ТОП просматриваемых книг сайта:
Clinical Nursing Skills at a Glance. Группа авторов
Читать онлайн.Название Clinical Nursing Skills at a Glance
Год выпуска 0
isbn 9781119035923
Автор произведения Группа авторов
Жанр Медицина
Издательство John Wiley & Sons Limited
Explain what you are doing throughout.
Ensure the patient has adequate levels of privacy for their requirements before you leave the area.
Follow the record‐keeping guidance for clear, accurate, professional documentation.
Follow data protection requirements for storage of all patient data (Data Protection Act 2018).
Note – supporting the patient to be independent when providing person care is preferred but not always possible. Encouraging the patient to provide care for their genitalia can support privacy and maintain dignity.
Procedure – Social Media
Unprofessional and unlawful conduct across social media has resulted in professional bodies providing guidance on managing your social media profile (GMC 2013; NMC 2018b). The NMC has recommended that professionals follow the six Ps before posting on any platform (see Table 8.3). It has also highlighted that fitness to practise will be questioned in the following instances:
There is sharing of confidential information inappropriately, i.e. without patient consent or providing employer – and thus healthcare provider – details.
There is posting of unprofessional comments about people they provide care for, other team members, and/or employer.
There is posting that could be considered as bullying or exploitation of patients, other team members, and/or the employing organisation.
There is posting of pictures or videos without the party's consent (NMC 2018b).
Red Flag
Failing to comply with professional requirements can result in a fitness‐to‐practice review and lead to removal from the professional register.
Failure to follow the law will bring legal recriminations, which could include tribunal cases brought by an employer, breach of professional negligence under case law, or a breach of a specific Act of Parliament. These incur penalties such as fines, community sentencing, and imprisonment.
References
1 Data Protection Act (2018) c12. www.legislation.gov.uk/ukpga/2018/12/contents/enacted (accessed 22 April 2020).
2 General Medical Council (2013). Doctor's Use of Social Media. London: General Medical Council.
3 Human Rights Act (1998) c.42. www.legislation.gov.uk/ukpga/1998/42/contents (accessed 22 April 2020).
4 Nursing & Midwifery Council (2018a). Professional Standards and Practice of Behaviour for Nurse, Midwives and Nursing Associates. London: Nursing & Midwifery Council.
5 Nursing & Midwifery Council (2018b). Guidance on Using Social Media Responsibly. London: Nursing & Midwifery Council.
9 Moving and handling
Figure 9.1 Sit to stand.
Figure 9.2 Walking with assistance of one.
Figure 9.3 Walking with assistance of two.
Table 9.1 Using TILEO for safety in manual handling.
Source: Based on Smith 2011.
| Task | Does the task include twisting, stooping, bending, pushing, pulling, or sudden movement? |
| Individual | Consider the patient and the handler with respect to health, e.g. disability, pregnancy |
| Load | Consider weight, stability, ability to grip |
| Environment | Consider space constraints, flooring – stable, same level, hot/cold conditions |
| Other factors | Is the movement hindered by infusions, traction, drains? Have you the correct working equipment? |
Figure 9.4 Walking with a frame.
Figure 9.5 Standing to sitting.
Background
Moving and handling (MH) refers to the assistance given to a load1 to enable it to move.
These include lifting, putting down, pulling, pushing, carrying, supporting a load whilst static, throwing or moving by hand or bodily force.
MH is governed by the Health and Safety at Work Act 1974 and welfare legislation (National Back Exchange 2010), which include regulations for employers and employees to understand, and subsequently follow, to ensure their own and others’ safety.
MH procedures are often utilised in healthcare settings when assisting a patient with their mobility but can be applied to any environment where the MH of a load is required, e.g. supermarkets, warehouses, and mechanics’ garages.
MH is often required to maintain the safety of the patient but in undertaking these procedures healthcare providers need to ensure their own safety.
Back and musculoskeletal injuries are one of the most common causes of sick leave among healthcare professionals (HSE 2015). These are often a result of poor MH techniques.
Influencing Factors
Mobility and assistance requirements can change daily and thus a discussion with the patient on how much they feel able to do is required before supporting with any activity.