Home' Australian Ageing Agenda : AAA MAR-APL 2018 Contents A
s clients in the disability and aged care sectors
continue to benefit from exerting greater choice and
control over the type of care they receive, safety is
increasingly recognised as a key concern.
Impressive in design and concept, iACE (identify, Assess,
Communicate and Escalate) elevates the awareness of health and
safety risks among frontline staff working in the care sectors.
iACE highlights health and safety risks associated with
clients’ equipment and items such as hoists and wheelchairs.
It also recognises that hazards as simple as trip risks are a daily
reality in what can be a fluid working environment.
Where client needs and safety intersect
Because no two days in providing care are the same, even with
regular clients, players using iACE gain specific knowledge and
skills they can draw upon to maintain a safe workplace.
Players identify and assess immediate, arising and new risks
relating to their client’s equipment, learn about clients’ care
plans and assess that equipment is safe.
Players also check new equipment before first use for
safety, while understanding and managing client expectations.
Similarly, players are also prompted to remain alert to changed
circumstances in their client’s environment and assess new
Players engage in scenarios designed to replicate real-world
client care. Role playing alongside a super visor character, players
receive the information and procedures they need in a sample
care plan. They then move through the simulation to deliver
care to the specific client whose care plan they have read.
Players need to overcome potential safety hazards by
Case study: Arnold and Zoe
Arnold suffers from a degenerative condition which makes it
increasingly difficult for him to walk without help. His neighbour Marjorie
is troubled to see Arnold’s mobility worsen and generously loans*
Arnold the mobility aid her husband used in the years before he died.
Arnold’s Support Worker, Zoe, arrives for her shift the next day
and finds that her client is determined to use the new equipment.
Zoe knows she needs to check the aid against Arnold’s care
plan. When she does, she finds that Arnold’s occupational therapist
has not made any recommendations on mobility equipment.
Zoe then completes a risk assessment and learns that she is not
trained to use the aid. Zoe knows Arnold might be injured if she tries.
Zoe tells Arnold that because the aid is not documented in his
care plan, she is unable to use it with him. She explains that her
training has alerted her that his safety, and potentially hers, is at risk.
Arnold is deeply disappointed and tells Zoe it should be his
choice to use the aid. Zoe escalates the situation to her supervisor.
Zoe’s care manager intervenes to help manage Arnold’s
expectations, explains the recommendations in his care plan and
explores how she and Zoe can address Arnold’s mobility concerns
in line with his care plan.
* While this case study explores a loaned mobility aid, risk
assessment, managing clients’ expectations and escalating safety
concerns apply equally where the equipment has been purchased by
the client, a third party or service provider.
3D simulation training
delivers safer care
iACE, a new smartphone app, is set to
bring real-world training to support
workers in disability and aged care.
With engaging simulations delivered
via the latest video game technology,
players encounter the typical risks and
decisions they face when supporting
clients in their daily routines.
demonstrating their knowledge in inspecting hoists, wheelchairs
and responding to changes in the care environment.
Players proceed to liaise not only with their supervisor
and client but also with the client’s family, where they are
required to explain procedures, solve problems and manage
expectations. Players are penalised when they are detected
responding unhelpfully to family members and clients, if
they are dishonest about their capabilities or the nature of
a safety concern.
In keeping with the real-world simulation, players also
address conflicts associated with clients asking them to operate
beyond the care plan or undertake tasks beyond their training.
(See case study.)
The consequences of poor player choices are stark: in some
scenarios the client is injured as a result of the player’s choices.
The simulation concludes with the player consulting their
super visor about the importance of incident reporting and
maintaining a good information flow with clients and families.
Applying the learning
iACE allows players to reflect on likely real-world challenges and
prepares them to apply their skills and experience with clients.
iACE gives staff the capability to assess risks and act on
them to secure client and workplace safety. They will also be
equipped to communicate their concerns about safety risks
to clients and their families. Critically, they will also better
understand their role in escalating issues and risks. n
iACE was created by Enabler, a driver of positive change
to enhance the lives of people with disability through
accessible training technology, in partnership with
Australian Home Care Services. Download iACE from
Google Play and the App Store from April 2018.
australianageingagenda.com.au | 33
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