Unit O2 Promote people’s equality, diversity and rightsElement O2.1 Promote people’s rights and responsibilities

OBSOBSOTHERKEPC1The worker’s actions recognise people’s right to make their own decisions in the context of their lives, and acknowledge peoples responsibilities
I offered alan informed choices throughout the whole interaction and allowed him to make his decisions and then respected them within a framework of safety and appropriateness.

2The worker’s actions in interpreting the meaning of rights and responsibilities are consistent with existing legislative frameworks and organisational policy
We used the appropriate method of holding the Sliding sheet while moving him up the bed. He wanted up to lift him physically up the bed. I told him that this was not possible as it was both unsafe and without trust policy. I explained that both he and we could all be injured by doing this. He agreed to let us use the approved method
3Information provided by the worker is up-to-date and takes account of the complexity of the decisions which people may need to make
We used the latest proved method of holding the slide sheet. We used this method of moving despite alan wanting at first wanting us to lift him. I have him the cooper consequences of lifting him manually and he consented to us using the slide sheet.

4People who are unable to exercise their rights personally are given the appropriate help to do so


5Tensions between rights and responsibilities are acknowledged and the appropriate support is given towards their solution
When Alan asked to be lifted up the bed, i was empathetic but maintained it was not possible to do it the way he wanted as it was not within trust policy.

6The necessary records relating to the promotion of rights and responsibilities are accurate, legible and complete
I recorded all care given in the client's care plan. This included the request to be lifted and the use of the slide sheet

7Information recorded by the worker is consistent with the promotion of rights and distinguishes between facts and opinions
The Language I used when writing was objective and did not use any ambiguous terminology or subjective feelings.
8People who wish to make a complaint about an infringement of their rights are provided with the necessary information to do so
Alan did not have any complaints at this time



OBSOBSOTHERKERange1
2
3


4

5Context:a) Socio-economicb) PersonalInformation:a) Unwrittenb) WrittenAppropriate help to exercise rights:acting on behalf of the person when they are notable to do soseeking someone else to act on the person’sbehalfTensions:a) within peopleb) between peoplec) between people and organisationsAppropriate support towards resolutiona) direct challenges to the people concernedb) help sought from others towards a resolutionseek to change the structures and systems whichaffect the person’s rights


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOG
Unit O2 Promote people’s rights and responsibilitiesElement O2.2 Promote equality and diversity of people

OBSOBSOTHERKEPC1actions of the worker are consistent with people’s expressed beliefs and views and acknowledge the benefits of diversity
I asertaioed Alan's views on how he wanted things to be done and then weithed them up with polociy and procdure
2anti-discriminatory practice is promoted in ways which are consistent with professional and legislative frameworks and organisational policy
Prior to commencin care, I asked Alan for consent for cate to be givent by me and my assessor. If he had raised any doubts,k thenI would have sought other araintments. I did not discriminate agaiont Alan for any reaosn and gave him the same care he needed as it was prescribed.
3the appropriate action is taken to minimise the impact of discrimination and oppression on people
I asked Alan what he wanted and under took it within the parameters of appriateness, procdure and policy
4the appropriate support is sought by the worker when they are having difficulty promoting equality and diversity
there was a conflict as, as an individula, aln wnated to be physically lifted up the bed. I said to alan that although I acknowledged that he would like to be lifted phyically up the bned, it was not appropriate or saft for him or the others involdved in the move to be in this manne3r. I did not berate him for thi s choice or for ex[pressing it. i gave him an explainatiom notn-juudmentally and kindlyu as to why this was not possible and expliend the alternative. He agreed to the use of the slied sheet.

5the necessary records relating to the promotion of equality and diversity are accurate, legible and complete
I recored in tha non-judgemental, objective and as appropriate manner as possible that Alan requested to be lifted physically up the bed. I eexplaned to him that the reason for not using this method was one of safety. I explained the move method of choice was one with a slide sheet.
6information recorded by the worker is consistent with the promotion of equality an diversity
I acknoedt that alan had the right to make the rquest but als acknowedtded that it was not approprate to move him in the manner requested.
Range1
2Diversity:a) individual and social characteristicsb) values and beliefsAppropriate action:challenge the source of the discrimination andoppressionseek the support of others to challengediscrimination and oppressionseek appropriate support for the person who isbeing oppressed or discriminated against
Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOGUnit O2 Promote people’s rights and responsibilitiesElement O2.3 Promote people’s right to the confidentiality of information

OBSOBSOTHERKEPC1information stored in, and retrieved from, recording systems is consistent with the requirements of legislation and organisational policy
Alan's medical nots were stored in the approriate notes trolly and wer not accessible to him iunl;ess he had requesed to see them formerly. If he had, then he would have had to written formerly to request to do so. Then, the access is not total. A consultant may, if she/he wishes, hold back certain parts of the notes and there is also a cut off point prior to which one may not see one's notes.
Alan's Nursing Care Plan and Profile are stored along side the Medical Notes in the same trolley. If Alan had wished to see his nursing care plan, then he could have done. However, just because an individual client has access to her/his care plan, then, that does not mean that family/friends/significant others are entitled to do so. It is sometime necessary to guard against nosey visitors looking in care plans and then when challenged them turning to the client and saying "... You don't mind.... do you...?" or "Well, it's my relative!!!!" Despite it being "their" relative, the client has rights as to who sees theirs notes. Also to who visits them. medical Admission is a very busy place with high numbers of visitors and clientes passing trhought. Breaches in confidendtiallity and security are a very high probability without precasion and vigulance being undertaken constantly.
2records made by the worker are accurate and legible and contain only the information necessary for the record’s purpose
I am dyslexic so I have to be extra carful about spellin, grammar, syntax and writing that i use. i have to re-check what I wrtie and, if I ma consred, then I seek assistance from others. I am very open about being dyslexic. I feel more comfortable about letting people know as then I do not feel worried about asking for help.
The content need to be unabiguaou and as objective as possible as well as only recofing what is necessary and relevant. If feelings are alowed to be introdict then this can advesly affect care and can lead to dsicrimination.


