Developing Moving and Handling training

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Who are we?

• Healthcare of NZ Ltd – Parent company• NZCare – National Provider of support to people

with disabilities • Explore – Contracted by MOH to provide

specialist services (OT, PT,SLT, Behaviour Support, Nurse Consultancy, Psychologist)

• NZCare contract Explore to deliver training in the North Island

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• Induction• Attendance based Orientation• Medication• Back care and safe use of equipment• Client Rights• Values and Attitudes• Medical and behaviour related topics • Person centered Moving and Handling• On the job coaching and mentoring

NZCare Learning Journey

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Explore’s contribution

• Person centred response• Training included medical condition needs• Specific moving and handling needs• Health and Safety• Quality of Life

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Drivers of change for NZCare

• Desire for well trained, qualified workforce• Identified high risk areas for staff • Commitment to families to provide ongoing and

comprehensive training • Meeting the standard• Proactive approach to decrease accidents

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NZCare -Response to change

• Review of the Orientation programme to include National Certificate in Community Support Services (Level 2)

• Level 3: Medication, Moving and Handling added• NZCare Managers, Team Leaders and Health

Advisors as Verifiers • Workbooks and workplace verification introduced• ACC guidelines as company policy• Training Coordinator appointed

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Current Orientation Training

Within the first year:• Agreement to attend training included in terms

of employment• Induction with Manager • Workplace induction with Team Leaders - buddy

shifts.• Attendance at 6 Orientation training sessions • Participate in “must do” training • Other topics available

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Explore – Response to change

• Staff completed unit standard 4098 and assessor registration

• Assisted in development of orientation work books

• Roll out of training programme• Staff trained in best practice assessments• Literacy and Numeracy embedded

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Readiness Assurance Process (R.A.P.) (L.D. Fink, Beyond small groups 2004)

Three Phases of Team Learning:

• Covering a 2-3 Week Block of Time

• Covering One Major Topic Within the Course

R.A.P.:1. Individual test (Continue Exam:2. Team test Group Work Group Work pattern as long Individual

In-Class: 3. Appeals (Simple) (Complex) as desired) and/or4. Corrective Team Instruction

Out-of-Class: Reading Homework Homework Review

Approximate Level of Content Understanding at Each Phase:

Assessment

The Sequence of Learning Activities in Team LearningFigure 1.2

Preparation

Activities:

Application (Practice with Feedback)

40% 90-100%50% 60% 70% 80%) ) ) ) ))

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Current Moving and Handling training

• Delivered by Occupational Therapists (in N.I.)• 6 Hour practical session to cover theory, back

care, exercises• Practical techniques (ACC Guidelines)• Everyone experiences handling and hoisting by

their peers• Workplace verification• Assessment of techniques against scenarios

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Benefits to NZCare

• Well trained workforce • Company reputation• Continuity of level of care for clients• Staff skill enables transfer between service• Increase in staff retention • Decrease in staff injury• Decrease in client injury • Foundation Skills achievement linked to pay –

career progression

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Benefits to Support Workers

• Nationally recognised qualification

• Clear steps to increased pay; Career pathway

• Decreased injury

• Peer support

• Improved levels of literacy and numeracy

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Benefits to Explore

• Developing reputation for quality training

• Increased expertise

• Internal resource to the greater company

• Provision of training to other disability providers

in New Zealand

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Benefits to Explore staff

• Maintain levels of skills • Continued Professional Development• Working with trained staff• Help staff recognise literacy and numeracy

issues • Developed relationships with staff through

training

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Ongoing Challenges

• Historical techniques (perceived speed of transfer)

• Habit changing is hard even when you know different techniques

• Not always someone to give feedback• Administration• Attendance and release from rosters• ESOL, low literacy and numeracy skills• Staff perception

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DVD

• Created in response to need to follow up training

sessions and recap key points

• Filmed with Support Worker and clients

• Used as team meeting tool to review chapters as

related to their clients

• Used a reminder of techniques for new clients

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What is so good about it?

• Fun, Hands on, 94.6% satisfaction• ¾ of session is practical techniques and practice• Theory related to practice and use of visual

models• moments• Use of venues outside the workplace• Taught by someone with recognised expertise

and skills

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Quotes from attendees

Learnt new skills to provide better care

Sharing other support workers ideas

Using the equipment was brilliant!

Being encouraged

to do it safely

Had fun while learning, good having a go at things, learnt a

lot, more confident

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Aspirations

• Annual Moving and Handling refresher training in line with new ACC guidelines

• Staff use correct technique every time!

• Further decrease in staff injuries

• Champion for Moving and Handling

• Access to Moving and Handling Advisor to work with staff to overcome specific challenges.