Developing Moving and Handling training


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

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Developing Moving and Handling training

  1. 1. Developing Moving andHandling training
  2. 2. 2Who 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. 3NZCare 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. 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. 5Drivers 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. 6NZCare -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. 7Current Orientation TrainingWithin 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. 8Explore – 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. 9Readiness 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. 10Current Moving and Handlingtraining• 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. 11Benefits 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. 12Benefits 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. 13Benefits 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. 14Benefits 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. 15Ongoing 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. 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. 17What 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. 18 Quotes from attendees Sharing other Learnt new skills to support workers provide better care ideas BeingHad fun while learning, good encouragedhaving a go at things, learnt a to do it lot, more confident safely Using the equipment was brilliant!
  19. 19. 19Aspirations• 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.