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Health and social care BTEC pearson// U2 > A (roles and responsibilities of staff in HSC) > Flashcards

A (roles and responsibilities of staff in HSC) Flashcards

COVERING A1-5

1
Q

What is the role/responsibility of a Gp?

A

To provide primary care, working in the community with various practitioners. helping to diagnose and treat minor health issues, providing preventative care and health education. discuss/agree on a care plan, prescribe appropriate treatment, and monitor the impact of agreed treatment(s).

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2
Q

what is the difference between a consultant and a GP?

A

Gp - providing primary care, having specialised in General practice. works w/in the community.
Consultant - secondary or tertiary care. Have specialised in their field ( eg cardiologist = heart). usually works in a hospital.

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3
Q

Roles/responsibilities of nurses?

A

Work in a range of settings, treating health issues, promoting good health (vaccinations and running clinics), working with family/carers to provide fulfilling, holistic care, taking b.fluid samples, providing dev. checks

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4
Q

role/responsibility of a midwife

A

supporting parents t/o pregnancy, providing antenatal and postnatal care. Help provide education and advice on labour and parenting (running parenting classes), and delivering babies. referrals to support services (eg bereavement services, mental health) Work in hospital, clinics, GP practices, homes

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5
Q

role/responsibilities of a HCA

A

work under the guidance/support of nurses and doctors. may work in GP practices, hospitals, residential/nursing care. Taking+ recording observations, weighing patients, personal care aid, serving meals/help feeding.

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6
Q

Role/responsibilities of a Social worker

A

Provide aid/support to people in need. Safeguarding vulnerable people in society, and promoting independent living. Can specialise in paediatrics (safeguarding, CPO, managing fostering/adoption/leaving care) or geriatrics/adult (adults with specific care needs who may need help w. independence or support at home)

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7
Q

Roles/responsibilities of OT’s

A

promote/maximise independent living, via the promotion, education and provision of living/communication/mobility aids. Sus may have a disability, be recovering from an accident, or be physically weak.
Work in community and in hc settings.

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8
Q

Roles/responsibilities of a youth worker

A

aim to help su’s (11to25) to reach full potential in society and be responsible. Workin in educational settings as well as youth centres. May be employed by local councils/religious orgs/voluntary orgs. Help to deliver programmes targeting specific issues, organising activities/projects, working with parents, initiating and managing teams/groups w. Su’s

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9
Q

care assistants

A

provide intensive practical help and support for daily activities. help vulnerable sus. work in homes, day centres, residential/supported settings. Help with personal care, general household tasks, paying bills, helping communication, liaising w. other staff.

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10
Q

care managers

A

leadership of residential care for vulnerable S.u’s. In charge of staff employment and recruitment, managing budget and quality of care, managing and supervising care assistants

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11
Q

support workers

A

under the supervision of healthcare practitioners. Supervisor will identify what care/support is required, then the support worker will implement the plan

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12
Q

The 6 c’s

A
  • courage (to improve quality/safety of care provided to Sus)
  • competence ( CPD/revalidation, performing duties effectively + safely)
  • communication ( professional/efficient exchange of info to improve r/ships and care)
  • commitment (determination to provide consistent and safe care)
  • compassion ( intelligent kindness, promoting rights/choices/pref, in care)
  • care (individualised, meeting of S.u’s needs)
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13
Q

NHS constitution

A

Provision of a comprehensive service, available to all. Access to services is based on clinical need, not an individual’s ability to pay. The NHS aspires to the highest standards of excellence and professionalism. Patients will be at the heart of everything the NHS does. The NHS works across organisational boundaries. The NHS is committed to providing best value for taxpayers’ money. The NHS is accountable to the public, communities and patients that it serves

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14
Q

NHS values to be upheld (NHS constitution)

A

Working together for patients, respect and dignity, commitment to quality of care, compassion, Improving lives, everyone counts

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15
Q

Following policies and procedures

A

Guide care and support given. Provide consistency and safe/good practice for clients, and awareness for staff. Main - H+S, Safeguarding, confidentiality, complaints, IPC. Help meet current laws and legislation, Requires staff training.

