Cooperate with his or her employer on
health and safety issues
� Ensure that any health and safety
equipment is not intentionally damaged.
Health and safety, is therefore a shared responsibility between employer and
employee. Each are responsible for the
health, safety and welfare of service users
and their visitors to ensure that hazards in the workplace are
minimised. Each workplace must therefore have a written health
and safety policy, which must include:
� A statement of intent to provide a safe working environment
� The named person responsible for implementing the policy
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 10
� The names of individuals responsible for any particular health
and safety hazards
� A list of potential health and safety hazards and the procedures to be
followed when working with these
� A procedure for recording accidents and
illnesses at work
Hazards in the work place might include:
Environmental hazards-
� Wet or slippery floors and stairs
� Untidy corridors or passageways
� Worn carpets or rugs
� Loose or bare electrical flexes
Hazards associated with equipment-
� Faulty brakes on beds and wheelchairs
� Incorrectly labelled substances � Worn or damaged hoists and slings
� Incorrect or faulty waste disposal
Hazards associated with people-
� Moving and handling procedures
� Incorrect hand washing
� Incorrect food handling � Violence and/or aggressive behaviour
It is your responsibility as a care worker to identify, and then deal
with any potential hazards so that any potential risk to staff, service users or visitors can be minimised. You
are particularly responsible for this type
of activity if you are supervising other
staff. If appropriate, you should deal
with any potential hazard yourself e.g.
trailing flexes can be moved, cluttered
corridors can be tidied, or wet floors can
be mopped dry.
However, there may be occasions when you will have to seek
further help and advice, or report a potential hazard to your
manager e.g. or faulty equipment in need of repair, or suspicious
persons on the premises who’s identity needs to be checked.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 11
Health and Safety policies and procedures
Health and safety policies set out the arrangements that a workplace has for complying with legislation. For
example, in order to comply with the Health and
Safety (First Aid) Regulations, every workplace
should have a policy that describes how it
manages first aid.
Health and safety procedures describe the
activities that need to be carried out for policies to
be implemented. They record who does what, when and how in
order to maintain health and safety at all times. For example, first
aid procedures will describe the roles of first aiders and the people
responsible for maintaining first-aid equipment and facilities. They
will also describe when and how to call the emergency services and when and how to complete a record of an accident.
It is a legal requirement that you follow workplace health and safety
procedures to the letter. Failure to do so could mean the end of
your career in care.
Main health and safety responsibilities
Your responsibilities
The Health and Safety at Work, etc Act 1974 states that it is your
duty while at work to:
� Take reasonable care of yourself and anyone else who may be
affected by your actions, including colleagues, the individuals
you work with, their families, carers and
advocates � Cooperate with your employer or
manager in relation to health and safety
issues
� Not interfere with or misuse anything
provided in the interest of health and
safety, for example first aid and
firefighting equipment, health and safety
notices.
In addition, you have a responsibility to follow health and safety
policies and procedures to the letter, participate in and stay up-to-
date with health and safety training, and not carry out any task in
which you have not been trained.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7
Page 12
The responsibilities of your employer or manager
Legislation Responsibilities of your employer or
manager
Health and Safety at
Work, etc Act 1974
� Write health and safety policies and
procedures and make you aware of
them. � Ensure everyone’s health, safety
and welfare, including visitors and
the people using the service, as far
as is reasonably practicable.
Management of Health
and Safety at Work
Regulations 1999
� Carry out risk assessments to
eliminate or reduce risks to health
and safety.
� Set up emergency procedures and
inform everyone about them.
� Provide you with clear information,
supervision and training to ensure
that you are competent to carry out
your work.
Workplace, (Health,
Safety and Welfare)
Regulations 1992
Meet minimum standards with regard to
buildings and equipment, lighting,
temperature, and the provision of first aid, drinking water and rest and toilet
facilities.
Manual Handling
Operations Regulations
1992
� Train you in safe moving and
handling.
� Eliminate or reduce all risks
associated with moving and
handling activities.
Personal Protective
Equipment at Work
Regulations (PPE) 1992
Provide you with appropriate protective
clothing and equipment.
Reporting of Injuries,
Diseases and Dangerous
Occurrences Regulations
(RIDDOR) 1995
Train you in how to report injuries,
diseases and dangerous occurrences.
Control of Substances
Hazardous to Health
Regulations (COSHH)
2002
Carry out risk assessments on all
activities that involve using hazardous
substances and write procedures for their
correct and safe use.
Provision and Use of
Work Equipment
Regulations (PUWER)
1998
� Train you in the use of equipment
and supervise you to make sure
you use it safely and correctly.
� Ensure that the equipment you use
is safe, well maintained and appropriate for the job.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 13
Electricity at Work
Regulations 1989
� Carry out risk assessments on all
activities that involve electricity. � Ensure safe systems of working and
that all electrical equipment is well
maintained.
Regulatory Reform (Fire
Safety) Order 2005
� Assess the risk of fire, paying
particular attention to the needs of
vulnerable people. � Equip the workplace with fire
detection and fire-fighting
equipment.
� Train you in fire prevention and
what to do in the event of a fire.
Health and Safety (First
Aid) Regulations 1981
� Provide adequate and appropriate
first-aid equipment and facilities.
� Provide an adequate number of
qualified first aiders and appointed persons to take charge of first-aid
arrangements.
Disability Discrimination
Act 1995
Ensure that people with a disability have
safe access to your workplace and a safe
way out in the event of needing to
evacuate the building.
Food Safety Act 1990
and the Food Hygiene
Regulations 2006.
