Report about Operatore Socio Sanitario (OSS) profile and job

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					                      MAP:ECVET project

                   LLL-LdV/TOI/2007/AT/0029




Report about Operatore Socio Sanitario (OSS)
           profile and job descriptions




Cucchi Augusta
Mercuri Maurizio
Ortolani Sandro

Penna Roberto                     April 2009

                                               1
    Medical Assistance Profession
                  health care




              Job description


Operatore Socio Sanitario




          Italy




                                    2
3
Foreword
This document has been produced during the Leonardo da Vinci project MAP:ECVET (medical
assistance profession and ECVET) in the program of Life Long Learning.

The MAP:ECVET project deals with an European problem (transparency of European education
systems and degrees in the field of medical assistance) and develops its approaches to
solutions on the basis of European models (ECVET and EQF).

This document reflects current practice and has been developed following a consultation
process with members of ..Operatore Socio Sanitario, education facilities, employers,
representatives of chamber of doctors and union and was assisted by science specialists.

The structure of this document should be seen as an approach to describe in general different
professional contents of medical assistant professions around Europe in the same way.



Project leader: Petra Herz

Project coordinator: Robert Herz




                                                                                           4
                                                               Contents




Introduction ............................................................................................................................. 6

   1.1 Project MAP:ECVET ...................................................................................................... 6

   1.2 Job description............................................................................................................... 6

   1.3 Job description and competence based framework ....................................................... 6

   1.4 Responsibility for the design of the Job description ....................................................... 6

Operatore Socio Sanitario – overview ..................................................................................... 7

The activity area(s) of Operatore Socio Sanitario .. ................................................................. 8

Workplace of Operatore Socio Sanitario .. .............................................................................. 9

Responsibilities of the ..Operatore Socio Sanitario.. ............................................................. 10

Responsibilities of the supervisor ..(name of supervisor if applicable).. ................................ 11

The scope of practice of Operatore Socio Sanitario in relation to specific procedures ......... 12

   Core task 1 Responsibitity for patients: Enrolment and information................................... 13

   Core task 2 working for and with patients .......................................................................... 15

   Core task 3 Working in a team, education, further education and advanced training                                                    1919

Further consideration about Operatore Socio Sanitario ........................................................ 20




                                                                                                                                               5
Introduction
1.1 Project MAP:ECVET
      The MAP:ECVET project deals with an European problem – “transparency of European
      education systems and degrees in the field of medical assistance”.

      It appears to be absolutely clear and obvious that the European problem of insufficient
      transparency and crediting possibilities in the fields of medical assistance that has been
      described can only be faced and solved by way of a European approach. In the project
      MAP:ECVET we merged the different perspectives of the individual European partner
      countries for the development of a common model. This model becomes important for the
      transnational cooperation in the field of health care professions around Europe.

      This job description of Operatore Socio Sanitario. together with the competence based
      framework enables the comparability and a mutual recognition and crediting between the
      partner countries. Labour market disparities within the European project partnership can
      be levelled.

1.2 Job description
      This job description gives an abstract overview about the tasks and duties of the medical
      assistance professions in the scope of practice.

1.3 Job description and competence based framework
      The job description should be always used together with the “MAP:ECVET competence
      bases framework”. Together with the job description it will be possible to compare
      professions and define their qualifications.

1.4 Responsibility for the design of the Job description
      The question of responsibility for creating the job description is different in the partner
      countries. Never the less, it must be guaranteed that experts are creating the job
      description, knowing exactly the contents and specifications.




                                                                                                    6
Operatore Socio Sanitario – overview

Operatore socio sanitario (hereinafter OSS - Socio-sanitary operator -), is a new Italian
professional profile working in the sanitary and health sector closing to the Austrian profile
DMTF”.



Annex 1 shows the Italian legislative norm concerning its introduction in the labour market; the
norm, named CONFERENCE-STATE REGIONS dated 22nd February 2001, defines
competences, job description and training path.



Annex 2 shows the OSS competences related to the same framework developed for DMTF
profile. In particular it is important to note that OSS profile has further “low profile” competences
not individuated in the mentioned framework (please consider that VET path for OSS, in Italy, it
is based on about 1000 hours course for the acquisition of a certificate named “Attestato di
qualifica professionale”.




                                                                                                        7
The activity area(s) of Operatore Socio Sanitario


OSSs have competences both an social and sanitary sector and works in close collaboration
with the other health and sanitary personnel according to a “multiprofessional approach”: They:

a) meet the basic needs of the person, within their areas of competence, in a social and health
care;

b) promote the welfare and autonomy of the patients.




                                                                                                  8
Workplace of Operatore Socio Sanitario

OSSs are allowed to work inside hospitals as well outside (primary nursing) both for residential
and no-residential activities in the following areas: social sector, health services, social-welfare
and socio-health, semi-residential in hospital and at home.




