Quite agree with Sarah. I worked as a Health Visitor for more than ten
years before moving into OH 7 years ago. Yes it took me a few years to
shed the "rescuing" head, and I have not been asked to do domiciliary
visits in any of my recent posts.
When I was off sick following a straightforward hysterectomy I was
visited at the 4 week point as I was keen to return to work but would
have been quite happy to attend the workplace.
Pros and cons... I miss the home visiting but in the present climate I
can't see that we can justify the resources except if someone is
bedbound or has extreme mobility problems
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Sarah Jones
Sent: 16 September 2011 13:13
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Domiciliary vists
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
[log in to unmask]
01527 577242
Amanda Savage
PTH GROUP LIMITED
Tel: 01527 577242
Fax:
Email: [log in to unmask]
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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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