� Ensure that you have good
personal hygiene and that the
workplace meets
� Hygiene standards.
� Ensure that food safety hazards are identified and controlled.
Data Protection Act
1998.
Train you in maintaining the security of
personal information.
Corporate Manslaughter
and Homicide Act 2007.
Have in place adequate risk management
systems.
The responsibilities of others in the work setting
Like you, your colleagues have a responsibility to follow
procedures in their work. Visiting family, carers and
advocates also have a responsibility to consider health
and safety, especially with respect to helping maintain
security, hand washing, conforming with no smoking
rules, and their general conduct.
The health and safety of the people you work with depends to a
large extent on your ability to work together, in partnership.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 14
For example, the risks associated with moving and handling
activities are greatly reduced when they fulfil their responsibility to
assist with a move as much as they can. Other responsibilities they have include helping to maintain their personal hygiene, in order to
reduce the spread of infection; remaining aware of what to do in the
event of a fire; and using any equipment assigned to them, such as
glasses and mobility aids, appropriately and safely.
Specific tasks in the work setting that should
not be carried out without special training
Inappropriate or misuse of equipment can result in
alleged abuse, spread of infection, injury or death,
as can using equipment that hasn’t been
maintained or is in a state of disrepair. Only use
equipment that you have been trained to use, and use it according to written procedures. If you have any concerns
about equipment, report and record your worries and don’t use it
again until your concerns have been resolved.
Whilst an untrained person who gives first aid in an emergency in
good faith won’t be running the risk of being sued, they could be
charged with negligence or incompetence, especially if they make an incorrect diagnosis and give the wrong treatment. First aid
training improves competence and can make the difference between
a life lost and a life saved.
Medication should only be given by staff who are trained and can
demonstrate competence. The effects of a missed administration, an incorrect dose, a dose given at the wrong time or given
incorrectly, such as by mouth instead of anally, or as a tablet
instead of a fluid, can be devastating, even fatal for the person
concerned. Training in the handling of medicines prevents accidents happening and demonstrates duty of care.
Health care procedures are specialist activities and
should never be carried out without training. In
addition, they carry a high risk of cross infection
and therefore should never be carried out without
training in infection control.
Food safety legislation requires that everyone who handles food, including storing, preparing, cooking and serving, supporting people
to eat and drink, and disposing of waste, should be trained in food
hygiene. Training helps reduce the risk of cross infection and the
debilitating, sometimes fatal, effects of food poisoning.
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 15
Maintaining a secure workplace
Dealing with visitors
There will be many visitors to your care
home in addition to services users’
relatives: e.g. doctors, district nurses, and
trades people. You and the service users
with whom you work need to feel safe and secure. Your workplace
will have a workplace policy on visitors to ensure this. However, as
a general rule you should: check the identity of all visitors to the
nursing home e.g. ask for identity badges and ask for a works
telephone number so that you can ring and ascertain the identity of
tradesperson etc. You should also:
� Check with your supervisor that the visitor has clearance to visit
� Check that the service user wants to see the visitor
� Check the visitor completes the visitors book, and give them a
visitors badge
� Get to know regular visitors to the home and introduce them
to other staff
� Know how to raise the alarm if you discover an intruder.
DID YOU KNOW?
Tablecloths were originally used as
towels on which dinner guests could
wipe their hands and faces after
eating.
ACTIVITY ONE
Circle the words or phrases you would associate with a safe
work environment
Responsibility Hazard Chocolate
Coffee Visitor book Moving & handling
HSE Tea Monitoring
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 16
Maintaining the security of possessions
Property and valuables belonging to individuals within a care home must be safeguarded. Many service users will want to keep their
treasured possessions with them, but if
they are of value staff should offer to
place them in safekeeping. Usually, a
property book is kept for this purpose,
and it is regularly updated as the
circumstances of the service user
changes. Staff should record the
following details:
� All possessions on admission to the home
� A separate record of any valuable items e.g. jewellery
� Items of jewellery should be itemised according to their colour e.g. “white metal” rather than “silver.”
� The service user should sign a disclaimer for any valuables
they keep themselves. This usually states that the service
user is responsible for any loss.
It is likely that your employer will have a policy and set procedures
relating to the safekeeping of valuables – see activity below:
Risk assessment
Employers are required by law to identify and assess risks in the
workplace, including any procedures or situations that may cause
harm.
If any potential risks are identified, the Management of Health and
Safety at Work Regulations 1999 require employers to introduce
risk control measures e.g. the provision of warning signs when floor cleaning is in operation. According to the HSE there are 5 key
stages in the risk assessment process:
� What is the purpose of the risk
assessment?
� Who has to assess the risk?
� Whose risk should be assessed?
� What should be assessed?
� When should the risk be assessed?
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 17
You must always ensure that a risk assessment has been
undertaken before you carry out any work activity, and then follow
the steps identified in order to reduce any risk. In addition, you must balance the individual preferences of the service user with
your own safety and the safety of others e.g. co-workers, other
service users and their visitors.
Environmental risk assessment
The Health and Safety Executive states that a general health and
safety risk assessment of your care home should include the
following:
Floors
� Are there slippery surfaces?
� Have spillages been cleaned up?
� Are floor surfaces suitable, non-slip, flat,
properly maintained? � Are there obstructions or tripping hazards?
Stairs
� Are they well lit?
� Is the stair covering in good condition and clean? � Are there obstructions?
Lighting
� Are bulbs working?
� Are lighting levels sufficient, including those on stairs and
corridors?
