Totally agree, Sharon. I have had interesting discussions with students
about this issue over the years. Sometimes it seems that their "nursing" and
caring background clouds their judgement. A few horror stories such as those
which have appeared on JISC as a result of this thread and other postings
puts a different complexion on things.

A salutory tale: A few years ago a JISC subscriber contacted me off list.
They had just done a home visit, witnessed something that they wish they had
not and informed the police as they considered it to be a child protection
issue. The worker was aware of the report and then threatened to kill the
OHN. The OHN was not of a sensitive disposition but was extremely frightened
and took it so seriously that their employer agreed to them taking leave.
They left the country for a while until the dust settled. Had they not been
in the client's home they would not have witnessed the incident. Once they
had they were bound by their NMC code of conduct to take action.

Anne

Anne Harriss
Course Director
LONDON SOUTH BANK UNIVERSITY


On 15/09/2011 16:31, "Naylor, Sharon [HMPS]" <[log in to unmask]>
wrote:

> I had a particularly nasty experience on a home visit when I was
> employed by an OH provider (it included the calling of police and
> ambulances). After the event it transpired that individual had been at
> work in the morning, but had requested to be seen at home re ler last
> "stress" absence because she would be more "comfortable" (dare say
> having her naked husband in the bathroom covered with his own blood made
> her feel a quite cosy too). I was less than pleased, but I do laugh
> about it now - albeit a bit hysterically
>
> However - I have not done a home visit, nor met anyone in a "neutral
> venue" outside of an office environment since
>
> My view is
>
> If they can get to their GP for certification they can get to an OH appt
> Telephone consultations and requesting further reports may well be
> adequate, dependant on the reasons for absence
> During a telecon it can be explained that you want to give the best
> possible advice to management with as least disruption to them
> If they are that ill do they really want you in the house? (I wouldnt)
> Could be seen as intrusive
> There is the family to consider, who may be upset/hostile/any other
> range of emotions
> By the time you travel there, have the obligatory cup of tea, do the
> consuultation, travel back - is this a good use of resources?
> You should never do it alone
> You are a guest intheir own home - sometimes the dynamics of this makes
> it more difficult to get "to the point"
> There is a lot of advice on this type of domicillary visit via the Suzy
> Lamplugh Trust
>
>
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On
> Behalf Of Mountain, Jane
> Sent: 15 September 2011 15:22
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Domiciliary vists
>
> WooooH!
>
> That makes you think twice- how terrible!
>
> Jane
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On
> Behalf Of Amanda Savage
> Sent: 15 September 2011 15:13
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Domiciliary vists
>
> I had a colleague in a previous job who was stabbed by a Director of
> Finance on a home visit, later he was diagnosed schizophrenic.
>
> You can never tell.
>
>
>
> Amanda Savage BSc (Hons) RGN, NEBOSH
>
> Occupational Health Adviser
>
> PTH Group
>
> [log in to unmask]
>
> 01527 577242
>
>
>
>
> Amanda Savage
>
> PTH GROUP LIMITED
>
> Tel: 01527 577242
> Fax:
> Email: [log in to unmask]
> Website: www.pthgroup.co.uk <http://www.pthgroup.co.uk/>
>
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>
> From: [log in to unmask] [mailto:[log in to unmask]] On
> Behalf Of Caspi, Deborah
> Sent: 15 September 2011 14:39
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Domiciliary vists
>
>
>
> Hi Sara
>
>
>
> We refrain from doing these as they are not time-effective and require
> 2 people from a risk POV. As you correctly point out, a phone consult
> or specialist report are more effective means of getting the information
> required, and if an employee is not fit to travel to OH they are
> generally not fit to travel to work , nor to work from home in most
> cases.
>
>
>
> Hope that helps
>
>
>
> Deborah
>
>
>
> ________________________________
>
> From: [log in to unmask] [mailto:[log in to unmask]] On
> Behalf Of SARA ADDISON
> Sent: 15 September 2011 14:01
> To: [log in to unmask]
> Subject: [OCC-HEALTH] Domiciliary vists
>
>
>
> Could I ask for your views on these, what benefit to the employee or
> employer do you feel these have or don't have. If an employee is
> medically incapable of attending an appointment at the OH department,
> surely the Specialists report confirming the diagnosis or a telephone
> assessment would suffice.
>
>
>
> Look forward to hearing opinions on this
>
>
>
> Sara Hext
>
> Occupational Health Support Manager
>
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