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

    http://www.myflexhealth.com.au/
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    Safety comes first!

    Better a thousand times

    careful than once dead

    ~Proverb

    http://www.myflexhealth.com.au/
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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

    http://www.myflexhealth.com.au/
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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.

    http://www.myflexhealth.com.au/
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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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