Ventilation
� Are there odours?
� Are there draughts?
� Is there sufficient fresh air? � Have chemicals, fumes, steam and condensation been
removed?
Windows
� Are restraints in place?
� Is glazing in good condition? � Is the glazing material appropriate?
Display screen equipment
� Has the work station been assessed to
reduce the risk?
� Has the equipment, furniture, software,
worker’s needs been considered?
� Are eyesight tests needed?
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 18
� Are staff trained to use and set up their work station safely?
Water and surface temperatures � Are thermostatic mixing valves operating at the required
temperature?
� Are hot water temperatures regularly tested using a
thermometer?
� Is the maintenance schedule for the thermostatic valves
followed?
� Are radiators and pipe work hotter than 43 degrees
centigrade?
� If yes, what remedial action has been taken to protect
vulnerable service users?
� Is the room temperature comfortable i.e. Not
too hot or cold?
Kitchen safety
� Are machines properly guarded?
� Are floors clean, slip resistant and dry?
� Is there room to move around safely?
� Is ventilation sufficient? � Are staff trained in kitchen hygiene, use of equipment etc?
� Is food stored correctly, at the correct temperature?
Laundry
� Are machine interlocks working?
� Is there separation of soiled laundry?
Outside environment � Are steps and paths in good condition and well lit?
� Has a risk assessment of falls from balconies been
undertaken?
� Are pesticides locked away? � Are staff trained to use outdoor equipment safely?
� Do staff have suitable protective equipment?
Risk assessment for environments other than the setting
It might be that you are planning a visit to the local shops or the
cinema, or planning a holiday with your service provider. If so, you
will need to consider:
� Accessibility to the premises
� Accessibility and safety of the transport
you intend to use
� Any potential hazards that might be present
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 19
� Safe and accessible toilet facilities
� Dietary arrangements
� Moving and handling arrangements � Security of people, property and any travel documents
� Insurance.
You will need to undertake this risk assessment before you
undertake any visit, and you will need to record the outcomes of
your assessment in the service users’ care plan.
Risk assessment for substances that might be hazardous to
health
There are also many potentially hazardous
substances and chemicals in your workplace,
including:
� Cleaning materials e.g. bleach and disinfectant
that can cause burns or poisoning
� Drugs and medicines e.g. antibiotic powders that can cause
poisoning or allergy
� Latex e.g. protective gloves that can cause skin allergy. The Control of Substances Hazardous to Health Regulations 2002
(COSHH) have been put in place to protect you against these
harmful substances. In particular,
COSHH states that employers must:
� Ensure safe storage and disposal of substances that are harmful
to health
� Check that health hazards from all substances are assessed,
including the laundry, kitchen and outdoors � Ensure appropriate control measures are implemented
� Ensure staff are trained about safe procedures and use of
protective clothing
� Check that procedures for spillages are in place, and
� Check that new staff are trained before using
substances.
Before any substances are used in the workplace, employers must undertake the following risk
assessment:
� What substances are present and in what form? � What harmful effects are possible?
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� Where and how are the substances stored, used and handled?
� Are harmful fumes produced, especially if products are mixed?
� Can a safer substance be used? � Who could be affected, to what extent, for how long and under
what circumstances?
� How likely is it that exposure will happen?
� Are precautions required, such as ventilation and protective
equipment?
Your setting will have a COSHH protection file. This will tell you
what protective clothing you should wear (if any), how to store any
hazardous substances, and how to dispose of any hazardous
substances e.g. used needles should be placed in a yellow sharps
box.
DID YOU KNOW?
Every year more monopoly money is
printed than real money printed
worldwide!
ACTIVITY TWO
Circle the words or phrases you would associate with COSHH
Phone Substances Storage
Harmful E-mail Disposal
Training Spillage Fax
Reporting accidents or ill health
The Reporting of Injuries, Diseases and
Dangerous Occurrences Regulations (RIDDOR) 1995, came into force on 1 April 1996. RIDDOR
requires the reporting of work-related accidents,
diseases and dangerous occurrences. It applies to
all work activities, but not to all incidents.
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Reporting accidents and ill health at work is a legal requirement.
The information that is reported enables the enforcing authorities to
identify where and how risks arise and to investigate serious accidents.
The enforcing authorities can then help and advise on
preventive action to reduce injury, ill health and
accidental loss. Your employer needs to report any:
deaths; major injuries; accidents resulting in over 3 day
injury; diseases; dangerous occurrences and gas
incidents. All accidents, diseases and dangerous
occurrences can be reported to the Incident Contact
Centre, (www.riddor.gov.uk/info.html). Your employer must keep a
record of any accident, reportable injury, disease or dangerous
occurrence.
The record must include:
� The date and method of reporting;
� The date, time and place of the event,
� Personal details of those involved and � A brief description of the nature of the event or disease.
Any accidents that occur at work must be recorded in an Accident
Report Book. The details contained in this document are confidential and must comply with the Data Protection Act (1998).
Safe manual handling
The spine is made up of 33 bones called vertebrae. These are joined
together along the backbone in an S shape. The S shape gives our
backbone flexibility and strength, and enables us to maintain our balance. If the spine is twisted out of shape, it can cause serious
injury to the vertebrae. The spine protects our spinal cord. The
spinal cord is a bundle of nerves that runs from the
bottom of the spine to the brain. The spinal cord
carries messages from the brain to the muscles and
from the muscles to the brain. This enables us to
maintain our posture, and to move. Damage to the
spinal cord can cause paralysis. The vertebrae are
cushioned by inter-vertebral discs. These act as shock
absorbers.