3information is disclosed only to those who have the right and need to know, and when proof of identity has been obtained
See O2.3.1If anyone whio is not adirectly looking after Alan tries to access is nots, It is very improtat to challenge them. The wearing of ID badges ids very improtatnt. Both My Assessor and I were wearing our ID badges when we cared for Alan on this occasion.

4the appropriate precautions are taken when communicating confidential or sensitive information to those who have the right and need to know it
See O2.3..1 and O2.3.3. We di not discucss any thing confidtinal in the pressence of other wo were not dirtctly invodl inAlan's care. At the strat of the sift, My assessor and I receved a hand over verally. It was dond away from others.
5when someone tells the worker something which the worker is required to share with others, the person is told in a clear and appropriate manner that the information may need to be shared with others
When alan told me and my Assessor that he wanted to be "lifted" rather than "slid" I told him that I wol have to record this in the care plan.

6confidential records are handled securely and stored in the correct place
See O2.3.1. After I had finished recording Alan's care in his care plan, I returned it to his slot in the notes trolley.
7support is sought by the worker when it appears that information is being misused
Not covered on this occasion
Range1
2
3
4Information stored:electronicallyin writingAppropriate precautions in relation to:who might overhear or oversee the informationwho might access the informationCommunications:electronicallyin writingorallySupportadvice from colleagues and others on the action the worker should takesupport from colleagues and others to take joint actionCandidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOG
Unit CL1 Promote effective communication and relationships.Element CL1.1 Develop relationships with people which value themas individuals.

OBSOBSOTHERKEPC1.The worker’s actions contribute to the maintenance of a work environment which promotes the value of individuals and encourages meaningful interactions.
I only conducted converstations with Alan that were pertinant to the situation or that included him rather than talked over him with my Assessor.

2.Interactions with people demonstrates respect for them as individuals and acknowledges their rights to make their own decisions in the context of their lives.
When Alan said that he anted to be lifted up the bed, I did not use a castigating tone but one that was showed I did value his contributions be they, at this juncture, not safe practice.

3.Communication with people is designed to lead to an adequate and accurate exchange of information.
At all stages, I encouraged Alan to make his own decisions and valued his opions when he did. I did not rush him and gave him enouraging nods and guestures when he spoke

4.People are encouraged to decide for themselves the actions they wish to take and their right to change their mind is respected.
See CL1.1.3

5.The appropriate action is taken to challenge behaviour which infringes the rights of others.
I challenged Alan over the issue of lifting rather than sliding.

6.Explanations are offered about the worker’s actions whether the individual appears to understand the explanations or not.
Alan, on this occasion, did understand what was said to him. If he had not it is important to still say it because, even at the deepest level, there may have been understanding.

7.Necessary changes to environments or routines are agreed with those concerned before the changes are made.
In the explantion of events I told Alan that what we were planning and that things would be moved. I explained, for example that the table was moved for safety.

8.When individuals require some form of assistance, this is established with them and given appropriately.
Alan realised that he need assistance with his some of his activities of living, so offering our help here was no problem. We explained beforehand what we were going to do, talked it through as we did it and asked him if there were any problems after each stage of the care delivery session.

9.Opportunities are taken to reflect on own behaviour with, and reactions to, people and this is used to evaluate one’s practice.
After the care delivery, in an appropriate venue away from the client, I asked my Assesser for feed back. I was told that sometimes i can in at a pace that does not allow clients to fully express what they want to. I have reflected on this and have tried to bring this into my future practice.


OBSOBSOTHERKERange:


1.Interactions:a) Speech and language.b) Actions, gestures and body language.c) Space and position.


2.Assistance:a) With mobility and access.b) To enable effective communication.c) Providing information.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOG
Unit CL.1 Promote effective communication and relationships.Element CL1.2 Establish and maintain effective communication with people.

OBSOBSOTHERKEPC1.The manner, level and pace of communication with people is consistent with their abilities, preferred form of communication, manner of expression and personal beliefs and preferences.
Alan used a hearing aide with headphones which I ensured was set at an appropriate level before commencing care. Shingles had invaded both eyes. However, the right eye was less badly affected and he could open it more readily.

2.The worker’s body language, position, tone of voice and style of active listening encourage people to communicate.
Alan used a hearing aide with headphones which I ensured was set at an appropriate level before commencing care. Shingles had invaded both eyes. However, the right eye was less badly affected and he could open it more readily.
My body language was open and conducive to fostering a theraputic professional relationship. I worked at a position was at an optimum level that was both professional and theraputic level. I used a reassuring and at a level that he could hear me but without shouting. I showed that i was listening to Alan with the use of appropicte use of nods and affirmations. I acted upon all concerns in an appropriate level. I gave Alan time to talk and think.
3.Obstacles to effective communication are minimised as far as possible given the constraints of the situation.
I ensured that the door was shut. I drew the curtains at appropriate times during the interactions. I ensured that Alan had his hearing aide on and set appropriately when required.

4.Information given by individuals is confirmed with them for accuracy.
When necessary, i asked Alan if things were alright post care delivery and if my interpertation of his request were actually what he wanted pre case delivery.

