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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 5