If too much pressure is put on these discs (e.g. by lifting a heavy
object) they can tear or prolapse. This can be very painful. The discs are linked together by spinal ligaments. If these become
overstretched (e.g. by jerky or sudden movements), they can
sprain and become swollen and painful.
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The muscles of the spine are the muscles of the back, chest and
pelvis. They are attached to the vertebrae and give strength and
flexibility to the spine. Strong and well-toned back muscles are essential for moving and handling activities. However, they can be
easily torn and become swollen and painful.
The Manual Handling Regulations 1992 were introduced to reduce
the number of injuries from moving and handling activities. The
term ‘manual handling’ includes the lifting, moving putting down,
pushing, pulling and carrying by hand or bodily force
of goods, equipment and people. An employer must
avoid moving and handling where there is a risk of
injury to staff, assess the risk of injury from moving
and handling, and reduce the risk of moving and
handling. An employee must make full and proper use
of the manual handling systems and equipment provided. You might be involved in moving objects as
well as people. In order to reduce the risk of injury you should
consider whether the move is necessary, whether it can be done in
a different way, or whether any special equipment is needed. Your
risk assessment should consider:
Task > Load > Environment > Individual Capability
Task - you must assess whether the task involves:
� Holding the load at a distance from your body
� Bending, twisting, stooping or stretching
� Moving the load over excessive distances
� Frequent or prolonged physical effort � Any sudden movement of the load.
Load - you must assess whether the load is:
� Heavy or bulky
� Difficult to grasp
� Unstable e.g. unpredictable behaviour � Potentially harmful e.g. an agitated or aggressive individual.
Environment - you must assess whether: � The space is adequate e.g. not restricted by
furniture
� The height is appropriate e.g. beds can be raised by wooden blocks
� The floors are slippery or uneven � The floors are level e.g. are there any slopes or
stairs?
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Individual capability - you must consider yourself as well as other members of the team, particularly whether you or they:
� Have been adequately trained in moving and handling
� Are pregnant, or have a disability
� Are wearing any clothing that might restrict their movement
� Are wearing any jewellery that might injure any staff or
service users � Are tired or fatigued.
Most care homes have a risk assessment checklist that you can use
to generate an agreed lifting plan. This should be kept in the service
user’s care plan. As a general rule, you should always:
� Undertake a risk assessment prior to any move
� Follow the agreed lifting plan contained in the service user’s
notes
� Give clear instructions to colleagues concerning the move � Check any equipment prior to its use
� Ensure you maintain your centre of balance throughout the move
� Hold the load close to your body, or get as close to the load as
possible
� Avoid bending, twisting, stooping or stretching
� Avoid moving the load over excessive distances
� Avoid frequent or prolonged physical effort � Avoid sudden movements
� Allow adequate time for rest and recovery.
Risk Assessment Checklist:
1. Is the individual weight bearing? Yes/No
2. Is the individual unsteady? Yes/No
3. What is the individual’s general level of mobility? Good/Poor
4. What is the individual’s weight? (Please state)
5. What is the individual’s height? (Please state) 6. How many people are required to move this individual? (See
care plan)
7. What equipment is needed e.g. hoist, transfer board etc? (Please state)
8. Is equipment available? Yes/No
9. If not, is there a safe alternative? Yes/No
10. Are the required numbers of people available? Yes/No 11. What is the purpose of the move? (Please state)
12. Can the move be safely achieved? Yes/No
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DID YOU KNOW?
No two zebras have the same
pattern of stripes.
ACTIVITY THREE
Circle the words or phrases you would associate with moving
and handling
Load Environment Calculator
Computer Task Individual
capability
Equipment Printer Regulations
Infection control
Communicable or infectious diseases are caused
by:
� Bacteria e.g. food poisoning
� Viruses e.g. influenza
� Fungi e.g. thrush.
The older person is often at risk from infectious or communicable
diseases because they live in close contact with others in the
nursing home, and their immunity to micro-organisms such as bacteria and viruses is often low. This might be because of the
medicines they are taking, or their nutrition may be poor. Infection
control, or the ways in which the spread of infection might be
reduced, is an important part of a care worker’s job. In fact, the
Reporting of Injuries, Diseases and Dangerous Occurrences
Regulations (RIDDOR) 1995 require that your employer reports
certain cases of infectious diseases to the local environmental
health officer.
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Micro-organisms such as bacteria, viruses and fungi can be spread
by:
� Direct contact – being touched by an infectious person e.g. scabies
� Indirect contact – touching materials an
infected person has used e.g. impetigo
� Inhalation – breathing in infected droplets from a cough or sneeze e.g. influenza
� Ingestion – from contaminated food e.g. salmonella food
poisoning
� Injection – from needle stick injury e.g. HIV or Hepatitis b.
Preventing the spread of blood borne infections such as HIV and
Hepatitis b is a particularly important job for the care worker. In
fact, you and your employer have a duty under COSHH regulations
to do this. The Health and Safety Executive indicates that the following is particularly important:
� The risk of contamination from infected materials, including
used instruments, used needles and soiled laundry
� Do you wear appropriate protective equipment and clothing?
� Do you cover cuts, grazes etc with waterproof dressings?
� Do you follow basic hygiene procedures, including regular hand washing?
� Do you follow procedures for cleaning up spillages?
� Do you know how to deal with a needle stick accident i.e.
encourage bleeding, wash wound liberally with soap and
water, report and record accident?
� Have you been advised about Hepatitis b immunisation?
