ACCOUNTABILITY AND DELEGATION PATIENT SPECIFIC DIRECTION (PSD) DIANE GOULD AUGUST 2016

LEARNING OUTCOMES TO BE ABLE TO EXPLAIN THE IMPORTANCE OF A PSD AND HOW IT IS USED TO DEMONSTRATE CONFIDENCE IN EXPLAINING YOUR ROLE IN RELATION TO ACCOUNTABILITY AND DELEGATION.

AS A HEALTH CARE ASSISTANT (HCA) THERE MUST BE A PSD IN PLACE BEFORE YOU GIVE AN INJECTION . THE PSD MUST : state the name of the patient (date of birth and EMIS no) state the name dose and route of the prescription only medicine to be administered show evidence to confirm that the patient has been considered as an individual.

ITS ONLY A FLU JAB , WHAT COULD POSSIBLY GO WRONG ?

GROUP 1 YOU ARE THE PATIENT WHO HAS RECEIVED THE VACCINE : HOW DO YOU FEEL ABOUT THE PERSON WHO GAVE YOU THE VACCINE? WHAT IMPACT WILL THIS HAVE ON YOU LIFE?

GROUP 2 YOU ARE THE FAMILY OF THE PERSON IN THE INTENSIVE CARE UNIT : HOW DO YOU FEEL ABOUT THE PERSON WHO GAVE YOUR LOVED ONE THE VACCINE? WHAT IMPACT WILL THIS HAVE ON YOU LIFE?

GROUP 3 YOU ARE THE HCA WHO GAVE THE VACCINE WITHOUT A PSD : HOW DO YOU FEEL ABOUT THE PATIENT AND THEIR FAMILY ? HOW WILL THIS IMPACT ON YOUR LIFE AND THAT OF YOUR FAMILY?

GROUP 4 YOU ARE THE INVESTIGATORS IN THIS CASE : WHAT QUESTIONS WOULD YOU ASK THE HCA ? WHAT QUESTIONS WOULD YOU ASK THE HCAS EMPLOYER?

DO WE LEARN TO DRIVE FROM READING A BOOK ? NO !! WE ARE SUPERVISED BY A QUALIFIED INSTRUCTER UNTIL THEY FEEL WE ARE COMPETANT TO TAKE OUR TEST. WE HAVE A DRIVING TEST EVEN IF WE PASS OUR TEST , THINGS MAY GO WRONG WE MAY NEED TO HAVE FURTHER TRAINING.

YOUR PSD IS YOUR CLINICAL SEAT BELT CHECKLIST : IS THIS TASK IN YOUR JOB DESCRIPTION? HAVE I GOT MEDICAL COVER PROVIDED BY THE PRACTICE? AM I COMPETANT IN THE TASK I HAVE BEEN DELEGATED ?

MORE INFORMATION http://rcnhca.org.uk/46- 2/accountability-and- delegation/accountability / https://www.youtube.com /watch?v=S-veLUO4ZQQ http://www.medicalprote ction.org/uk/practice- matters-issue- 1/healthcare-assistants