lynn young by 95ON2H

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									Will I or won’t I:
Dealing with dilemmas
in your practice

Lynn Young, Primary Care Adviser,
Royal College of Nursing



          British Journal of
       Healthcare Assistants
WHAT CAN HCAs DO?

 In theory, anything - except prescribing,
  death certification. No PGDs
 BUT, what should they do?
 Law unhelpful. We do not want rules.
  ‘Cover’ questions do not help.
 The intelligent questions are:
  1.   What is in the patient interest?
  2.   What am I capable of?

                      British Journal of
                   Healthcare Assistants
PATIENT SAFETY IS
PARAMOUNT


Nurses and doctors can be
dangerous. Regulation is
imperfect. HCAs have potential.


           British Journal of
        Healthcare Assistants
HCAs ARE
ACCOUNTABLE


As all adults are. People are
confused about the principles of
delegation. So lets agree!


           British Journal of
        Healthcare Assistants
A NEW WORKFORCE
IS ESSENTIAL


Farewell professional snobbery.
Hello human potential and better
care for more people.


           British Journal of
        Healthcare Assistants
FUTURE GAZING

 An elderly population with LTCs
 Life style diseases – diabetes, cirrhosis
 Fewer workers, more pensions needed
 Increasing technology
 More self care and self reliance.
 Immigrant carers
 Funding challenges
 Its all about teamwork
                    British Journal of
                 Healthcare Assistants
PATIENT NEED, HCA
CAPABILITY


Lets exploit work based learning,
mentorship, inspiration, leadership.
Human potential must reign.


           British Journal of
        Healthcare Assistants
DO NOT ASK
 Is it legal?
 Am I covered?
 BUT INSTEAD ASK:
      ‘what do you think’?
      ‘how can we best manage our work demands’?
      ‘we cannot get a nurse, will an HCA do?’ ‘Is this
       in the patient interest’?
      ‘has anyone done this before’?
      ‘we think this is radical, brave, scatty – what do
       you think’?



                         British Journal of
                      Healthcare Assistants
PROFESSIONAL
DILEMMAS


Need discussion, respect,
rationale, imagination, intelligence.
NOT RULES/REGULATIONS


            British Journal of
         Healthcare Assistants
FINALE


Be humble, but brave. Think how it
could be, not what it has been.
ENJOY WORKING

           British Journal of
        Healthcare Assistants

								
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