                                                                                                       9
Responsibilities of the Operatore Socio Sanitario

OSSs have fully competences in assuring hospital services/facilities but they have to receive
specific task and duties by personnel coming from others higher sanitary professional profiles as
well from others higher social professional profiles.

Main activities are related to social and health care and addressed to the person and his living
environment:

a) direct assistance and residential help

b) intervention sanitation and social

c) management support, organizational and training.




                                                                                                   10
Responsibilities of the supervisor


As already stated, OSSs work in close collaboration to other health and sanitary personnel
according to a “multiprofessional approach”.



OSSs receive specific tasks and duties by others higher sanitary professional profiles (e.g.
nurses but also Radiology technicians, Biomedical laboratory technicians and physiotherapist)
as well from others higher social professional profiles (Social assistant);



It is important to underline that OSS and Nurses are "complementary" profiles even if, in
practice, there are a lot of overlapping areas.

Since does not exist a Nurses “mansionario” finalised to individuate “which activities nurses have
to/are able to do in each situation” always, only professional deontology and/or the costumes
embedding in the different sanitary and health structures can solve the overlapping situations
(who is the competent profile for a certain activity).




                                                                                                11
The scope of practice of Operatore Socio Sanitario in relation to
specific procedures

According to the MAP framework produced for DMTF profile, in the following pages, the job
descriptions have been detailed considering:

            the same work processes individuated for DMTF profile; and

            the three main functions recognised, by our working group, as the most important
             for OSS:

                   k. apply professional knowledge and skills;

                   L. deploy materials and means

                   T. follow instruction and procedures.




                                                                                            12
Core task 1 Responsibitity for patients: Enrolment and information


According to the pre-selected function and MAP framework, follows the main work process (with
reference to the competence matrix Annex 2)



1.1. Reception of written/oral referral/instruction

      Use of common working methods (cards, protocols, procedure, ecc.)

      Accompanies patients to services

      Knows the various stages of drawing up customized action

      Approach with the patients and their families communicating in participatory manner in all
       the activities of daily assistance



1.2. Recognizes an emergency case and organizes/or takes first aid actions

      Observe, recognize and report about some of the most common symptoms of alarm that
       the patient can show (pallor, perspiration, etc.)

      Implement first aid



1.3. Administrative actions for data collection

      Supply patients with information about services in the area and treat the handling
       practices bureaucracy

      Knows the organizations involved in social and health services as well as informal
       networks



1.4. Call a patient and define his/her requirements

      Answer to the question fully, involving and stimulating dialogue

      Know how to collect, report and communicate general and specific problems to the
       patients

      Ask for and arrange relationship and provide support finalised to the participation to
       cultural and recreational activities both in the territorial area as well as in the residential
       area

                                                                                                         13
1.5. Inform, advise and provide information within a legal content

      Manage its business with due confidentiality and ethics



1.6. Forming of a short anamnesis to assess the patient's condition

      Know the main types of patients and related issues



1.7. Preparation of work place

      Take care about the cleaning and maintenance of furnishings and equipment, as well as
       the retention of themselves



1.8. Preparation of a patient for the execution of respective action

      Provide for the transportation of patients, even enticed, stretcher-wheelchair

      Help to prepare for health care




                                                                                           14
Core task 2 working for and with patients


According to the pre-selected function and MAP framework, follows the main work process (with
reference to the competence matrix Annex 2)



2.1. Performance of standardised laboratory technology



2.1.2. Recognizes an emergency case and organizes/or takes first aid actions

      Observe, recognize and report about some of the most common symptoms of alarm that
       the patient can show (pallor, perspiration, etc.)

      Implement first aid



2.1.3. Conveys important information to the doctor

      Carry out its work according to his/her own competence and according to an “equipe
       approach”

      Know how to collect, report and communicate general and specific problems to the
       patients



2.1.4. Passes patient accordingly

      Accompanies patients to services



2.1.10. Carrying out of immuno-hematological tests/analysis

      Assure the correct transportation of biological material health and samples for diagnostic
       tests, according to established protocols



2.1.16. Service, maintenance of workplace and instruments

      Take care about the cleaning and maintenance of furnishings and equipment, as well as
       the retention of themselves

      Take care about the washing, drying and preparation of material to be sterilized

                                                                                                15
      Ensure collection and proper storage of waste



2.2. Work with patient systems for image representation and x ray diagnostics



2.2.1. Takes appropriate measures regarding radiological protection/restriction of
exposure

      Use specific protocols for maintaining safety, reducing the maximum risk



2.2.8. Recognizes an emergency case and organizes/or takes first aid actions

      Observe, recognize and report about some of the most common symptoms of alarm that
       the patient can show (pallor, perspiration, etc.)