The importance of uniforms
The Personal Protective Equipment (PPE) Regulations 1992 state that your employer must provide you with
protective clothing. You will be provided with a uniform.
This should not be worn outside the care home (i.e. to and
from work), or at home, as it might be contaminated and
could spread infection to the outside community or your
family. You should change from your uniform into outside
clothes before you leave the care home, and store your
uniform in the lockers provided for you in the workplace.
You should not take uniforms home to wash, but should use the laundry service provided by your employer. You
will also be provided with plastic apron to wear when attending to
the personal hygiene needs of service users.
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This will help to protect your uniform from spillages of urine, faeces
etc. and prevent cross infection. You must wear a clean apron for
every service user you work with, and correctly dispose of it in the clinical waste bag when finished. If you have to work with body
fluids and waste or soiled laundry, you will also be provided with
gloves. You must wear these, for your own protection and to
prevent the spread of infection from one service user to another.
You should place any used gloves into the clinical waste bin. It is
most important that you wash your hands after
wearing them.
Hand washing
One of the most important measures you can take
to prevent the spread of any infection is correct
hand washing technique. Particularly before you:
� Handle food
� Give out any medicines
� Give emergency first aid
� Handle any wounds.
Also, you should wash your hands after you:
� Use the lavatory
� Assist others to use the lavatory
� Cough or sneeze, or use a handkerchief
� Handle any dressings or wounds
� Make beds � Handle rubbish
� Handle raw food
� Handle dirty or soiled laundry.
When washing your hands it is important that you use the following
technique as this will remove most of the bacteria that cause
contagious diseases i.e. diseases spread by direct or indirect
contact.
Correct hand washing techniques
� Wet your hands with hot running water
� Rub some liquid soap between your palms � Rub your right palm over the back of your left
hand
� Rub your left palm over the back of your right hand
� Rub your palms together with your fingers interlocked
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� Rub the back of the fingers of your left hand with your right
palm
� Rub the back of your fingers of the of your right hand with your left palm
� Rub around your left thumb with your right
palm
� Rub around your right thumb with your left
palm
� Rub your left fingertips round and round in
your right palm
� Rub your right fingertips round and round in
your left palm
� Rub your left wrist with your right hand
� Rub your right wrist with your left hand
� Rinse both hands thoroughly under running water
� Dry each hand on a clean paper towel � Discard paper towel into pedal bin, without touching the top
or the sides of the bin.
REMEMBER, the correct hand washing procedure will take several
minutes and you will still need to wash your hands even if you were
wearing gloves!
Safe food handling
Food that is not handled correctly can become contaminated with
bacteria, viruses and fungi, which can cause food poisoning. The
symptoms of food poisoning are nausea, vomiting, abdominal pain
and diarrhoea. Food poisoning bacteria grow in raw or waste food and rotting rubbish. Pests e.g. mice and cockroaches
carry food poisoning bacteria. Food poisoning bacteria
are also carried by humans:
� Escheriscia coli is found in faeces but is
harmless until it is ‘activated’ by contact with
food
� Salmonella is found in raw meat, poultry, eggs,
shellfish and faeces
� Staphylococcus aureus is found on our skin, in our nose,
throat, mouth, ears, hair, nails, and in cuts and boils.
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 require that your employer reports any
cases of food poisoning to the local environmental health officer.
Workplace procedures for safe food handling are governed by the
Food Safety Act 1990 and the Food Safety (General Food Hygiene) Regulations 1995.
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Good personal hygiene is particularly important for
preventing the spread of food poisoning bacteria. If
you are involved in handling food you should wash your hands with soap and hot running water before
you handle food. You should also wash your hands
after:
� Handling any uncooked or waste food
� Using the lavatory
� Assisting service users to use the lavatory
� Handling rubbish
� Using or handling handkerchiefs or tissues
� Coughing or sneezing
� Touching your hair or face, or the hair and face of a service user.
If handling food, you should also:
� Wear protective clothing
� Keep your nails clean and short
� Keep your hair tied back or covered
� Cover any minor wounds with a coloured waterproof dressing
� Do not smoke in any area where food is being stored, prepared or served.
The spread of food poisoning bacteria can also be controlled by
cleaning and storing kitchen equipment correctly:
� There should be a separate fridge for cooked and raw food.
� Different surfaces should be used for
preparing cooked and raw foods.
� Different equipment e.g. knives, chopping boards etc should be used for raw and
cooked foods, and kept separately.
� Work surfaces should be scrupulously
cleaned after use for raw meat or poultry.
� All food should be kept covered.
� No food should be kept past its ‘use by’ date.
The spread of food poisoning bacteria can also be controlled by
cooking and storing food at the correct temperatures. Most bacteria are killed by heat at 70 degrees centigrade or above. Fridges and
freezers should be set between -22 and five degrees centigrade, as
most bacteria cannot live at these temperatures.
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DID YOU KNOW?
A dog was the first in space and a
rooster and a duck were the first “pilots” in an air balloon.
ACTIVITY FOUR
Circle the words or phrases you would associate with food
handling
Work surfaces BMW Bacteria
Rolls Royce Chopping boards Fridge
Knives Cooked food Porsche
Dealing with hazardous waste
Part of your responsibility is to ensure the safety of the working environment; this includes the safe disposal of clinical and bodily
waste, as follows:
� Soiled linen – red linen bags taken direct to
laundry. If soiled linen is handled, gloves must
be worn.
� Body fluids and waste – collected in urinal or
bedpan. Gloves to be worn and waste disposed
of into sluice. Contaminated equipment must
be cleaned and disinfected e.g. bedpan to be cleaned and
disinfected in bedpan washer.
