Download Moorfields Eye Hospital NHS Foundation Trust

Efforts Factors
Job Title:
Department:
Area of Work:
Factor
Physical
Measures nature,
level, frequency
and duration of
physical effort
Band 7 (Senior II) Occupational Therapist
Occupational Therapy
Yes/No
Yes
What?
Weight – e.g. client, equipment
Carry out assessments and treatments on clients with
moderate to intense physical effort.
 Repetitive movements
 Static postures
 Working in restricted spaces, including client
homes.
 Application of techniques, which involve
dexterity, sensory co-ordination, precision and
patience.
Adopting different postures, in order to facilitate
treatment, i.e. positioning self, when splinting a patient.
How often? (Per shift/ per
week /per month)
Daily
How Long / time?
Regular
Regular
Daily
To work in physically cramped conditions, as it is often
difficult to move patients to a more suitable environment
e.g. next to hospital beds, behind curtains.
Daily
To work with clients in their own homes where the lay
out and contents of the property may increase the effort
needed.
Moving and transporting ADL equipment from the
hospital sub-store to the patients home without the use
of a mechanical aid, requiring moderate to intense
physical effort.
Daily
Daily
Daily
Fitting adaptive equipment in limited space within
patient’s homes i.e. raising beds, raising toilets.
Driving a vehicle from the hospital to the patient’s home
when completing home or access visits.
Raising equipment in patient’s homes without he use of
a mechanical aid.
1
To comply with Trust Manual Handling Policy and local
therapeutic handling guidelines at all times.
E.g.: lifting, carrying, pulling, pushing, bending, kneeling, working in restricted position, confined space, standing long periods, working at heights
Factor
Yes / No
What?
Weight? E.g. Client, equipment
How often? (Per shift /per
week/month)
How long? Time
2
Mental
Measures nature,
level, frequency
and duration of
mental effort and
unpredictability of
work
Yes
To work in an environment where the
work patterns may be disrupted by
demands from patients, relatives or from
other staff members with general
enquiries.
Daily
Maintain high level of concentration whilst
completing objective and standardized
assessment with patients.
Daily
Maintain a high level of concentration
when driving.
Daily
Be able to mentally manage the
simultaneous demands on different
aspect of the job description.
Daily
Be able to mentally mange the
complexities of supervising students and
staff, as part of their ongoing
development.
Daily/Weekly
Adapt to circumstances of change in a
flexible manner.
Regular
Demonstrate computer literacy, basic and
advanced keyboard skills, in order to
produce typed reports, adhering to Trust
Policy regarding the use of visual display
equipment.
Daily
E.g.: calculations, making clinical diagnoses, assessing clients, student assessments, contributing to case conferences, operating machinery, driving a vehicle in the
course of your work, taking minutes at meetings, checking documents, microscope work, answering queries, phones, multitasking with control of external
environment/no control i.e. dealing with members of public, staff, clients at once
3
Factor
Yes / No
What?
Weight: e.g. client, equipment
How often? (Per shift / per
week / per month?)
Emotional
Yes
To sensitively deal with distressing or
emotional circumstances regarding
patient care such as, difficult family and
social circumstances or terminally ill
clients which may lead to exposure to
anxiety and aggressive behaviour.
Regular basis
To motivate clients to participate in
rehabilitation.
Daily
To manage sensitively, issues related to
unrealistic expectations of rehabilitation
Daily
Working with patients and families
making adaptive changes to their home
environment – which may lead to
challenging and emotional behaviour
Occasional
Supervision of staff who may be
exposed to distressing behaviours from
clients and carers, or dealing with
clients with a terminal diagnosis / death
Daily
Measures nature,
level and
frequency of
emotional effort
required to
undertake
clinical/non-clinical
duties that are
considered to be
distressing/
emotionally
demanding
How long? Time.
2 hour sessions
3 hours each visit approximately
4
E.g.: imparting unwelcome news to staff/clients, dealing with clients in emotive situations/family situations or those with mental health problems, identifying abusive
situations i.e. child abuse, drug, domestic violence, typing/processing reports/notes/letters
Working
Conditions
Measures nature,
level and
frequency adverse
environmental
conditions and
hazards.
Assuming normal
Health and Safety
standards are
met.
Driving to/from
work not
included.
Yes
Spend a significant amount of time driving
between the hospital and the clients’
homes, as part of routine work duties,
where exposure to pollution is likely.
Daily
To work in areas where the environment
may have artificial lighting, variable
temperatures, poor ventilation and poor
ergonomics (clients homes).
Occasional
Exposed to unpleasant working
conditions, to include:
 Unpleasant smells
 Bodily fluids
 Neglected and unhygienic home
environments, which may include
fleas, lice and vermin.
 Unheated properties
 Cluttered environment
 Poorly controlled, aggressive pets
 Evidence of drug/alcohol abuse
Daily
Exposure to verbal or physical aggression
and unpredictable/unsafe environments
including patients homes
Occasional
Working in unfamiliar surroundings when
doing visits to patient’s homes – housing
estates etc.
Regular
1 – 3 hours per day
1 – 8 hours per day
E.g.: exposure to dirt, smell, extreme temperatures, noise-phones/Infectious material, body fluids, lice, foul linen, noxious fumes, chemical spills/ driving in the course of
your duty/ inclement weather/ aggression, lone working/night, day /familiar/unfamiliar environment/knowledge of area
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