      Implement first aid



2.2.14. Passes patient accordingly

      Accompanies patients to services



2.2.16. Service, maintenance of workplace and instruments

      Take care about the cleaning and maintenance of furnishings and equipment, as well as
       the retention of themselves

      Take care about the washing, drying and preparation of material to be sterilized

      Ensure collection and proper storage of waste



2.3. Physio therapeutic medication



2.3.1. Takes appropriate measures regarding care of health

      Cooperate to implement the care interventions

      Knows the various stages of drawing up customized action

      Recognize the situations and environmental conditions for which the user is necessary to
       implement the different technical skills
                                                                                              16
2.3.2. Handling of therapeutic devices and the use of it

      Help for the proper intake of drugs prescribed and the proper use of equipment simple
       medical use



2.3.7. Recognizes an emergency case and organizes/or takes first aid actions

      Observe, recognize and report about some of the most common symptoms of alarm that
       the patient can show (pallor, perspiration, etc.)

      Implement first aid



2.3.8. Confers if necessary with the doctor

      Carry out its work according to his/her own competence and according to an “equipe
       approach”

      Know how to collect, report and communicate general and specific problems to the
       patients



2.3.9. Passes patient accordingly

      Accompanies patients to services



2.3.10. Keeps records and archives the effected actions

      Use of common working methods (cards, protocols, procedure, ecc.)



2.3.11. Service, maintenance of workplace and instruments

      Take care about the cleaning and maintenance of furnishings and equipment, as well as
       the retention of themselves

      Take care about the washing, drying and preparation of material to be sterilized

      ensure collection and proper storage of waste



2.4. Functional diagnosis

                                                                                               17
2.4.5. Recognizes an emergency case and organizes/or administers first aid actions

      Observe, recognize and report about some of the most common symptoms of alarm that
       the patient can show (pallor, perspiration, etc.)

      Implement first aid



2.4.6. Confers if necessary with the doctor

      Carry out its work according to his/her own competence and according to an “equipe
       approach”

      Know how to collect, report and communicate general and specific problems to the
       patients



2.4.7. Assistance at medical examination and theraphy

      Carry out its work according to his/her own competence and according to an “equipe
       approach”

      Cooperate to implement the care interventions and the proper use of equipment of simple
       medical use



2.4.8. Passes patient accordingly

      Accompanies patients to services



2.4.9. Keeps records and archives the effected actions

      Use of common working methods (cards, protocols, procedure, ecc.)



2.4.10. Service, maintenance of workplace and instruments

      Take care about the cleaning and maintenance of furnishings and equipment, as well as
       the retention of themselves

      Take care about the washing, drying and preparation of material to be sterilized

      Ensure collection and proper storage of waste


                                                                                            18
Core task 3 Working in a team, education, further education and advanced training


According to the pre-selected function and MAP framework, follows the main work process (with
reference to the competence matrix Annex 2)



3.3. support and attendance in projects, studies and team meetings

      Knows the various stages of drawing up customized action



3.4. observation of quality standards

      Contribute to achieve the quality objectives



3.5. participation in evaluation

      Cooperate on the verification of the quality of service



3.6. instruct and support apprentices

      Support educational activities and transmit own operative contributes




                                                                                           19
Further consideration about Operatore Socio Sanitario

To access to OSS training courses needs to complete compulsory school and 17 years of age.



Training course is based on 2 modules

a) a basic module

b) a specific, vocational training module

Training courses are annual for a number of hours not less than 1000 articulated as follows:

                                                                  MINIMUM NUMBER OF
        TEACHING MODULE               TYPE OF TRAINING
                                                                        HOURS

      Basic module (Justification
         Guidance and basic                   Theoretical                    200
             knowledge)

                                              Theoretical                    250

          Vocational Module                 Tutorials/stages                 100

                                               internship                    450



Regions and Autonomous Provinces, pending the possibility of extensive use of OSS, may
provide for a more appropriate placement in services, teaching modules related to specific
issues to be targeted to users (hospitalized, elderly, disabled, psychiatric disease with
dependencies, etc. ..) and the reference structure (Residence assisted home, retirement home,
community, etc..).

Additionally an integrative education, for a maximum of 200 hours (of which 100 of internship),
can be realized for specific patients and specific operational contexts, such as the elderly, the
handicapped, psychiatric users, the terminally ill, residential, hospital, house accommodation,
RSA, day center, home, etc..

                                                                  MINIMUM NUMBER OF
        TEACHING MODULE               TYPE OF TRAINING
                                                                        HOURS

          Thematic module:                      Theory                       50

          Vocational issues           tutorials / workshops                  50

                specific                       internship                    100


                                                                                                20
Teaching materials are articulated in the following areas:

a) area socio-cultural, institutional and legislative

b) psychological and social area

c) health and hygiene area

d) technical operational area




                                                             21
Annex 1: CONFERENCE-STATE REGIONS dated 22nd February 2001 (in Italian)




                                                                          22
Annex 1: OSS competences related to the same framework developed for DMTF profile




                                                                                23