parallels in training techniques a quality approach nicky sharpe moving & handling lead rgn msc...
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Parallels in Training Techniques A Quality Approach
Nicky SharpeMoving & Handling Lead
RGN MSc PGCE0114 2266409
NAMDET Conference 2014
Why?
Medical Devices
Legislation
CQC
MHRA
Patients
Moving & Handling
Legislation
CQC
MHRA
Patients
StaffX Staff
National Back Exchange
• Multi professional organisation
• Excellence in all aspects of moving and handling.
• Registered Member – Qualifications– Experience– Evidence
NBE Standardsguidance only
• Guidance re qualifications / experience of trainers,
content and duration of training, training strategy and
management commitment.
– Induction people handling: 1 – 2 days
– Refresher people handling: 3 hours
– Ratio of trainer to trainees: 1:8
NBE Standards in Manual Handling 2010
Reality at STH – Induction
• Central Induction:– Information leaflet re STH systems
– 20 minutes basic principles – practical
• Local Induction – 3 month completion
– Practical related to equipment & local systems
– Duration of training variable between areas
Reality at STH - update
• E – learning update – all mandatory topics.
• Annually all staff
• Information re what’s new in last year
Reality at STH – Refresher
• Via local cascade keytrainer
– 1 – 3 hours depending on level of risk
– Frequency 1 or 3 yearly – outlined in TNA
– Predominately practical problem solving
Return on Investment
Do we measure the impact of training interventions?
If so – how?
If we don’t measure the impact – how do we justify the cost?
1
Preferences Keytrainer course content relevant to workplace
Satisfaction, Reaction and Action objectives 100& - commit to cascade training / identify course is relevant to work areas / intention to use the training in the workplace
2
Learning needsImprovement in staff knowledge
Learning objectivesSuccessfully pass knowledge assessment test / complete risk assessment documentation task / complete action plan in conjunction with the ward manager
3
Job performance / implementationneedsTo perform safe patient moving and handling techniques
Application / implementation objectives - KT & ManagerKeytrainer delivering cascade trainingPatient handling risk assessments accurate & up to date Ensure that staff comply with the handling techniques outlined in the risk assessment.Appropriate equipment used for patient handling
4
Business needs Reduction in staff injury
Impact objectives 10% reduction in moving and handling incidents where there is non compliance with risk assessment controls
10% reduction in staff personal injury claims
5
ROI Net Programme BenefitThis compares the benefit of the training programme with the cost of running it.
Compliance v Competence
• Why do we repeat training with staff performing well?
• How do we know staff are performing well?
• Is absence of untoward incidents an indicator of good performance?
The Future????
• All Wales Manual Handling Passport
• Derbyshire Inter Agency Group
• Scottish Manual Handling Passport
– Assessment in workplace determining training requirement
How can we replicate this across the UK?
Summary
Where are we now
• Credible team• Cascade system• Benchmark• Measure impact – only
with keytrainers
Moving Forward
• Measure impact:-– patient care
• Friction / nerve damage
• Discharge arrangements
• Promotion of rehabilitation
• Falls
– Staff safety• Incidents
• Sickness
• Litigation
References
• Abdi Ltd (2010) Measuring the Impact of Learning and Performance Improvement Investments. 2 Day ROI Institute Competency Building Workshop for NHS Yorkshire and the Humber
• All Wales NHS Manual Handling Training Passport and Information Scheme. (2007)
• C Cavendish (2013) Review of healthcare assistants and support workers in NHS and social care. Department of Health
• Derbyshire Inter-Agency Group (2011) Care Handling of People in Hospital, Community and Educational Settings. A Code of Practice (2nd edition).
• National Back Exchange. (2010) Standards in Manual Handling, 3rd Edition.
• Scottish Government (2014) Scottish Manual Handling Passport Scheme