- Academic integrity
- Scope of practice
• What is scope of practice
- To protect clients from harm you must understand what you can do, what you cannot do and the
legal limits of your role as a support worker
- Never act beyond the legal limits of your role
- never perform a function that you were not trained to do
- RN licensed and regulated by the province to maintain overall responsibility for planning and
provision of care
- RN assesses, develops nursing plans, implements and evaluates care, and carries out physician’s
orders
- Rn directs work for the RPN
- RPN may supervise the work of the PSW
• What are 3 sources of information about scope of practice
- Educational programs
- Employer
- Supervisor
- Advocating
- Delegation, what right to refuse
• Delegation is the transfer of function
- A process by which a nurse authorizes another health care provider to perform certain tasks
- The nurse transfers to you the authority of performing the task
- Authority means the legal right to do this task
- The delegated nurse remains accountable for the delegated task
- Support workers can not delegate task
- As part of the delegated task, you are also taught on how to safely perform the task
- Assessed on your performance of the task, and monitored to ensure it performed safely
• a task is a function, procedure, or activity that you assist the client with or perform for the client
- delegated tasks can include
- In and out catheterization
- Administering glucometers
- Dressings
- Tube feeds
- Medication
• Your supervisor assigns your daily tasks
• Assigning means giving someone responsibility for providing care or support
• Example of tasks
- Activities of Daily Living
- Social and recreational activities
- Household management
- Basic nursing care tasks— measuring height, weight, and vital signs
• Five dimensions of delegation
- The RN or supervisor must review the
- The right task
- The right circumstances
- The right person
- The right directions and communications
- The supervision and evaluation
-
Privacy
Empathy
Philosophy of individual worth
Client centre care
Lots of professionalism and privacy
- What is professionalism?
• Is an approach to work that demonstrates respect for others, commitment,
competence and appropriate behaviour
• Examples
- Demonstrate the following skills
- a positive attitude
• Think before you speak, do not gossip and do not complain
- A sense of responsibility
• never blame others, admit your mistakes, accept constructive criticism and
learn from others
• Report to work on time
• Finish assigned tasks
• Client’s care cannot be neglected for any reason
- Professional Appearance
• Shows respect
• Indicates you take your job seriously
• Includes your clothes, grooming, and hygiene
- Discretion about client information
• Means good judgement
• Be very careful about what you say, how you say it, when you say it and
where you say it
• Judge when information should be kept private and when it should be
shared
• Information about a client is confidential
• Confidentiality means respecting and guarding personal and private
information members involved in the client’s care
• Never talk about another client with a client
- Keeping your knowledge up to date
• Equipment and techniques become out of date
• Responsibility of all of the caregivers to keep current with the information
that affects the care they give
• attend workshops, in-service, conferences
- Discretion about personal matters
• Discretion in support work includes keeping personal matters out of the
workplace
• Your role is to focus on your clients and the task at hand
• Do not discuss your family or personal problems with your client
• “No matter how well you know a client, remember that your relationship
must remain professional. It would be inappropriate to discuss your
personal problems with your client” (Mosbys)
- Using appropriate speech and language
• Your language and speech must be professional
• Never yell or shout
• Speak clearly and gently
• Never fight or argue with clients, co workers or family members
Professional behaviour
- Demonstrate a positive attitude
- Demonstrate a sense of responsibility
- Professional appearance
- Review PSW program guidelines
- Client has the right to privacy at all times
- During bathing
- Telephone calls
- financial advice
- Toileting
- conversations
- MUST respect this right at all times
- Should ask permission for everything that you do to the client
- Never borrow anything from the client
-
DIPPS
Dependent and independent
Behaviour questions
Medicare, tommy Douglas
- In 1947, Premier tommy douglas
- Saskatchewan became the first province to introduce a public insurance plan that covered the
costs of the hospital services
- By 1961, all 10 provinces and 2 territories agreed to provide coverage for inpatient hospital care
-
Canada’s first universal and compulsory hospital insurance program in Saskatchewan
Minimum wage, maximum 44 hours/week, paid 2 week vacation leave
Overseeing increases in old age pensions and mother’s allowance
Federal governments paid about half the costs of hospital and diagnostic services
Provincial and territorial governments paid the other half
By 1972, all provinces and territories extended their insurance plans to also cover medical
services provides outside hospitals
- Long term care clients (patient, resident, clients) what we call them
-
Health care team (responsibility of each member)
5 principles
health care act
roles of PSW affect healthcare system
Role of the personal support worker
- What is the ultimate goal of the PSW?
- Can work in facility based setting as well as community based settings (what are the differences)
- This means a variety of assistance may be required for some and very little for others
- 5 categories of responsibility
- personal care
- support for nurses and other care professionals
- family support
- Social support
- housekeeping and home management