� Clinical Waste e.g. soiled dressings – yellow bags labelled with
contents and source. This is usually collected by the local authority for incineration.
� Sharps e.g. needles and syringes – placed in hard plastic
yellow sharps box. When full, this is sealed and then collected
by the local authority for incineration.
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Working with hazardous materials: medicines
Self-medication. Service users, where appropriate, should be responsible for their
own medication. These individuals must have
a lockable space in which to store their
medicines, to which suitably trained;
designated care staff may have access with
the service user’s permission. The service user should be assessed
by an appropriately trained member of staff in order to establish his
or her suitability to self-medicate.
The recording of medicines. Records are kept of all medicines
received, administered and leaving the care home or disposed of to
ensure that there is no mishandling. A record is maintained of the
medicines each service user takes, including those who are self-medicating.
Handling and storage of medicines. Medicines in the custody of
the home are handled according to the requirements of the
Medicines Act 1968, guidelines from the Royal Pharmaceutical
Society, the requirements of the Misuse of Drugs Act 1971 and
nursing staff must meet the standards laid down by the Nursing and Midwifery Council for the administration of medicines. Controlled
Drugs are stored in a metal cupboard, which complies with the
Misuse of Drugs (Safe Custody) Regulations 1973. Medicines,
including Controlled Drugs, for service users receiving nursing care,
are administered by a medical practitioner or registered nurse. In
residential care homes, all medicines, including Controlled Drugs, (except those for self-administration) are administered by
designated and appropriately trained staff. The administration of
Controlled Drugs is witnessed by another designated, appropriately
trained member of staff. Receipt, administration and disposal of Controlled Drugs are recorded in a Controlled Drugs register.
Staff training. The training for care staff must be
accredited and must include basic knowledge of how
medicines are used and how to recognise and deal
with problems in use; and the principles behind all
aspects of the home’s policy on medicines handling
and records.
Caring for those receiving medication. Care staff should
monitor the condition of the service user on medication and call in
the GP if they are concerned about any change in condition that
may be a result of medication.
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When a service user dies, medicines should
be retained for a period of seven days in case
there is a coroner’s inquest.
The role of the health and social care
worker in the administration of
medicines
Many people will be taking medication prescribed by their family
doctor. Unless you have been trained in the administration of
medicines and you are a designated person, you will not be allowed
to administer medicines to service users.
Your responsibility is to support and encourage the older person to
take his or her medication by:
� Providing information about the medication that is to be taken
� Ensuring that the medication can be swallowed in an
appropriate form (some tablets or capsules should not be
crushed, for example)
� Assisting the individual to take their medication e.g. By
adjusting their position so they can swallow more easily, or
providing a drink � Making sure that the medication has been taken
� Reporting to your supervisor any problems associated with
taking the medicine.
Risks from utilities such as gas and electricity
The Gas Safety (Installation and Use) Regulations
1998 apply to all gas appliances in your setting. All
appliances, flues and pipe work should be checked
once a year by a registered engineer. Gas is flammable. It can cause explosions or fire. It can also
cause asphyxiation. Your workplace will have a
procedure for dealing with gas leaks, but as a rule, if
there is a gas leak, you should:
� Ventilate the area by opening windows and
doors to let the gas escape
� Not light matches or cigarette lighters
� Not touch any electrical switches � Turn off the gas mains
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� Use an external phone to call the gas
emergency services, and
� Give first aid if necessary, and dial 999 if an ambulance is needed e.g. for
asphyxiation.
Electricity can also kill. It causes shock and burns and
can also start fires. The use of electricity is covered
by the Electricity at Work Regulations 1989, which
require employers to maintain any electrical systems
and electrical equipment within their control. This
includes lighting and power circuits, electrical
equipment and appliances such as washing machines,
irons, vacuum cleaners etc. Work on electrical
appliances must only be carried out by a trained electrical engineer.
The main risk to people is contact with live parts causing shock and burns e.g. through frayed or exposed wiring.
Your workplace will have a procedure for dealing with electrical
emergencies, but as a rule, if one occurs, you should:
� Turn off the power supply at the mains � Never touch a person or an object that is connected to the
power supply, and
� Give first aid if necessary, and dial 999 for an ambulance if
needed e.g. for asphyxiation.
Fire awareness
You will receive training from a specialist trainer in
fire awareness. Fire is a serious danger in care
homes and is responsible for many deaths. It can be prevented by:
� The use of smoke alarms
� Ensuring all cigarettes have been properly extinguished
� Unplugging unused electrical equipment at night e.g.
Televisions
� Keeping fire doors closed to prevent the spread of fire
� Ensuring electrical and gas appliances have been properly
checked for safety
Your workplace arrangements for fire safety should comply with the
Fire Precautions (Workplace) Regulations of 1997. It is very important that you get to know your care home’s procedures for fire
safety and that you attend fire training at least once a year.
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If you discover a fire you should:
� Raise the alarm e.g. Use the fire alarm or dial 999 for the fire brigade
� Close windows and doors to prevent fire from spreading
� If service users can move, escort them to the
assembly point or a place of safety
� Use designated fire exits and escape routes, close
doors behind you as you go
� Do not use any lifts, unless directed to do so by
the fire brigade
� Check that everyone is accounted for and report
this to the fire brigade
� Do not return to the building unless the fire brigade says it is
safe to do so.