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16
Q

Healing and supporting recovery for ill Service users

A
  • prescribing medication (usually done by GP, nurse prescriber, or dentists)
  • surgery (to replace/remove/implant, with support in community post-op from an MDT)
  • radiotherapy (mdt. often for cancer but can be for thyroid/blood issues. dermatology issues as a result)
  • organ transplant (allograft - b/ween bodies, autograft - w/in body. req. highly skilled surgeons. autoimmune support needed)
  • lifestyle changes (counselling, self-help groups, for chemicals/exercise/diet)
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17
Q

enabling rehabilitation

A

To help S.U’s live as independently and fulfillingly as possible. Post-stroke/accident/surgery/disability. Programmes are offered based on needs. Help from therapists. Complementary therapy not considered conventional (not always on NHS)

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18
Q

accessing support from specialist agencies

A

may require a referral from staff.
- AgeUK (geriatrics)
- Mind (mental health support) and YOUNGMIND
- RoyalNationalInstituteofBlindpeople (sight loss and informal carers)
- Alzheimers society (dementia/Alz, and informal carers)

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19
Q

providing equipment and adaptations to support independence

A

provision/use could be temporary or permanent. may require training for effective/safe use. Mobility aids, communication aids, daily living aids, and technology.

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20
Q

providing personal care

A

Due to care needs, not every S.U is able to provide their own personal care. Impact on PE care + wb. Promote regular/usual routines, as well as dignity and independence. Can be aided by lifts/hoists, commodes/shower chairs, adapted taps, shower/baths seats. Needs may differ based on religion ( running water vs baths, bidets, etcs)

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21
Q

personal care - eating and drinking

A

promote independence.May require specific aids, such as a tipping kettle, cutlery w. big handles. Diet requirements - religion, allergies, veganism, vegetarianism, intolerances.

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22
Q

supporting routines in the day-to-day life of service users

A

done by holistic care. SU’s and their families can feel more respected, as their needs and wants for ‘normality’ are taken into account. Routines at home, education/training, work, or leisure settings aided by adaptations /awareness/support staff.

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23
Q

assessment +care/support planning, involving SU’s and their families.

A

involves assessing needs, planning and agreeing on the most appropriate option, implementation, monitoring, reviewing and evaluation, and amending the plan as necessary. Discussions w. carers can mean plan is more personalised. Empowerment

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24
Q

Anti-discriminatory practice -
codes of practice/policies to identify and challenge discrimination towards SU’s and staff.

A

Equality Act 2010 (nationwide, 9 protected characteristics),
Human Rights Act 1998,
HSC individual Equality and diversity policies.
whistleblowing and complaints

25
Q

Equality Act 2010

A

9 protected characteristics = discrimination is illegal (age, sex, race, religion, marriage, disability, maternity, gender reassignment. orientation). tries to reduce barriers to accessing services. defines direct discrimination (direct impact, deliberate), indirect (less intentional), association, perception.

26
Q

Human Rights Act 1998

A

Taken from ECHR. most important rights in HSC - life, freedom from degrading/inhumane treatment, privacy, dignity and respect.
Public bodies must respect the rights. came into force in 11.2000

27
Q

anti-discriminatory practice - adapting provision for different types of SU’s

A

staff should
- actively challenge discrimination
- address own prejudice(s)
- understand and meet the needs of all service users
- compensate for the negative effects of discrimination in society
- celebrate the contribution that a wide and diverse range of people can bring to the setting and society.

28
Q

empowering individuals
- what is it

A

ensuring SU’s fully participate in discussions and decisions about their care and treatment. putting SU’s at the heart of the service’s provision. Promotes independence, dignity, and the consideration and respect of needs, wishes and individuality.

29
Q

empowerment - providing active support consistent with the beliefs, cultures and preferences of SUs.