5.Individual’s expression of feelings and needs are responded to in a manner which supports the right to such expression.
During being turned and being moved up the bed, he became distressed. I acknowledged his feelings and tried to allay his fears and made sure he knew what was going to happen

6.People’s behaviour is observed and used to develop an understanding of what it is they are trying to communicate.
Alan's body language was tense when he found out he was about to be moved which helped me to realised he was worried about moving

7.Where there are differences in the ways in which the worker and the people concerned communicate, these are explored and used to improve the effectiveness of the communication.
I do not have a hearing deficit. Alan did. During the interaction, I noted that it was important that spoke at a level that was appropriate. If i had shouted, that would not have been appropriate. If i spoke too quietly, Alan would not have heard.
8.Opportunities are taken to reflect on own behaviour with, and reactions to, different people and this is used to evaluate one’s practice.
After the care delivery, in an appropriate venue away from the client, I asked my Assesser for feed back. I was told that sometimes i can in at a pace that does not allow clients to fully express what they want to. I have reflected on this and have tried to bring this into my future practice.


OBSOBSOTHERKERange:


1.Communication:a) Speech and language.b) Actions, gestures and body language.c) Space and position.d) Written.


2.Obstacles:a) Environmental.b) Personal and social.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOGUnit CU1 Promote, monitor and maintain health, safety and securityin the workplace.Element CU1.1 Monitor and maintain the safety and security of the workenvironment.

OBSOBSOTHERKEPC1People entering the environment are identified correctly and their right to entry established.
I already new alan and my assesser prior to care delivery. My Assessor and I were both wearing our ID badges in accordance of Trust Policy.

2The worker’s practice in relation to health, safety and security is consistent with legislation and organisational requirements.
I ensured that
:-) the slide sheet was not effective and safe to use. :-) i ensured that i was using the correct equipment for moving up the bed as prescribed in Alan's care plan. :-) i ensured that doors were shut whilst care was being delivered. :-) universall precautions were adhered to. Alan was known to have shingles so this was very important.:-) we had washed our hands and dry them prior to applying gloves (i wore latex and my Assessor wore vinyl) and plastic aprons prior to entering Alan's room. This helped to reduced the spread of infection any further. Alan already had shingles so we did not want that to
3Prior to starting work activities, the risks involved are identified and the activities are then undertaken in a way which minimises the risks.
Alan had shingles* use of universal precausions to reduce risk of Alan getting new infections and my assessor and I contractiong infection from him.* I put Alan's waste in a yellow bag and disposed of it in accordance with trust policy.* I offered Alan only bed pans/urine bottles that have I knew had been throught the bed pan washer. I ensured that used bed pans/urine bottles were placed into the bed pan washer where they were thoroucghly cleaned after use.* I ensured that Alan only had clean linen that was not contaminated by contact with the floor. All soiled linnen was place in a disolvable red bag then placed in an outer Red bag in this case. (If Alan had not been isolated, then i would have place only soiled linnen (that which had a risk of haveing traces of blood on it - ie, faeces, vomit etc.)
Alan had been Incontinent of faeces* See above
Alan had used a urine bottle* See above
Alan needed to be moved up the bed.* I assertained how he was going to be moved up the bed by consulting his care plan. I discovered that he was prescribed the use of a slide sheet!* I ensured that the slide sheet that we were going to use was clean and not dysfunctinoal.* I ensured that the bed was of the correct height. I was taller than my Assessor so I ensureed that it was a comfortable height for her.* I ensured that the brakes were on and that they were functional* I ensured that Alan was comfortabvle, safe and know exactly what was going to happen at all times as well as my Assessor.* After the move, i ensured that the room had been returned to a safe, acceptable state.



4Work areas are maintained as safe and as free from hazards as is possible during work activities.
* I enusred that Alan's table was moved out the way at appropriate times during the moving process but was in an appropriate postions when we washed Alan. After finishing procedures, I made sure that Alan's table was returned to a possition that was both comfortable for him as well as being safe.* Before commencing, I ensured that the area was clear of obstacles and the floor was not wet* I attempted to be as tidy as possible when I was undertaking procedures.

5Equipment and materials are used in a correct, safe manner which is consistent with current legal and organisational requirements.
Bed Pan* Of a sutibale shape for Alan* Sterilized before hand* Inserted correctly* Removed correctly* Covered once used* Sterilized once used
Urine bottle* Of a sutibale shape for Alan* Sterilized before hand* Inserted correctly* Removed correctly* Covered once used* Sterilized once used
Wipes* They were taken from a packet that was only being used on Alan.* They were clean and unused prior to use* They were disposed of in a yellow bag once used.
Linnen* Clean linnen was not allowed to touch dirty* Used linnen was put in a disolvable red bag then in an outer red bag once used. (there was the issue that Alan had shingles so was isolated. This meant that all his linnen was dealt with in the above manner. However, if Alan had not been isolated, only contaminated or soiled linnen would have been soiled in that way. Non-soiled and non-contaminated linned would have been placed in a Colourless plastic bag and place in the appropriate linnen skip.)
Rubish* Placed in a yellow bag and tied with a bag tie then placed in the clinical waist bin in a locked cupboard. (Agian, due to Alan's isolation, this was so. If he had not been isolated, then just the clinical waist [body product contaminated or the possibility of such] would have been treated like this. Non-clinical waiste would have been placed in a black bag then placed in the non-clinical waist bin in a locked cupbord
6Equipment and materials are stored safely and securely when not in use.
Bed Pan* In sluice differentialted from dirty ones post sterilization
Urine bottle* In sluice differentialted from dirty ones post sterilization
Wipes*In a packet. There was a pack in Alan's room speciffically for him as he was isolated. This would have been disguraded on his discharge.
Linnen* In linnen room where it was not able to come in contact with the floor or dirty linnen
Rubish* See above
7Waste and spillage are disposed of without delay in a safe manner and place.
No spillages occurred on this occation.
If there had been spillages of:-
Dry substance.* The floor would be swept and then the sweepings thrown in a bin.* The floor would then be washed using detergent and hot water using a non-isolation mop, the head of which would be washed post use, being placed in a colourless linnen bag.
Non-body contaminated fluids* The Excess would be absorbed with paper towels which would then be disguarded in a non-clinical waist black bag.* The floor would then be washed using detergent and hot water using a non-isolation mop, the head of which would be washed post use, being placed in a colourless linnen bag.
Contaminated spillages* Paper towles would be used to absorb excess.* Neat Milton liquid would be poored on top of the towles.* Towels then disposed on in Clinical Waist yellow bag.* The floor would then be washed using detergent and hot water using a clinical area mop, the head of which would be washed post use, bein placed in a red disolvable bag then in a red outer bag.
8The appropriate action is taken to minimise health, safety and security risks which arise during work.
Health risks * Used appropriate procedure for moving and handling, disposal of waste.* Use of Universal Precautions helped to decrease risk of infection from spreading

