OSH and Dealing With Difficult Behaviours Training July 2014
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Transcript of OSH and Dealing With Difficult Behaviours Training July 2014
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OHS and Working with Difficult
behaviours training
Safety Comes First
July 2014
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Safety comes first!
Better a thousand times
careful than once dead
~Proverb
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LEGISLATION
The Occupational Safety and Health Act (OSHAct) and regulations place certain duties onemployers, employees, self-employed people,manufacturers, designers, importers and
suppliers and must be complied with. Dutiesinclude:
Not exposing workers to hazards.
Providing information, instruction and training.
Conducting risk assessments. Investigating hazards or injuries that have
been reported to employers by employees.
Notifying WorkSafe of reportable injuries.
Providing safe workplaces.
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Legislation Impact
Regulations: elaborates the processes to complywith the legislation.
Code of practice: Is industry specific andincludes best practice procedures to set betterstandards.
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OSH Policy and Procedure
States clearly the processes and steps taken inthe Flex Health Group to ensure compliance withlegislation and code of practice
Help staff members working as per the OSHstandards
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Flex OSH Policy
Purpose: Providing a safe workplace environment
Implementing safe work systems and practices
Providing appropriate training, support andsupervision to staff members
Implementing processes to identify hazards,assessing risks and elimination of them
Providing personal protective equipment
Ensuring other third parties have a saferelationship with Flex
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Responsibilities
Managers: training, hazard control, consultation,working in compliance
Employees: take reasonable care of their ownsafety and others, cooperate, use equipment, notto refuse reasonable request for assistance, notto obstruct attempts to reduce risks, notifymanagements of changes in environment and to
make themselves aware of fire and emergencyprocedures in all facilities before the beginning ofeach shift
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Documentation in the event of an incident
External Staff should: inform yourroster/allocations consultant, or the TeamLeader, or the HR department of the incident
Internal Staff: inform your supervisor, businessmanager, HR department, OSH representative
Documentation must be completed asap
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Written Communication
Must be:
Accurate
Clear and concise Based on facts Respectful and non discriminatory Any amendments must be dated and signed
Underline to prevent others making entries inspace left
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Fire and Emergency
Purpose: Fire and hazard prevention
Safe evacuation
Early control of a fire or emergency
Efficient resumption of duties after theemergency is controlled
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Fire and Emergency
Employee must find the fire and emergencyprocedure in each facility before they start theirshift and:
Be aware of nominated fire warden/coordinator
Be aware of floor plan: rooms, exits, assemblyarea, fire alarms, extinguishers, fire equipmentand evacuation procedures
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Fire and Emergency
If a Flex staff member discovers a fire oremergency they must:
Raise the alert by using manual alarm points
or calling 000/112 for international calls
Alert the fire warden
Warn people if safe to do so
Close doors
Ensure fire is confined if safe to do so
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Safety Signs
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Duty of Care
Everyone in the workplace has duty of care responsibilities
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Our Duty of Care
Employers
Provide safe well maintained equipment Provide PPE Provide training and information Provide access to policies and procedures and
keep them updated
Consult with and listen to staff regarding OSHissues
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Duty of Care
Employees
Take responsible care in relation to the safety ofthemselves and others
Follow policies and procedures Wear PPE Ask for information and training
Report and document
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Manual Handling
Manual handling codes of practice:
Identify hazards Identify risks Assess risks Control risks
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What is manual handling
Any activity requiring the use of force exerted by aperson to lift, lower, push, pull, carry or otherwisemove, hold or restrain a person, animal or thing.
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Types of Manual HandlingInjuries
Sprains and strainsTorn Muscles & Tendons
Worn JointsCutsGrazes
BruisingHerniasBack Injuries
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Review information from designers or manufacturers
Read relevant care plans and instructions
Analyse unsafe incidents, accidents or injury data
Look for trends
Analyse work processes
Consult with co-workers
HAZARD
IDENTIFICATION
Prioritise manual handling tasks
Select the task beginning with the highest priority and work
through to the lowest
Understand why the task is a problem.
Consider actions and posture, load, work environment and thecharacteristics of employees such as; weight, height, sex, build,experience, prior knowledge and learning and special skills orcapabilities
RISK ASSESSMENT
Modify workplace layout and equipment
Modify the load
Control the work environment
Redesign work patterns by rotating and mixing tasks to includedifferent actions and postures
Implement warming up and stretching exercises prior tomanual handling
Provide manual handling training during orientation and as a
refresher
RISK CONTROL
Consultation with employees, supervisors and safety andhealth representatives
Assess any changes to ensure that no new hazards havebeen introduced.
