EXERCISE AFTER STROKESpecialist Instructor Training Course

T11 Generic Risk and Risk

Management Systems (EAP’s)

J. Dennis/Bex Townley

Content

• What is risk

• Identifying, AND REDUCING risk

• Venues & Exercise areas

• Systems

• On the floor – adverse events & emergency action procedures

Learning OutcomesAt the end of this session, you should be able to:

• List risk types and how they apply to exercise settings

• Describe the risk assessment process• Demonstrate competency in risk assessment• Discuss your own typical area risk assessment • Discuss and rationalise what to do in the event

of an emergency, or potential emergency/adverse event

Essential ReadingFurther detail about the topics discussed in this

session can be found in section [8.6-8.8] of the

course syllabus, and the risk assessment

documentation in the summative assessment

pack

How do we know about risks?

 

activity

  

individual environment   

Risks may arise from the interaction between the individual, the activity and

the environment.

Types of Risk

• Generic Risks (environmental, equipment, modes of delivery, communication)

• Clinical Risks…

Generic Risk Assessment

• Access

• Environment

• Equipment

• Participants

• Instructors…how do we effect risk? What do we to reduce risk?

• Communication

How do you risk assess?

• Have a chat with the person next to you..

• Who is responsible in your workplace?

• What documentation do you use?

• When is it completed?

Systems & Organisation

•Communication in an emergency•Emergency action plan in place - documented•Staff trained in Emergency Operating Procedures•Manual/people handling training recommended•Medical history /screening•Emergency contact numbers •First Aid Qualifications Up to date

Adverse Events V’s Emergency

• On the floor?

• Potential emergency?

• Rationale for action taken?

Person Falls

Rationalize actions to

take

(Clients Falls

History?)

Ability to communicate

clearly?

Do they usually get

up unassisted?

Reason for fall? What happened?

First Aid Protocols

Would you be able to

instruct them off the floor?

Considerations for the other

participants?

DECISION

Is it safe & appropriate to

instruct them off the floor?

DECISION

DECISION

Summary

• First Aid certification• Manual /people handling • Check area risk assessments and ensure

inclusion of stroke population hazards/risks• Document your systems and disseminate

Essential ActionFind out/re-visit your adverse events and EAP’s

in your workplace, identify who you need tocontact to agree if issues of joint working

Summative Assessment

As part of your practical assessment you will

be required to complete a risk assessment

for any venue (real or otherwise) to evidence

your completion of a risk assessment for the

session.

Instructing Off the Floor?Following assessment , if safe/appropriate;

•Make safe other participants•Notify others if required/prepare for help•Place chairs, prepare to support upright trunk position•Roll on to affected side •Unaffected arm -push into upright sit•Unaffected arm onto chair to assist•Unaffected leg used to push backside onto second chair