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Hi Mark I developed a 2 part approach to determine fitness for the care workers with a physio specialist colleague. We watched and assessed the retraint training which in their case they used CALM training and developed the attached health surveilllance form. Please feel free to either use it or adjust it to suit your needs. If everything is OK in Part 1 of form not seen by OH. The company approached me as they found GP's were not saying their patients were fit, as they did not know what the restraint training involved. Hope helps Cheers Clare www.chohs.co.uk Quoting Mark O'Connor <[log in to unmask]>: > As ever I would be grateful for your opinions; > > I have been asked to look at a range of occupational Health services > currently being provided to a Mental Health Trust - the trust has employees > looking after severely learning disbaled folk, often with two carers full > time to one resident. One of the problems is that on occasions the residents > may act in a way that needs some restraint - ie ranging from a gentle hand > on the arm and directing distracting to another activity (common) to more > physical manhandling to prevent harm to self/others ( rare ). This is called > "Positive response" > > All workers currently are subject to a one off "medical" with the OH nurse > at recruitment to be passed as "fit for positive response" > > I am not sure that this is the best use fo the OH nurses time and wonder > whether this nut could be cracked more efficiently by means of a or a > competant person type of approach whihc does not require a medical input or > a self declaration of fitness with questionnaire to pick out those who > might have special problems performing such work > > What do others do? or think? > > Cheers > > Mark > > ~~~~~~~~~~~~~~~ > Please remove this footer before replying. > > For list archives and documents, go to > http://www.jiscmail.ac.uk/lists/occ-health.html > > FORTHCOMING CONFERENCES AND EVENTS: > http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH > > For Occupational Health jobs, go to http://OHJobs.drmaze.net > > Find out about Occupational Health Nursing Education in UK at > http://home.wlv.ac.uk/~in6232/aohne/ > > ~~~~~~~~~~~~~~~ Please remove this footer before replying. For list archives and documents, go to http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH For Occupational Health jobs, go to http://OHJobs.drmaze.net Find out about Occupational Health Nursing Education in UK at http://home.wlv.ac.uk/~in6232/aohne/