Risk management and STS practice

The communication could improve by explaining specifically what would be included for next session. Rating pain level would gain more feedback from the patient’s view, which would help me decide what action to take by prioritizing and avoid putting stress on areas with intense pain. Peers suggested the timing of the breaks for Michelle to do deep breathing was well timed, it was practical and not a distraction. More hint were needed for elbow prop, to show Michelle what would it looks like and which direction I am moving her; also for the finalization where I should explain the task and goals for next session.

For environmental hazard, all possible obstacles were cleared before moving patient. The chair and bed were stable, undraping blanket by folding to side avoided risk of dragging the injured limb of the patient. The patient’s socks were taken off and the floor was dried.

Although the cable connected to the thermal blanket were not in the way of patient, that would still be a risk to manage, which would be managed by unplug and hide under bed completely. My patient gave feedback wanted to receive more hint on areas she cannot see such as back of the chair. Environment control and patient informing would be improved.

Patient handling was smooth and stable, but could be more supportive and stable while moving from sit to stand. Fluidity and detail management were shown in the video, however peers suggest height control is still a concern. Although the bed height is not adjustable, I would be able to squat lower while needed to control my height with the patient, stance and positioning would be an important goal for next task.

Patient’s feedback:

Bryan was careful and aware of my concerns as a patient and made sure to explain all the movements well, which allowed me to give him informed consent. During Bryan’s handling, I felt that I was very well supported and no action was callous or sudden, everything was done with fluidity and attention to detail. Also, rapport building was good as he considered factors in my life and allowed me to communicate my worries, all whilst addressing my concerns and queries with care. I thought it was really good that he sat down and made my opinion count, having equal say within the session.

Goals:

1) Be more precise in communication details, obtain patient’s condition by asking the level of pain or dizziness, provide hint for patient on areas he/she cannot see or notice; and give more information for next session

2) Better control and of therapist body positioning and stance

3) Improve environmental hazard control, cover more details to provide more safety to the patient