HSC360 Move and position individuals

I have worked with MS on a regular basis for the past 1 year. MS has had bough knee replacement and she also suffers with osteoarthritis. She is a very petite lady who takes a very active role in her care needs. Miss able to stand/walk short distance with her Zimmer frame. She communicates perfectly well and has limited use of her left arm/hand, but still manages to do a lot for herself. And she uses a wheel chair for longer distances. She is also able to feed herself unaided. I asses MS every time I assist her because her mood or health may of changed since the last time I assisted her. If I found any changes in MSs condition which may influence the moving and handling procedure, I would record this in her care plans accurately, legible and complete in case of a new risk assessment may need to be done. I inform the senior or nurse in charge. MS is being assessed all the time to check her health, mood to see if her condition has changed so we can see if she is able to participate in her present moving or handling plans, I would check for any potential risks. If I thought it was needed I would ask more senior member of staff to do a new risk assessment, I encourage MS to communicate to us so she can help us reach his need on the level of support he requires, so to support his independence and this avoids a lot of discomfort or pain to her. If we felt the need to we may call a doctor/physic to find more appropriate ways to move her. I do assist MS with mobility aids because I have been trained in moving in handling by a trained moving and handler. (Attach copy of current Moving & Handling Cert) MS use a trixe hoist and large sling and slide sheet and she also has an electric bed so she can sit herself up down in bed. They are used to promote independence to MS and to prevent any injuries to her or members of staff. They are used according with Manual Handling Regulations 1992. And the equipment is covered by the Lifting Operations and Lifting Equipment Regulation (LOLER) 1998. I find the information relating to safe handling techniques I should use when moving and positioning MS in care plans and I would also talk to other key members for extra information if I felt it was necessary. MS is offered a choice. E.g. did she want to use commode or toilet, wash in her room or bathroom I always make sure she communicates with me so I am aware of her likes and dislikes and his preferences. I reassure her. If any other problems did occur that I could not resolve myself. I would seek help from a senior member of staff. In respect of the environment, equipment, and client, when working alone, or as part of a team : Staff members= Are wearing appropriate clothing/shoes and protective clothing if necessary. And there is another key member to assist. The environment= Tables/chairs are moved out of the way, sufficient lighting, good room temperature, is the floor surface safe? Slippery patches, loose cables. Equipment= Make sure correct equipment is there ready to carry out move MS = Make sure MS is happy with procedure, and make sure I respect their privacy, dignity are maintained during the move. I reassure MS during the move taking into account any thing she would say if she had pain or discomfort I would stop immediately. I would always be observing for potential hazards and not take any risk. I ensure that MS is comfortable, and then I dispose of any waste pads act in yellow bags and put dirty laundry in a red bag and tie it. And wash my hands thoroughly. I ensure that the Zimmer is in reach for her use and that the wheel chair is put away in the designated area. 1

An incorrect moving and handling techniques are used you could do serious harm to clients skin, e.g. bruising, skin flaps/breaks. Shearing forces can be caused by slings handling belts. And also sheets in a bed. If I was unsure about any aspects of care for MS I would refer to her care plans and seek advice from other members of the care team and senior members of care staff, immediately. The manual handling operations regulations 1992, which implement the manual handling of loads directive, came into effect on January 1st 1993 under the health and safety at work act 1974, and enable UK legislation to implement a European community directive on the manual handling of loads. They apply to all manual handling activity with a risk of injury. It is important to offer verbal support at all time so MS is aware of what is happening and going to be happening in the move, so they can participate in the move if possible, this promotes their independence. You may use non verbal to clients touch to make a client feel more at ease and it helps to make deaf or blind client more comfortable also. I give examples of the risks involved MS, self and others whilst moving and positioning. Appropriate clothing/shoes are worn. So you can stretch/reach and not minimize your movements. Protective clothing is worn. To prevent cross contamination. I check MS care plan. So appropriate move is done. She has any sensory aids that are needed. So she can see hear more clearly. I have correct manual handling aids. To prevent skin breaks MS and back injuries to me. I move all obstructions from environment. To prevent trips/falls. I close curtains/doors. To maintain dignity and privacy. It is important to maintain records so MS receives the continuity of care that she require, records should always be update if there is a change in MS. And all record should be accurate, legible and complete, and kept in accordance with the Data Protection Act. I would find this information in MSs care plans and I would also talk to other key members for extra information if I felt it was necessary. MS has very limited choice, because of her size and mobility its hard to offer a large choice of mobility choice. When I am carrying out moving procedure with her I always make sure she communicates with me so I am aware of likes and dislikes and his preferences. Sometimes Mr. P wants to get out of bed but she knows that the move can be very painful as she has a sore scrotum, and suffers from a lot of back pain, often says she does not want to use the hoist, I explain to her that this is not practical for her or staff, I would suggest to her using the hoist is the best method to be used, I reassure him that the move will be done as swiftly as possible and he would more comfortable once her position had changed. I tell her if he feels a lot of pain during the move to tell me and the activity will stop immediately. If any other problems occur I would seek help from a senior member of staff.