You might be able to put out a small fire by yourself, if it is safe to
do so: e.g. you could use a water-based fire extinguisher to put out
a fire in an office waste paper bin, or you might use a powder fire
extinguisher to put out a small electrical fire in an office. You should
not do this unless you are familiar with the various types of fire
appliances. If used incorrectly, a fire appliance may cause serious
injury or make the fire worse e.g. using a water based extinguisher on a chip pan fire is dangerous as it will cause the fire to ‘flare up’
and spread rapidly, and may cause severe burns to the person
operating the extinguisher.
It is your responsibility to familiarise service users with your care
home’s fire procedure. It is important that service users can identify a fire alarm, and use an escape route by following the fire exit
signs. For those with a visual impairment, the fire exit signs might
be in Braille. For those with a hearing impairment the fire alarm
might be a flashing light. It is important that you inform staff and service users of these adaptations. Your employer should regularly
involve service users in a fire drill.
DID YOU KNOW?
Keep a goldfish in the room without
light for a long time, it will naturally
turn white.
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ACTIVITY FIVE
Circle the words or phrases you would associate with fire
Daffodil Fire drill Signs
Alarm Tulip Fire Brigade
Procedure Pansy Exits
Emergency first aid
Your role in giving emergency first aid is to:
� Preserve a casualty’s life � Prevent further harm
� Promote or help their recovery.
You should only attempt to do this if you have undertaken a
recognised emergency first aid course. The Reporting of Injuries,
Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995
requires that any accident or injury that occurs at work, and the treatment given, must be recorded in your care home’s accident
book.
You may receive training from a specialist trainer in emergency first
aid. During this training you will learn about the priorities in giving
emergency first aid i.e. D R A B C
Danger – Before you attempt any first aid be
sure that you are safe.
Response – Is the casualty responding? Talk
to them and shake their shoulders. If they
respond, reassure them, and move them to
a safer area if in danger. Airway – If the casualty is unresponsive or
unconscious, check that their mouth or
airway is not obstructed. If you can, remove
the cause of any blockage. Open the airway
by gently tilting the casualty’s head backwards and lifting their chin.
Check that help is coming.
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Breathing – Check the casualty is breathing. Put your cheek close to
their mouth and look at their chest, place your hand on their chest,
watch for breathing movements. If they are breathing but unresponsive,
put them in the recovery position
(you will learn to do this on your first
aid course). If they are not breathing,
check that help is coming and then
start mouth-to-mouth resuscitation
(you will learn to do this on your first
aid course).
Circulation – Check whether the
casualty’s heart is beating. Feel for their pulse. If the casualty does
not have a pulse, check that help is coming and commence
cardiopulmonary resuscitation (CPR).
Using primary health care services
Primary Health care services are provided by the ambulance
service, dentists, NHS Direct, general practitioners, nurses,
pharmacists, and physiotherapists. These are the professionals we
first go to when we need advice if someone experiences an accident
or ill health.
The ambulance service is an emergency medical
service, staffed by trained paramedics. If a service
user has an accident or a sudden life threatening
illness e.g. a heart attack, you should telephone
999. You should clearly state the:
� Casualty’s name and age
� Location of the incident, address and telephone number
� First aid already given. � The emergency operator will stay on the line and give you
advice until the paramedic arrives.
NHS Direct is a national telephone advice line staffed by specially
trained registered nurses. If a service user has a minor acute illness
e.g. influenza, you can telephone NHS Direct for advice. General
practitioners (GPs) are medical specialists in diagnosis, treatment
and referral of acute and chronic illnesses. If a service user
becomes ill, you can contact the local GP, or the deputising service, and request a visit. Many health authorities now provide NHS drop-
in centres where you can take a casualty for advice or treatment of
minor injuries or illnesses. These are usually staffed by emergency
nurse practitioners. Pharmacists can also provide over-the-counter advice for people with minor illnesses e.g. ear or eye infections.
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Many physiotherapists will also provide emergency treatment for
minor sports injuries or accidents at work such as sprains or strains.
It is important that the service user maintains his or her registration with an NHS dentist, particularly
if emergency treatment is required, as few health
authorities now provide an out of hours dental
service.
How to manage stress
We all experience pressure from time to time, and
some of us work best under pressure – it motivates us to get on
with the job! However, if the pressure builds up to the point that we
can no longer cope, we become stressed. Some people thrive on
stress – for them it is a positive, energising emotion. But for most,
it has negative consequences. According to the HSE, around 14 million working days and £4 billion
are lost to work-related stress each year.
The common signs and symptoms of stress include:
� Emotional ill-health, such as feeling unable to cope,
tearfulness, anxiety and depression, negativity, irritability, anger, poor concentration, difficulty in making decisions, and
thoughts of suicide
� Physical ill-health, such as not being able to relax, headache, insomnia, high blood pressure, palpitations, heart attack,
indigestion, asthma, skin disorders, loss of libido and weight
gain or loss � Social problems, such as social conflict, unacceptable
behaviour and social isolation.
Factors that tend to trigger own stress
To be able to manage our stress, we need to identify the factors or
stressors that trigger it.
� Emotional stressors include fear and
anxiety; having to meet deadlines
and make decisions; job roles and
responsibilities; personality traits
such as wanting to create a good impression; and feeling a sense of
helplessness or lack of control.
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� Physical stressors are things that put pressure on your body, such as pain, ill-health, disability; insufficient sleep and rest;
a poor diet; too much or too little exercise; and being on your feet all day.
They can be chemical, such as alcohol, caffeine and nicotine;
and environmental, such as noise, pollution, a lack of space
and an uncomfortable temperature.