A
  • provide info in a wide range of languages
    • use of translators/interpreters, of English lessons.
  • provide a range of food that can meet all different dietary requirements
  • provision of prayer rooms, services, aids (eg prayer mats, cards). respect fasting, if they wish.
30
Q

empowerment - supporting individuals who need services to express their needs and wishes.

A
  • translators, signers,
    • EAL, BSL, Makaton
  • advocates, family/friends
    • speak on SU’s behalf and help with communication,
31
Q

strategies for empowerment

A

person-centred care //complaints procedures // access to relevant services // involvement in decision-making // advocacy // inclusion// recognition of individual abilities, preferences and choices, communication// self-directed support.

32
Q

factors affecting empowerment

A
  • discrimination
  • communication
  • resources (including time)
  • health and safety
  • risk
  • needs
  • resistance
33
Q

empowerment - promoting the rights, choices and well-being of SUs, and balancing their rights with those of other SUs/staff.

A

preferences may be clear and reasonable but may cause conflict
- equally valid wishes of another SU (what they want to do during their care)
- right to choice vs personal safety (independence vs risk/sg issues)
- rights to confidentiality vs protection from harm (sg issues)
- cultural/religious values vs their wb.

34
Q

Empowerment - dealing w. conflict

A

tension b/w staff+Sus = common
challenging behaviour = risk of harm to all = training required. Lone worker policy. Needs empathy, active listening, calmness.

35
Q

safety - risk assessments

A

identify hazards –> Identify those at risk
|-> evaluate level of risk (1-4 scale) –> identify methods to limit risk –> review measures taken.
THE LEVEL OF RISK IS NOT EQUAL TO POTENTIAL LEVEL OF HARM.
Manual handling- asses Task, Individual, Load, Environment, and Equipment.

36
Q

safety - safeguarding vulnerable service users

A

Different types of abuse (physical, emotional, sexual, financial, domestic,institutional, slavery, discrimination, neglect (inc. acts of commission by staff))- either intentional or unintentional. Can occur in any setting.

37
Q

Safety - key safeguarding cases and legislation

A

cases - Baby P, Star Hobson, Arthur Labinjo Hughes, Edenfield (Manc. NHS)
Legislation - Children Acts 1989 and 2004, SVGA 2006, HRA 1998, EA 2010, Working Together To Safeguard Children 2018, Care Act 2014.

38
Q

safety - protecting service users, staff and volunteers from infection

A

Handwashing - before/after - eating, personal care, procedures, coughing/sneezes
safe handling + disposal of sharp articles - to avoid injury and infection transmission.
safe storage and washing of soiled linen - not placed on the floor, use of a designated area + equipment. soiled/infected linen washed separately.
PPE - when in contact with open wounds, infect/immuno-susceptibility, bodily fluids.
cleaning all equipment according to the setting’s procedures - should be sanitised and checked every day/if not between uses, CSSD (central sterilisation services)

39
Q

Safety - COSHH (Control Of Substances Harmful to Health)

A
  • proper disposal of PPE, syringes, soiled dressings, nappies, incontinence pads, and bodily fluids .
    -Use of coloured bags - clinical waste = yellow bag and bin, sharps = special yellow box, bodily fluids = sluice. soiled linen = red laundry bags, reusable equipment and instruments = blue bag
    Hazardous substances - chemicals, fumes, dusts, vapours, mists, nanotech, faces, Asphyx, gases, bioagents.
    requires training - awareness of substances and impacts, exposure limits, conduction of risk assessments, practical control measures and safe systems of work
40
Q

Safety - RIDDOR

A

reporting of injuries, diseases or dangerous occurrences related to /caused by employment. Noted in accident book for regular review. Notify UKHSA/PHE of notifiable diseases (anthrax, Covid19, diphtheria, leprosy, measles)

41
Q

Safety - First aid

A

provision of first aid equipment, designated first aider(s), renewal of training every 3 years by providers (SJA0

42
Q

Safety - IPC

A

cleanliness, badges, hair, jewellery,
dress/uniform, nails, handwashing
PPE

43
Q

Confidentiality - info management and communication

A

HSC orgs required to comply with GDPR and DPA 2018. Data must be used/collected fairly, honestly, and only for its intended purpose. Should be accurate, up-to-date, held safely and securely, and not shared with any countries with poor data protection. Data protection officer(s) in charge.

