Eleanor Barrett Occupational Therapist, Explore (P10, Friday, NZI 6 Room, 12.30-1)

1. Developing Moving and
Handling training

2. 2
Who are we?
• Healthcare of NZ Ltd – Parent company
• NZCare – National Provider of support to people
with disabilities
• Explore – Contracted by MOH to provide
specialist services (OT, PT,SLT, Behaviour
Support, Nurse Consultancy, Psychologist)
• NZCare contract Explore to deliver training in the
North Island

3. 3
NZCare Learning Journey
• Induction
• Attendance based Orientation
• Medication
• Back care and safe use of equipment
• Client Rights
• Values and Attitudes
• Medical and behaviour related topics
• Person centered Moving and Handling
• On the job coaching and mentoring

4. 4
Explore’s contribution
• Person centred response
• Training included medical condition needs
• Specific moving and handling needs
• Health and Safety
• Quality of Life

5. 5
Drivers of change for NZCare
• Desire for well trained, qualified workforce
• Identified high risk areas for staff
• Commitment to families to provide ongoing and
comprehensive training
• Meeting the standard
• Proactive approach to decrease accidents

6. 6
NZCare -Response to change
• Review of the Orientation programme to include
National Certificate in Community Support
Services (Level 2)
• Level 3: Medication, Moving and Handling added
• NZCare Managers, Team Leaders and Health
Advisors as Verifiers
• Workbooks and workplace verification introduced
• ACC guidelines as company policy
• Training Coordinator appointed

7. 7
Current Orientation Training
Within the first year:
• Agreement to attend training included in terms
of employment
• Induction with Manager
• Workplace induction with Team Leaders -
buddy shifts.
• Attendance at 6 Orientation training sessions
• Participate in “must do” training
• Other topics available

8. 8
Explore – Response to change
• Staff completed unit standard 4098 and
assessor registration
• Assisted in development of orientation work
books
• Roll out of training programme
• Staff trained in best practice assessments
• Literacy and Numeracy embedded

9. 9
Readiness Assurance Process
(R.A.P.)
(L.D. Fink, Beyond small groups 2004)
Figure 1.2
The Sequence of Learning Activities in Team Learning
• Covering a 2-3 Week Block of Time
• Covering One Major Topic Within the Course
Thre e Phase s of Te am Le arning:
Pr epar ation Application (Pr actice with Feedback) Asse ssm ent
Activities:
R.A.P.:
1. Individual test (Continue Exam:
2. Team test Group Work Group Work pattern as long Individual
In-Class : 3. Appe al s (Simple) (Complex) as desired) and/or
4. Corrective Team
Instruction
Out-of-Class: Reading Homew ork Homew ork Review
Appr oxim ate Leve l of Content Understanding at Each Phas e:
40% ) 50% ) 60% ) 70% ) 80% ) 90-100% )

10. 10
Current Moving and Handling
training
• Delivered by Occupational Therapists (in N.I.)
• 6 Hour practical session to cover theory, back
care, exercises
• Practical techniques (ACC Guidelines)
• Everyone experiences handling and hoisting by
their peers
• Workplace verification
• Assessment of techniques against scenarios

11. 11
Benefits to NZCare
• Well trained workforce
• Company reputation
• Continuity of level of care for clients
• Staff skill enables transfer between service
• Increase in staff retention
• Decrease in staff injury
• Decrease in client injury
• Foundation Skills achievement linked to pay –
career progression

12. 12
Benefits to Support Workers
• Nationally recognised qualification
• Clear steps to increased pay; Career pathway
• Decreased injury
• Peer support
• Improved levels of literacy and numeracy

13. 13
Benefits to Explore
• Developing reputation for quality training
• Increased expertise
• Internal resource to the greater company
• Provision of training to other disability providers
in New Zealand

14. 14
Benefits to Explore staff
• Maintain levels of skills
• Continued Professional Development
• Working with trained staff
• Help staff recognise literacy and numeracy
issues
• Developed relationships with staff through
training

15. 15
Ongoing Challenges
• Historical techniques (perceived speed of
transfer)
• Habit changing is hard even when you know
different techniques
• Not always someone to give feedback
• Administration
• Attendance and release from rosters
• ESOL, low literacy and numeracy skills
• Staff perception

16. 16
DVD
• Created in response to need to follow up training
sessions and recap key points
• Filmed with Support Worker and clients
• Used as team meeting tool to review chapters as
related to their clients
• Used a reminder of techniques for new clients

17. 17
What is so good about it?
• Fun, Hands on, 94.6% satisfaction
• ¾ of session is practical techniques and practice
• Theory related to practice and use of visual
models
• moments
• Use of venues outside the workplace
• Taught by someone with recognised expertise
and skills

18. 18
Quotes from attendees
Sharing other Learnt new skills to
support workers provide better care
ideas
Being
Had fun while learning, good encouraged
having a go at things, learnt a to do it
lot, more confident safely
Using the equipment was
brilliant!

19. 19
Aspirations
• Annual Moving and Handling refresher training
in line with new ACC guidelines
• Staff use correct technique every time!
• Further decrease in staff injuries
• Champion for Moving and Handling
• Access to Moving and Handling Advisor to
work with staff to overcome specific
challenges.