� Social stressors include mixing with
others; relationships; financial
problems; coping with children and
caring for elderly or infirm relatives;
the empty-nest syndrome and
important life events such as leaving
home, moving house, a new job, getting married, having a
baby and bereavement.
Strategies for managing stress
Having identified what in particular stresses you, you can start to
manage your stress. According to Professor Cary Cooper, an
occupational health expert at the University of Lancaster, the keys
to good stress management are building emotional strength, taking
control of your situation, having a good social network and adopting a positive outlook.
Professor Cooper's top 10 stress-busting techniques
1. Be active. Exercise will help you get rid of pent-up energy,
calm your emotions and help you think more clearly. 2. Take control. Taking control is empowering and will help you
find a solution that satisfies you, not someone else.
3. Connect with people. Talking things through with a friend will
help you solve your problems. In addition, a good social support network will help you see things in a different way.
4. Have some ‘me time’. Earmarking a couple of days a week for
some quality ‘me time’ will help you achieve a healthy, stress-
free work-life balance.
5. Challenge yourself. Setting yourself goals, such as learning
something new, builds confidence and helps
you take charge of your life.
6. Don't rely on alcohol, smoking and caffeine as
your ways of coping. They might provide temporary relief but in the long term they don’t
solve problems, they just create new ones.
7. Do some voluntary work. Helping people in
situations worse than yours will help you put your problems into perspective.
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And do someone a favour every day. Favours cost nothing and you’ll feel better.
8. Work smarter, not harder. Good time management and
concentrating on tasks that will make a real difference will
help you feel more fulfilled.
9. Be positive. Try to be glass half full instead of glass half
empty.
10. Accept the things you cannot change. Changing a difficult situation is not always possible. If you can’t make any
changes, accept things as they are and concentrate on
everything that you do have control over.
www.nhs.uk; www.stress.org.uk
UNIT HSC 037: SIGN-OFF
Assessor’s Name: _________________________________
Assessor’s
Signature:_________________________Date:___________
Learner’s Name: __________________________________
Learner’s Signature:_________________Date:___________
Mentor’s Name: ________________________________
Mentor’s Signature: _________________Date:___________
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Page 39
HSC 037: ASSESSMENT
ASSESSMENT ONE
Explain the legislation relating to health and safety in a
health or social care work setting
ASSESSMENT TWO
Explain the main points of health and safety policies and
procedures agreed with the employer
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ASSESSMENT THREE
Explain the main health and safety responsibilities of:
• Self
• The employer or manager
• Others in the work setting
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ASSESSMENT FOUR
Explain the specific tasks in the work setting that should not
be carried out without special training
ASSESSMENT FIVE
Explain how to use policies and procedures or other agreed
ways of working that relate to health and safety
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ASSESSMENT SIX
Explain how to support others to understand and follow safe
practices
ASSESSMENT SEVEN
Explain how to monitor and report potential health and
safety risks
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ASSESSMENT EIGHT
Explain how to use risk assessment in relation to health and
safety
ASSESSMENT NINE
How to minimise potential risks and hazards
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ASSESSMENT TEN
Explain how to access additional support or information
relating to health and safety
ASSESSMENT ELEVEN
Explain own role in supporting others to follow practices that
reduce the spread of infection
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ASSESSMENT TWELVE
Describe the recommended method for hand washing
ASSESSMENT THIRTEEN
Describe ways to ensure that own health and hygiene do not pose a risk to an individual or to others at work
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ASSESSMENT FOURTEEN
Explain the main points of legislation that relates to moving
and handling
ASSESSMENT FIFTEEN
Explain principles for safe moving and handling
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ASSESSMENT SIXTEEN
Explain how to move and handle equipment and other
objects safely
ASSESSMENT SEVENTEEN
Describe types of hazardous substances that may be found in
the work setting
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ASSESSMENT EIGHTEEN
Explain safe practices for:
• Storing hazardous substances
• Using hazardous substances
• Disposing of hazardous substances and materials
ASSESSMENT NINETEEN
Describe practices that prevent fires from:
• Starting
• Spreading
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ASSESSMENT TWENTY
Explain the measures that prevent fires from starting
ASSESSMENT TWENTY ONE
Explain emergency procedures to be followed in the event of a fire in the work setting
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ASSESSMENT TWENTY TWO
Explain how to ensure that clear evacuation routes are
maintained at all time
ASSESSMENT TWENTY THREE
Explain the use of agreed procedures for checking the
identity of anyone requesting access to:
• Premises
• Information
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ASSESSMENT TWENTY FOUR
Explain the use of measures to protect own security and the
security of others in the work setting
ASSESSMENT TWENTY FIVE
Explain the importance of ensuring that others are aware of
own whereabouts
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ASSESSMENT TWENTY SIX
Describe common signs and indicators of stress
ASSESSMENT TWENTY SEVEN
Describe signs that indicate own stress
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ASSESSMENT TWENTY EIGHT
Explain the factors that tend to trigger own stress
ASSESSMENT TWENTY NINE
Compare strategies for managing stress
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UNIT HSC 037: ASSESSMENT SIGN-OFF
Assessor’s Name: _________________________________
Assessor’s Signature:________________Date:___________
Learner’s Name: __________________________________
Learner’s
Signature:_________________________Date:___________
Mentor’s Name: ___________________________________
Mentor’s Signature:_________________Date:___________
© The Learning Company Ltd
Q C F A C D H & S C L 3 L i c e n s e d u n t i l F e b 1 2 U n i t H S C 0 3 7 Page 55
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