Safety risks * Ensured that cot sides where appropriately in place when Alan was left.* Used appropriate procedure for moving and handling, disposal of waste.* Use of Universal Precautions helped to decrease risk of infection from spreading
Security risks * Appropriate use of Care Plan and Medical notes.* Verification of staff by use id badges.
9The appropriate safety procedures are put into effect without delay in an emergency.
There were no emmergency situation in this instance.

10Health, safety and security records made by the worker are accurate, legible and complete.
See above



OBSOBSOTHERKERange:


1Equipment:a) Manually operatedb) Powered
2Materials:a) Hazardous.b) Non-hazardous.


3Appropriate action:a) Take action oneself to limit the effect of the risk.b) Set off an alarm.c) Call someone else more able to deal with the risk.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOGUnit CU.1 Promote, monitor and maintain health, safety and securityin the workplace.Element CU1.2 Promote standards of health and safety in working practice.

OBSOBSOTHERKEPC1The risks to self and others when undertaking work activities are identified and appropriate actions are taken to minimise risk.
There was a potential risk to Alan of nosocomial infection from us and a risk to us of catching shingles.* Alan was nursed in Isolation* We used Universal Precausions* Used linnen was disposed of in disolvable red bag then in an outer red bag* Clean linnen was not allow to contact the floor or used linnen
Alan and I could have been injured during the move up the bed* We used a slide sheet as prescribe in his care plan* I explained to Alan what was going to happen and gained his consent as this assisted with his co-operation
2Approved safe methods and systems are used when undertaking potentially hazardous work activities.
* Universal precautions were used* Approved method of manual handling* Approved method of waste disposal were used

3Others with whom the individual is working are encouraged and supported to promote their own health and safety during work activities.
* Before commencing, I ensured that my assessor and I used the above methods.

4Work activity is stopped immediately if there is the likelihood of an accident or injury, and the appropriate action is taken to remedy the problem.
* Alan requested to be lifted up the bed so I stopped and ensured that we found a safer, approved way of moving him up the bed was found.

5Accurate information regarding own whereabouts is maintained so that immediate contact can be made should this be necessary.
* I had informed the Ward Clerk that we would be in with Alan for appoximately 30 minutes, in case we were required.

6Health and safety records made by the worker are accurate, legible and complete.
See above.
Range:


1Potentially hazardous work activities:a) Moving and handling.b) Working with potentially hazardous equipment.c) Working with potentially hazardous materials.d) Hazardous environments.e) People who may pose a risk to health and safety.

Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOG
Unit CU.1 Promote, monitor and maintain health, safety and securityin the workplace.Element CU1.3 Minimise the risks arising from health emergencies.
THERE WAS NO HEALTH EMMERGENCY THAT OCCUREDHowever, the following account is what would happen if one had occurredOBSOBSOTHERKEPC1Assistance is immediately summoned for any health emergency and action appropriate to the condition is begun.* If a health emergency had occured, the emmergency bell should be pulled. However, it is very important that panic does not ensue. It is very important for workers to stay calm. It is very important that a Registered Nurse of other practitioner is in attendance as they are accoutable for what happens.* According to the type of Health emergency determins if other action is required for summmoning other help:-- In the case of Cardic Arrest, then 2222 needs to be called on the telephone as this summons the CRASH team.- In other medical emmergency, the Fast bleep must be rung which will summon help quickly

2The individual with the health emergency is provided with support, both verbally and by physical presence.* It is very important that individuals involved are supported as they can become very anxious. It is very frightening to see a relative collapse so calm is very important to maintain as best as possible. If the client is conscious too, panic can make any adverse condition worse. If the client is unconscious, treating them as if they are conscious is very important as it is not possible to ascertain if they can hear or not.

3When someone with more competence to deal with the emergency is available, appropriate support is given to assist in the ongoing care of the individual with the health emergency.* When Registered or specialist help arrives, a verbal report of what happened allows them to find out what is happening. * This need to be breif and concise but be as objective as possible.

4The immediate vicinity is made as private and safe as possible once the intervention has been taken over by an appropriate person.
* Ensure that the surrounding area is clear of obstacles as this may cause other injuries to be incurred by aiders.* If, for example, a client is being electricuted and they power is still in contact, either isolate the power, if possible and if it is not, arrange for it to shut off. DO NOT TOUCH THE CLIENT UNTIL THE POWER IS OFF or the worker will become a victim too.* Others, such as visitors and relatives, should be removed or, if they wish, be moved to a safe area where they can observe. (Some prefer to remain with their realative/friend while they are being attended to in an emergency as they can find it more stressful to leave the scene. Others prefer to get out the way.) Choice must be exercised with discretion and kindness. Saying things such as "would you like to come with me?" give them the choice whether they go or stay. If they choose to leave the scene, then they may appreciate a drink. Ask if they need you to stay with them or whether they need you to leave.

5Any others involved in the incident are offered appropriate support once any initial danger is passed.* See above

6Records of incidents are accurate, legible and complete.* It is not always the role of a support worker to make accounts of medical emergencis in care plans. As registerd practictioners, Qualified Nurses are accountable for such situations so it is more appropriate for them to make reports. The role of the support worker is reporting what happened as clearly and objectively as possible so an accurate report can be made.

