Is this not one of the intrinsic challenges with OH in that we cross so many "nursing" disciplines?; Adult, Child, Mental Health.......
Why are we so different to our colleagues in these fields who regular have to conduct home visit?, normally alone!
Surely this comes down to competency.....if you are experienced in health care, perform a risk assessment and use your common sense (as Gill did) then home visits can be a valuable tool for all involved.
If it's horror stories you want I have many involving individuals arriving in my "safe and controlled" consulting room.
>>> Gill Smith <[log in to unmask]> 16/09/2011 13:01 >>>
I have been knocking around the OH field since 1979 with, until recently,
fairly regular domiciliary visits. Touch wood, I have never had any problems
once I arrived at the house but I have turned back twice when an "on the
hoof" risk assessment determined that I was entering a particularly
troublesome area/estate. One of those turn backs was particularly
fortuitous as I would have intruded on the funeral of a close family member
of the gentleman I was going to see!
There was another occasion when the employee, off work with depression was
listing his medications. It was quite clear that his condition was rather
more severe than depression and I made a quick but courteous exit.
Fortunately he was perfectly behaved throughout.
Gill
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of [log in to unmask]
Sent: 16 September 2011 00:32
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Domiciliary vists
I concur with that - I was once asked to undertake a domiciliary visit in
order to assist a young lady who lived with her mother and sister and I was
told had cancer, was terminally ill and was requesting to retire on the
grounds of ill-health. My usual stance was that domiciliary visits are
inappropriate in part as this is encroaching on an employees private space
coupled with the time involved and the H&S issues. However, I was persuaded
to do this one as I was told by her manager that she was too ill to attend
the department. I gained the permission of the employee. When I did the
visit I discovered that she was not terminally ill - the whole family were
very strange and the employee had been recently discharged from a secure
psychiatric unit. She too was schizophrenic. I kept myself between the
employee and the door then got away as soon as I could.
Anne
On 15/09/2011 15:13, "Amanda Savage" <[log in to unmask]> wrote:
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
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Amanda Savage
PTH GROUP LIMITED
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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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