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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