Monitor injury reports and analyse data for any new trends
FOLLOW-UP AND
EVALUATION
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Key principles
Maintain naturalcurvature of thespine
Maintain upperbody alignment
Bend knees Bottom outI faces forward Hold load close
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Dos and Do Nots
Do:
Communicate with your client and colleagues Wear the correct footwear Ask for training Get help
Dont:
Stretch
Twist Bend Be complacent
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Working with ChallengingBehaviours
By understanding difficult behaviours, we areable to manage these situations better and in asafe manner for everyone
Observe the context in which the behaviour hasoccurred and try to identify triggers
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Preventing Challenging Behaviours
Your approach is important, here are some guides;
Pause - stand back, take a moment to assess the individual Speak slowly, clearly and in a calm voice Explain your care actions Act calmly - try not to rush the individual Show respect and treat the individual with dignity Minimise boredom, social isolation, irritating factors, such
as; noise, overcrowding and uncomfortable clothing
Enhance comfort Know and try to avoid the triggers for the persons
behaviour
Talk to your supervisor about the triggers and be aware ofthem
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When confronted with challengingbehaviours
Back off if possible Do not put yourself or others in the pathway of risk Keep calm
Calmly call for help (if necessary) It may be best to leave the person until he/she
calms down
Remove others from the environment (if possible)
Try to identify why it is happening and remove thetrigger
Be aware of your body language and nature of yourverbal interactions
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Driving Safely
Know where you are going Check the street directory before starting out Do not answer mobiles while driving, either pull
over or return the call when you arrive at yourdestination
We strongly advise you to use a hands freedevice if you want to answer the phone while
driving
Never send texts while driving
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Infection Control
Standard precautionsinclude the following fiveprocedures:
hand washing
use of personal protective equipment correct handling and disposal of waste appropriate cleaning of client care equipment
Hygienic environmental control
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Infection Control
Standard precautions apply whenever you maycome in contactwith the following four bodilysubstances:
blood (including dried blood) all body substances, secretions and excretions
(excluding sweat)
regardless of whether or not they contain visibleblood
non-intact skin, and mucous membranes
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Standard hand washing procedure
1. Remove jewellery
2. Wet hands thoroughly all over
3. Use pH neutral soap
4. Lather soap all over hands
5. Rub hands together vigorously for 15-20 seconds. Payparticular attention to the fingertips, thumbs, wrists, fingerwebs and the backs of the hands
6. Rinse under running water
7. Pat hands dry with paper towels
8. Use Barrier creams
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Sharps Management
Clinical sharps
Sharps must be placed in a sharps container. Thisincludes syringes and razors.
Sharps Management
Sharps are any item that has the possibility to puncture orpenetrate
They include:
needles, scissors, scalpels, razors, or anything that could constitute a danger of penetration
such as a sharp piece of metal, broken glass or a sharppiece of plastic
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DISPOSAL OF DRESSINGS ANDINCONTINENCE PADS
All bins must have a liner Never put razors or sharp objects in bins, use the
appropriate Sharps bin
All dressings and pads must be wrapped and tiedin a plastic bag and placed in the council binoutside the house
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Personal Protective Equipment
Waterproof Aprons Masks and Protective Eye Wear Dressings
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Communication
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Resident Interaction and HazardIdentification
Communication is an important part of client care Communication can be verbal or non-verbal Communication Barriers include:
physical discomfort/pain
time of day
noise and interruptions
time constraints and psycho-social factors
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Verbal communication
Adapt the message thinking about the recipientand the context
Time your communication
Talk clearly Ask questions and build rapport Actively listen and use empathy
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Communication with DementiaPatients
Lower your voice Eliminate distractions Use simple words and sorter sentences
Speak slowly Be patient and tolerant Avoid open ended questions Use positive non-verbal communication Reassure the person Understand that clients use swear words as a dementia
symptom
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Supporting the elderly
Comforting Clients:
Caring for their wellbeing
Consistently being conscious about their
safety
Highlighting every single concern to client andsupervisor
Reporting it in documentation and client notes
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Identifying Signs ofAbuse/Neglect
Elderly people sometimes suffer neglect or abuse.
It can be classified as:
Physical Emotional Sexual Financial
Flex employees must identify the early signs of any of theabove factors. Sometimes elderly people can becomesuspicious. This must be discussed with your rostercoordinator asap.
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Identifying Signs ofAbuse/Neglect
Some signs of Abuse/Neglect may be: Depression, low self-esteem, fear of sudden
movements, poor appetite
Brushing, scars, broken bones, drug overdose
Items or cash going missing, unpaid bills,signs of fraud, over servicing
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Restraints
Restraints are only used as a last resource for (andwhen recommended by a doctor):
Safety of the client Aggressive behaviour Behavioural control Physical support To prevent tampering with treatment
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Environmental Sustainability
Environmental sustainability means using theearth's resources without substantially affecting the
ability of future generations to have access to
them. Sustainability means reducing our ecological
footprint - our use of the Earth's resourcesbalanced with the Earths capacity to regenerate -
without affecting our quality of life. You can do so by using the 3Rs - reduce, reuse
and recycle
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Economic Sustainability
Economic sustainability means identifying ways toensure all resources are used in the most efficient,beneficial and responsible way.
the efficient use and acquisition of resources purchasing equipment that meets quality
standards, is fit for purpose and can be reused orrecycled at the end of its life
recruiting and retaining qualified staff establishing effective operational processes and
procedures
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Social Sustainability
Social sustainability is about ensuring futuregenerations have the same or greater access to
social resources
ensuring all clients have equal access toparticipation in the service
supporting diversity in the community andservice
ensuring staff and clients enjoy a safe andhealthy care environment.
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Workforce Sustainability
Workforce sustainability means retaining the rightpeople with the right skills to meet current and
future business requirements
For workers, it is your responsibility to: understand what is expected of you follow workplace policies and procedures report any improvements or deficiencies you
become aware of
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Any Questions
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