Range:


1Health emergencies:a) Severe bleeding.b) Cardiac arrest.c) Shock.d) Faints or loss of consciousness.e) Epileptic seizure.f) Choking and difficulty with breathing.g) Falls - potential and actual fractures.h) Burns and scalds.i) Poisoning.j) Electrocution.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………


EVIDENCE LOG
Unit CU7 Develop one’s own knowledge and practiceElement CU7.1 Reflect on and evaluate one’s own values, priorities, interests and effectiveness

OBSOBSOTHERKEPC1one’s own values, interest and priorities in relation to health and social well-being are identified


2the impact which one’s own values, interests and priorities have on own practice and personal life are thought about and identified


3the factors which have influenced one’s own health and social well-being are acknowledged together with how these have affected one’s own values


4own personal beliefs and preferences are reflected on to identify the effect which they have has on how one thinks about and works with others


5one’s own strengths in working with others and one’s effectiveness in different settings are evaluated


6the outcomes and processes of one’s own work are monitored and their effectiveness evaluated


7the ways in which one’s own work can be improved are identified


8specific plans are developed to tackle any behaviour and practice which might directly affect how well one can work with different individuals and groups


9effective support systems and networks are used for ongoing crisis situations


10feedback from others is used constructively to inform change and development




OBSOBSOTHERKERange1

2
Identified through:self evaluationdiscussions with colleagues and friendseducational experiencesFactors:life experiencessocio-economic background and statuscultural background


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOGUnit CU7 Develop one’s own knowledge and practiceElement CU7.2 Synthesise new knowledge into the development of one’s own practice

OBSOBSOTHERKEPC1advances in knowledge and practice relevant to one’s own area of work are monitored to a sufficient level to keep abreast of developments


2opportunities to examine and challenge the advances in knowledge and practice made by others are identified and taken appropriately


3others’ work is evaluated for its relevance and applicability to own area of practice


4evidence from own and others’ work is used to inform the development of one’s own practice


5ideas for improving own practice are implemented in structured ways which allow them to be tested and generalised


6the changes which are made in one’s own practice are monitored and reflected on to determine the effectiveness of the outcomes

7new knowledge synthesised into own practice is applied to all areas of work in which it is relevant and likely to be effectiveRange1


2
Advances in knowledge and practice:technologyapproaches to workingconcepts, models and theoriesstrategies and policieslegislationOpportunities:debates, discussions and conferencespublicationscollaboration and consultationCandidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………


EVIDENCE LOGUnit Z1 Contribute to the protection of individuals from abuse.Element Z1.1 Contribute to minimising the level of abuse in careenvironments.

OBSOBSOTHERKEPC1.Knowledge of individuals’ whereabouts is maintained consistent with their plan of care and organisational policy.
* Alan was bed bound

2.Those within the environment are offered appropriate advice and support on how to minimise the possibility of abuse.
* Alan would have been at risk of abuse if he had been lifted up the bed. I couselled him as to this was not possible and that he would have been at risk of abuse if this had happened.* My Assessor and I would have been at risk of abuse if we had lifted Alan up the bed

3.Immediate action appropriate to the situation is taken when there are any indications of abuse.*Actions were stopped so I could explain to Alan that there was an abuse issue arising from his request to be lifted.

4.Information on abuse is reported to an appropriate person.* My assessor was there and so she heard the situation first hand.

5.Records of abuse which are made by the worker are accurate, legible and complete.See above

6.Appropriate advice, guidance and support is sought when the worker is unsure about the boundaries and effects of their relationship with individuals.* As Alan consented to the use of the slide sheet without any duress or any prolems, I was able to deal with the situation without the need to involve my Assessor directly although she was there.

7.Where this has been agreed by the care team, individuals who behave in an inappropriate manner are assisted to examine ways in which their behaviour may be seen as abusive.* Alan made a simple request to be lifted. He did not become aggressive ore verbally abusive, he merely made a request that could have resulted in abuse to himself and us. I was able to counsell him to give him an informed choice so he could make his mind up to use the slide sheet.

8.Where there are restrictions on access, caller’s rights of entry are confirmed prior to allowing access.* Alan's door was shut and the curtains were cross. If anyone had knocked on the door, we could have said that we were busy and that could they please mind waiting until we were at a more appropriate point of procedings.

9.Ways in which the organisation’s policies, procedures and routines could be improved to minimise the level of abuse are suggested to appropriate people.* Alan was under the impression that it would have been easier and quicker to lift him up the bed rather than use the slide sheet. There were no issues of procedure/policy/routine inappropriateness or any changes that could have been made here.



OBSOBSOTHERKERange:


1.Abuse:a) Potential.b) Actual.



Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOGUnit Z1 Contribute to the protection of individuals from abuse.Element Z1.2 Minimise the effects of abusive behaviour.

OBSOBSOTHERKEPC1.Individuals who display abusive behaviour are responded to in a manner which respects the individual whilst at the same time clearly shows that the behaviour is unacceptable.* Alan's behaviour was not abusive in this case: he just made a request, the consequences of which could have resulted in abuse occuring. I was able to cousell him rationally and without duress. He was allowed to make his own choice as to use the slide sheet.

2.Appropriate action is taken to divert any abusive behaviour whilst promoting the rights of those involved.* See Z1.2.1

3.Risks and disturbances to others and their activities are minimised.* See Z1.2.1

4.In all cases where the worker requires further assistance, this is sought without delay.* See Z1.2.1

5.Records of any abusive incident completed by the worker are accurate, legible and complete.* See above

6.Records are submitted to an appropriate person without delay in a manner which maintains their confidentiality.* My Assessor saw what i had written in the care plan

7.The worker’s own feelings aroused by the abusive behaviour are managed in a way which supports the right to such feelings whilst minimising any undue effects on the individuals and the setting.* I was not afronted in anyway by Alan's request. I did not berate him at all and did not make him feel bad for making the request. If I had had any issues, my Assessor was at hand, in this instance, to help me, if I had needed help. I am in a very lucky possition to be able to go to any of the other staff if I have any conserns with abuse.