44
Q

confidentiality - info management and communication in the workplace

A

responsibility for staff/volunteers to ensure protection of confidential info and active promotion of respect. Weaknesses in procedures = staff should feel comfortable to suggest improvements. Should not share info relating to SUs on social media

45
Q

confidentiality - safeguarding

A

need-to-know basis only, to protect the individual. Disclosure of info = sg procedures followed.

46
Q

confidentiality - potential conflicts

A
  • disclosures
    • if SU discloses info or staff have concerns, then must report info /concerns to meet legislation and protect
  • staff can override consent
    • if lack mental capacity, will prevent/investigate a crime, risk to safety is very high, court orders, or if alleged abuser is also at risk.
  • serious case reviews
    • Star Hobson - killed by mum’s s/o. family reported concern to social services. playing with friends when hit (same force as a car crash). case shut by social services 2 months before death due to ‘lack of evidence’
  • duty of care
    • wellbeing of SUs = paramount. Info may not be shared w. NOK. follow policies and procedures for how much to share/who to.
47
Q

confidentiality - guidance towards safeguarding and data protection to help staff

A
  • guidelines from governing bodies
  • government legislation
  • initial induction training at a setting
  • learning from more senior staff
  • following the setting’s policies and procedures
  • CPD // Continuing Professional Development
  • Qualifications / specifications
  • inspections
48
Q

multidisciplinary working

A

different care practitioners working together as a team to promote health and wellbeing of SUs.

49
Q

multidisciplinary working vs multiagency working

A

MDT - individuals from the same setting, w. different roles.
Eg. in a hospital: nurse, OT, Physio Doctor, discharge planner.

MAT - individuals from different settings w. different roles. may look at things in a more holistic approach.
Eg. Police, Mental health nurse, social worker, school nurse.

50
Q

multidisciplinary working - the need for joined-up working with other service providers

A

Victoria Climbie + Baby P, both in Haringey,
Steven Hoskins,

51
Q

multidisciplinary working - involving SUs, carers and advocates in the MDT

A
  • presence at meetings can contribute
  • likely to have more needs met
  • aids empowerment
    key opportunity to express views and preferences and to contribute to the planning and delivery of their support.
52
Q

Multidisciplinary working - holistic approach

A
  • provide specialist support (wide range of different roles)
  • considers the PIES, cultural, spiritual and financial needs of the SU
    -> therefore meeting the needs of the ‘whole person’
53
Q

monitoring the work of staff - line management

A

line managers - responsible for managing the work of an individual/team in an organisation. Setting standards and routines for staff. addressing issues via warnings, training, suspension/dismissal.

54
Q

monitoring the work of staff - external inspection

A

regular inspection completed by a gov financed, independent agency. OFSTED =
early years/education/children’s social care, or CQC = adult social care, all healthcare services.

55
Q

monitoring the work of staff - whistleblowing

A

When staff report issues with the quality and safety of care provided within the setting they work in. Usually to organisation management, the press, the police or external agencies.

56
Q

monitoring the work of staff- service user feedback

A

obtaining formal comments on the strengths/weaknesses of the service.
via regular meetings, committees representing SUs, suggestion boxes, private meetings b/w SUs and management, reporting of good practice or areas of concern,

57
Q

monitoring work of staff - criminal investigations

A

Abuse/ breaking of the law. Finding guilty = imprisonment/removal from the the register/barring from professional practice.

58
Q
A

Health and social care BTEC pearson// U2 (3 decks)

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