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

Will I or won’t I: Dealing with dilemmas in your practice. Lynn Young, Primary Care Adviser, Royal College of Nursing. WHAT CAN HCAs DO?. In theory, anything - except prescribing, death certification. No PGDs BUT, what should they do?

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

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  1. Will I or won’t I: Dealing with dilemmas in your practice Lynn Young, Primary Care Adviser, Royal College of Nursing

  2. 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: • What is in the patient interest? • What am I capable of?

  3. PATIENT SAFETY IS PARAMOUNT Nurses and doctors can be dangerous. Regulation is imperfect. HCAs have potential.

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

  5. A NEW WORKFORCE IS ESSENTIAL Farewell professional snobbery. Hello human potential and better care for more people.

  6. 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

  7. PATIENT NEED, HCA CAPABILITY Lets exploit work based learning, mentorship, inspiration, leadership. Human potential must reign.

  8. 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’?

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

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

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