8.The effect of the abusive incident on others in the setting is minimised.* See above

Range:


1.Abusive behaviour:a) Emotional and psychological.b) Physical.

Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………EVIDENCE LOGUnit Z1 Contribute to the protection of individuals from abuse.Element Z1.3 Contribute to monitoring individuals who are at risk fromabuse.

OBSOBSOTHERKEPC1.Monitoring of individuals which is specified in the plan of care is carried out in a manner and at the time intervals required.
By prescribing the use of the slide sheet, Alan was being protected from abuse, as we were. Updates were preformed by qualified nurses on a daily basis due to the nature of the ward. Alan was an unusal case as he was on the ward longer than average as the finding of a bed for him was more challenging as he required isolating.
Alan was protected against abuse by haveing his care prescribed in the care plan and any changes documented.

2.Any changes in individual’s condition and behaviour are reported to the appropriate person without delay.
Alan made the request to be lifted and this was dealt with professionally and kindly and then recorded in the care plan.

3.Any signs of possible abuse are reported to the appropriate person without delay.
See above

4.Information received from others is confirmed with them for accuracy and authenticity.
Not appropriate here.

5.Information reported by the worker is consistent with all available evidence and observation.
See Z1.3.1

6.Contact with appropriate members of the care team is maintained as part of the monitoring process.
My assessor was there so she saw me deal with the situation.

7.Records made by the worker of information gained are accurate, legible and complete.
See above

8.Where the worker has concerns over individuals who are at risk or is unsure of the action to take, advice is sought from an appropriate person without delay.
The situation was within my remit so I was able to deal with it. However, if this situation was not within my remit, I would have informed a qualified nurse and recorded the fact in the client's care plan.
Range:


1.Abuse:a) Physical.b) Emotional.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………


Unit Z7 Contribute to the movement and handling of individuals to maximise their physical comfortElement Z7.1 Prepare individuals and environments for moving and handling

OBSOBSOTHERKEPC1the personal risks to the individual, and to those assisting the individual, are assessed and the results of the assessment are used to plan the move
* Alan was able to roll but needed to be slid up the bed rather than lifted. He was able to put his hand on his hest and tuck his chin down. He found holing onto a pillow more comfotable and more secure. Especially as he was anxious about being rolled, the explaination had to be more intencs and more undersntiang o this.

2where the worker’s own assessment indicates that there is a risk to the personal health and safety of the individual client or those assisting the individual, advice is sought promptly from an appropriate member of the care team before any move is carried out
*As my assessor was in attendence, I was able to liase with her re my plan for the move.

3the level of support required is agreed with individuals and they are supported in being as self-managing as possible
See above
4actions and support provided to individuals are consistent with the plan of care and the outcome of the worker’s own assessment
* We ndertook the moove in accourance to the clients care plan and I agreed with waht it said in the care plan and my assessor was happy with my assessment of this.

5before starting the move, the reasons are explained clearly to the individuals in a manner which encourages their understanding and co-operation
* Becase Alan had asked

6the immediate environment is appropriately prepared for the proposed move in agreement with those concerned and potential hazards are removed


7individuals are assisted to reach a safe, comfortable position consistent with their plan of care


8the worker’s clothing and footwear is consistent with safe moving and handling procedures




OBSOBSOTHERKE
9the hoisting or other equipment which is selected is suitable for the individual and confirmed as safe before use


10appropriate assistance that is required to enable the worker to move and handle the individual safely is sought without delay

Range:


Individuals:able to participate in the movenot able to participate in the moveMoving and handling methods:change of positiontransferring using equipmentmanually assisted or supported transfer
Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit Z7 Contribute to the movement and handling of individuals to maximise their physical comfortElement Z7.2 Assist individuals to move from one position to another

OBSOBSOTHERKEPC1individuals are encouraged to contribute to the moving process consistent with any limiting abilities which they have
* Alan was able to partisipate by holding the pillow to his chest and tucking his chin on his chest when required.

2moves and changes of position are carried out in a manner which takes into account the individual’s advice on the most appropriate method and equipment
* Alan's metasities in he bone caused Alan a great deal of pain so it was very important that this was considered when moving him.

3where the individual’s advice and wishes conflict with safe practice, this is referred to the appropriate person without delay
* See above

4moving and handling methods used are appropriate to the individual, their condition, the worker’s personal handling limits and the equipment available
* See above

5moves and changes of position are carried out in a manner which minimises the individual’s pain, discomfort and friction and maximises their independence, self respect and dignity
* See Above

6where the worker is moving or changing the position of the individual with another’s help, the appropriate explanations are given to co-ordinate their actions* See above

7individuals are supported throughout by verbal and non-verbal means in a manner, and at a level and pace appropriate to them
* See Above

8full and accurate details are recorded in the plan of care when the worker and the individual find a method of moving and handling which is acceptable to both of them and is consistent with organisational and legal requirements
* See above



OBSOBSOTHERKE
9changes in the individual’s condition are recorded and reported accurately, completely and without delay to the appropriate person
* There were no changes in Alan's condition, before, during and after the move

10following changes of position, furniture and fittings are returned to their correct location
* See Above
Range:



Individuals:consciousunconsciousMoving and handling methods:change of positiontransferring using equipmentmanually assisted or supported transfer



Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit Z7 Contribute to the movement and handling of individuals to maximise their physical comfortElement Z7.3 Assist individual’s to prevent and minimise the adverse effects of pressure

OBSOBSOTHERKEPC1as agreed with the care team, the individual and their carers are encouraged to be as self-managing as possible, to participate actively in the prevention of pressure sores and are informed of factors which cause them
Alan was at risk of developing pressure sores as he could not turn unaided. To help to reduce the risk of him developing any the following meassures had been prescribed in his care plan.
* Four hourly turns with a pillow placed under his thigh to reduce pressure from his sacrum.* He was laying on a airflow matrice.* He was washed and dried after each incidence of incontinence.
I discussed with Alan that as he was not able to move himself with ease, that we would need to help him to do so. He agreed with this.

2factors which contribute to the occurrence of pressure sores, and the ways that the individual and care team can minimise their effects, are discussed with the individual in a manner, and at a level and pace, appropriate to them
* See Z7.3.1

3the individual is dressed, positioned and supported in a manner which minimises the adverse effects of pressure and maximises their self-esteem
* See above

4the individual is encouraged, and supported, to change position regularly in accordance with their plan of care
See Above

5any changes in the individual’s condition are reported without delay to the appropriate person
* No changes to report

6activities to prevent and minimise pressure sores are carried out as specified in the plan of care
* See Above

7pressure relieving equipment is used correctly, cleaned, maintained and stored in accordance with the manufacturer’s instructions
Slide sheet.* Inspected for signs of wear* Inspected for cleanliness* If soiled, placed in a green bag and sent to mini-laundry. As Alan was isolated, then it would have had to be placed in a red disolvable bag first.
Pressure matrice* Insected that all attatchements were in place and that it was pluged into the mains.* inspected to see if there were any warning lights on - if there were, then the correct agency contacted and the matrice changed for one without fault.* Ensure that the matrice was clean after instances of incontince using hospec and water, then rinced and dried.



OBSOBSOTHERKE
8the individual is left in a position which is as comfortable as possible given their plan of care
See above
Range:



Activities to prevent and minimise pressure sores:frequent changes of positionuse of specialised cushions, mattresses, beds and materials


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOG
Unit Z8 Support individuals when they are distressed.Element Z8.1 Contribute to the prevention of individuals’ distress.

OBSOBSOTHERKEPC1Support is offered to individuals and they are not pressured to discuss or disclose more than they want, need or are able to.
It was observed that Alan became distressed when I mentioned that he needed turning. I questioned him as to why he was so distressed about being turned. He said that he was worried about falling out of bed when he was turned. I said to him that my Assessor and I would be standing at the side of the bed preventing this from happening and that there was nothing to worry about.
2Immediate support is given to individuals consistent with their personal beliefs and preferences when they appear to be becoming distressed.
I did not berate Alan for the expression of his concerns. I let him express himself in his own manner.

3Responses are made to the individual’s expressed feelings, needs or problems in a supportive manner which accepts the individual’s right to express them whilst taking account of personal safety.
* See Z8.1.1

4Where the individual’s condition has changed and they behave in a way which has previously indicated distress, the appropriate action is taken without delay.
* There were not any changes in Alan before, during or after the care delivery. I would have reported any changes to a registered nurse and recorded them in the care plan.
5Interactions with individuals are in a manner, expression and tone which is supportive of them and is likely to promote their confidence in the care team.
* I responded to Alan in a caring calming manner and offered support to him in a manner that was suitable to him.

6Individuals who indicate that they are likely to harm themselves are advised in an appropriate manner what action the worker may have to take.
* Alan made no mention of halming himself. If he had, even if he sounded as if he was joking, referred the matter to a qualified nurse and recorded the fact in the care plan. Individuals can sometime harm themself, even if they joke about about it. It is ESSENTIAL that any mentioning of self harming is reported to a qualified nurse and recorded in the care plan.

7Appropriate assistance from others is requested without delay when the worker is unsure of their ability to deal with the individual’s distress or the effect which it may have on their condition.
* I was able to deal with the situation as it fell within my role. Anyway, my assessor was there in any case if there had been any problem that was outside my role.

8Records completed by the worker are accurate, legible and complete.
* See Above


OBSOBSOTHERKERange:


1
2Support:a) Verbal.b) Non-verbal.Interactions:a) Speech and language.b) Actions, gestures and body language.c) Space and position.
Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit Z8 Support individuals when they are distressed.Element Z8.2 Support individuals in times of distress.

OBSOBSOTHERKEPC1Support is offered to individuals and they are not pressured to discuss or disclose more than they wish.
It was noticable taht Alan was distressed by the tone of his voice and that fact that he tensed up at the thougth of beinc moved! I offered him time to express his feelings and did not hurry him.

2When they wish to do so, the options open to the individual are discussed and reviewed with them.
I told Alan that it was very important that we m,oved him as he required to be cahned as well as the benefits fo altered prosion on his pressure areas. I also told him that he need not have any woired as we would not dreop him and that we wour explain all steps prio to them happening. I also reassured him throughout the procedure,


3Individuals are encouraged and supported in considering the best option for them and the possible ways of carrying this out.
See above

4The worker’s records of the individual’s choices of action are accurate, legible and complete.
See above

5Specific information and resources requested by the individual are clarified with them and obtained.
Alan askd exactly what we wanted to do and i gave him the information he needed.

6Individuals are offered appropriate support given their choice of action, particular needs and plan of care.
See above.

7The appropriate action is taken without delay when the individual’s behaviour gives cause for concern.In this case, Allen's behaviour did not cause any cause for concern. Thus no action was necessary.

8Where the individual raises issues which are beyond the worker’s role and the individual is in agreement, they are supported in contacting another appropriate person for help
Alan's behaviour did not raise issues that were beyond my role thus no help was required from an outside source.
9Others who are disturbed by the individual’s expression of distress are offered appropriate support.
no others were disturbed by Alan in this instance.


OBSOBSOTHERKE
10The worker’s own feelings aroused by an individual’s distress are managed in a way which supports the right to such feelings whilst minimising any undue effects on the care setting:
Alan's feelings did not distress me excessively so I did not need to seek support.

1Support:a) Verbal and non-verbal communication.b) Physical presence.


Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………

EVIDENCE LOGUnit Z12 Contribute to the management of client continenceElement Z12.1 Encourage clients to maintain continence

OBSOBSOTHERKEPC1.The client’s pattern of body waste and functioning is monitored in a manner which is sensitive to the client and their needs.
It was recorded that Alan had Had a problem with melaena thus it was important that any instances were recorded. Alan's body language showed that he was quite embarrassed about being incontinent. He verbalise that he was very embarrassed about needing help with maintaining his continence but also said he was pleased for us to help him with this. I asked Alan if he did not mind us helping to wash him as he was unable to do this without help. He said he did not. he said that he wanted to use the bedpan however, he had had some incontinence both of urine and faeces.
2.Clients are encouraged to communicate the need to use toilet facilities in a manner appropriate to them.
Alan knew that if he required to use the toilet, he could ring the bell. I reiterated this and told him that, although it was not what we would have liked the, that sometimes we could take a long time in coming, due to the nature of the ward. I did say that we were try our hardest to come to him as soon as we could.

3.Communication with clients about body waste and function is consistent with the language the client uses.
I discovered that Alan liked to use the words "have his bowels open" and "pass water". As this is the case, these are the expressions that I used when I was discussing matters with him.
4.Clients are assisted and encouraged to make regular use of the most accessible and appropriate toilet facilities to achieve a pattern of elimination consistent with the plan of care.
the incident of care took place after breakfast. Further to Alan knowing that he could ring the Bell, I ask Alan before his dinner and his supper if he required to have his bowels open or pass water so needed enjoy his meals.
5.Clients are assisted and encouraged to choose and maintain a suitable food and drink intake to facilitate bowel and bladder action as agreed with the care team.
Alan was encouraged to have beverages and food actually the appointed times. I also ensured that his jug was full when I entered the room. I insured that Alan knew that it was better to have squashed and tea or coffee as the latter two have a diuretic effect as well as a dehydrating one.
I also encouraged Alan to have a high-fibre diet, Weetabix, vegetables etc as this would have a regulatory effect on his bowels.
6.Any change in pattern and type of elimination is discussed with the client and reported accurately, completely and promptly to the appropriate care team member.
Alan was having a problem with melaena. This was known to the members of the care team. However, this was indicative of abnormality in that this was evidence of bleeding gastro-intestinal tract. It is very important to continue to report to other members of the care team that alone was experiencing this problem.
7.Support to the client is given in a manner which promotes self respect, maximises privacy and is consistent with the plan of care.
I ensured that when we were dealing with Allen's incontinence that we did not denigrate him or make fun of him I ensured that the curtains were drawn in the room whilst we were undertaking the care

Range:


1.
2.Body waste and function:urinefaecesChange in pattern and type of elimination:appearance of body wastepain or discomfortfrequency of body wasteCandidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………EVIDENCE LOGUnit Z12 Contribute to the management of client continenceElement Z12.2 Support clients in the management of incontinence

OBSOBSOTHERKEPC1.Clients are supported in a manner which promotes their dignity, self respect and privacy.
See above
2.The client is given time and opportunity to express concerns and practical difficulties arising from incontinence.
I gave Alan time to discuss any of his problems. I did this by direct questioning him a sensitive manner as well as so allowing some therapeutic spaces in conversations.
3.The client is encouraged to choose continence equipment and management techniques and clothing which is recommended by the care team for the management of incontinence.
Alan was offered a choice of all this sitting on an incontinence pad for incontinence sheets. He chose to sit on an incontinence sheet. I also offered Alan the choice of wearing a convene. This could have been very useful to him, however he chose to sit on the incontinence sheet and have a bottle in situ. I did not denigrate him for this choice.


4.The client is given an appropriate level of support to develop the skills necessary to use the equipment or to undertake exercises correctly.
at this time come Alan was becoming fairly frail to an extent where he required assistance to change a used bottle with a clean one. I made sure that Alan knew that it was not a problem for me to come and change bottles for him. I also told him, if he felt he had had his bowels open, he should drink and ask for assistance to change.
5.Equipment provided is in a convenient place where the client can reach it.
I let alone know that I would come and changes bottles for him if he required me to a. However, I placed the table in reaching distance so, if you chose to, he could place the bottle on it. I ensured that the call bell was to hand the

6.Where the equipment in use appears to be inappropriate or unsuitable, the client is referred to an appropriate person for a re-assessment of their needs.
number of it the equipment used was in appropriate to alone, thus no referral to outside persons was required at this diet. If a referral five was required, or then I could have called upon the qualified nurses on award, or the Continence Advisory Service or the occupation therapists. Before I did this, I would have had to discuss it with the qualified nurse in charge and record the fact in the care plan.


7.Clients are given the opportunity to dispose of their own used equipment or soiled linen using their preferred method when they are able to do this.
Alan was not able to dispose of his own waste or waste products so we had to help him with this.
8.Waste is disposed of safely in a manner consistent with the client's personal beliefs and preferences and legal and organisational requirements.
the bedpan and urine bottle were praised in a bed pan washer and washed thus. Other waste products, such as used to wet wipes, where disposed of in a yellow bag according to trust policy.
9.Offensive odour is reduced as far a possible.
I discreetly used an air freshener to disguise the smell that was produced. I did is a Alan's request.
OBSOBSOTHERKE
10.The client is assisted and encouraged to take medication to promote a regular patter of elimination when it has been prescribed.

Range:


1.

2.Continence equipment:incontinence padssheathscatheter bagsManagement techniques:pelvic exercisescontrol of fluid intakeregular toileting
Candidate Signature: …………………………………………………………Assessors Signature: …………………………………………………………Date: ………………………………Candidate Name: …………………………… Registration No: …………………………