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Prep for Practice
| Question | Answer |
|---|---|
| What are the Hierarchy levels of control for lifting? | Level 1 - Eliminate the risk (no lift policy) Level 2 - Engineering/redesign/mechanical aids Level 3 - Administration Training and PPE |
| What are some effective workplace Mx strategies to reduce lifting injuries? | - Equipment - Education & Training in risk Ax, use of equip - Policies and procedures e.g. no lift - Work environment redesign - Work organisation - Patient Ax system |
| What are some handling task hazards? | - Patient variability (age, strength, gender) - Work area; cluttered, hot, slippery, steep - Work organisation; amount of staff, workflow more patients, incentives, deadlines, policies & procedures |
| Step 1 of conducting a pt safety risk Assx? | Preperation - - Review Med chart; Sx notes, results of tests, XRays, social & Fx Hx, aids - Review related Assx - Check bed chart; meds, pain relief, obs (HR, RR, BP) |
| What to avoid when lifting? Fucntionally | - Excessive neck/back bending or twisting - Over reaching - Avoid prolonged postures/above shoulder height |
| What are some physical strategies to avoid a lifting injury? | - Plan for task - Stable base/feet - Keep loads close - Use weight transfer - Lunge posture - Comfy amount of force - Stop if experiencing discomfort - Coordinate efforts with others |
| What is Step 2 of conducting a pt safety risk Assx Part A/B | Assx Client - subjective mental status, cooperation, confusion, drugs, asleep, dementia, unconscious pain levels, ROM, strength. tone, sensation, balance communication concerns Assx - Objective Circulatory DVT Neurological & respiratory COOEE |
| What is Step 3 of conducting a pt safety risk Assx | Assx Environment: trip/slip hazards, bed height, bath, shower chairs, brakes, floor surfaces, doorways open in/out, furniture for pt to rest, community setting, availability of assistance, assistance training/injuries/age/pregnant/attire/PPE |
| What is Step 4 of conducting a pt safety risk Assx | Interpret findings to dettermine level of mobility: Use mechanical aids and do not transfer patient if uncooperative/lacking trunk function/balance/coordination Follow COOEE |
| What is Step 5 of conducting a pt safety risk Assx | Excecute task, review and document any changes: Collect and check equip is working, request assistance if required, explain procedure to client and assists, perform task, reflect and document if changed |
| What does COOEE stand for? | C - Can client communicate, cooperate and follow commands? O - does client have ON-BED strength - SLR, bridging, rolling O - OFF-BED strength and balance E - Environment & equipment E - Etiquette - shoes, PJs, modesty & Extras - attachments, meds |
| What is a Bariatric client? | Person with a body weigth >140kg, BMI >40 or >35 with co-mobidities Person with restricted mobility, or is immobile due to size |
| What are the Three Categories of injury prevention? | Primary: prevent or reduce the risk of injury e.g. no lift policy Secondary: early Dx/Prevent injuries recurring e.g. already have injury Tertiary: Preventing long term consequences of injury e.g. ACL early OA |
| How can we prevent sports injury? | Sports policy: banning spear tackling, PPE: shin pads, Injury prevention programs: FIFA11+, Multifaceted prevention pro's: Rule changes & injury prevention strategies |
| How often should the FIFA11+ be performed? | at least twice a week |
| What are the 3 parts of the FIFA11+ program? | Part 1: Running exercises - slow, active stretching, partner contacts (8mins) Part 2: Strength, Plyo's & balance - 6 exercises (10mins) Part 3: Running exercises - mod-high speed, planting/cutting (2mins) |
| What does the KNEE pro stand for and how often should it be performed and how many programs are there? | Knee injury prevention for Netballers to Enhance performnace and Extend play 2-3/wk. 3 programs: Junior, Recreational and elite. |
| What is the structure of the KNEE program? | - Warm up, footwork - strength - balance & landing - agility |
| What are some contextual factors of RTS? | Type of injury/illness, age and stage of career, type of sport played (contact/non), physical demands (cutting, pivoting, strength/power), level of participation, upcoming opps (where in season are they), social/financial costs |
| What are the elements of the RTS continuum? | Return to participation, return to sport, return to performance |
| What are three models that guide the RTS process? And what do they do? | StARRT Framework & Biopsychosocial & Optimal Loading Work Health and Safety Act 2011 (Qld) Weigh up risk tolerance & asst of risk |
| What are the 3 steps in the StARRT Framework? | Step 1: Assx of health risk (Tissue health) Step 2: Assx of Activity risk (tissue stresses) Step 3: Assx of risk tolerance (risk tolerance modifiers) |
| What are some tools to monitor psychological readiness? | Re-injury Anxiety Inventory (RIAI) Injury-psychological readiness to RTS Q (i-PRRS) Knee Self-Efficacy Scale (KSES) Tamp Scale of Kinesiophobia (TSK) ACL-Return to Sports after injury inventory (ACL-RSI) |
| What is the consensus statement for RTS following lateral ankle sprain? | P - Pain severity, A - Ankle impairements, A - Athlete perception, S - Sensorimotor control, S - Sport/funcitonal performance |
| What is an occupational health physio? | focuses on the relationship between work and physical health. Their goal is to prevent, manage, and rehabilitate work-related injuries and help employees stay healthy, safe, and productive at work |
| What are the 3 pillars of Ergonomics? | Physical factors (direct), cognitive factors (indirect) and organisational factors (indirect) |
| Describe a hazardous manual task | repetitive or sustained force, high or sudden force, repetitive mvt, sustained/awkward posture, exposure to vibration |
| What are some examples of physical factors that may influence ergonomic risks? | Age, gender, health status, anthropometry Characteristics of the task: sustained/awkward/repetitive/vibration |
| What are some examples of organisational factors that may influence ergonomic risks? | Shift patterns, organisational values/kpi's, job rotation, environment |
| What are some examples of cognitive factors that may influence ergonomic risks? | Monotony of job, workplace support/collegue support, memory, perception, motor response, reasoning |
| What is the risk Mx process? | Step 1: Identify hazards, Step 2: assess risks, Step 3: control risks, Step 4: review and control measures |
| What are some hazard assessment tools commonly used? | - ManTRA (Manual Task Risk Assx) - REBA (Rapid Entire Body Assx) - RULA (Rappid Upper Limb Assx) - Liberty Mutual Tables - NIOSH lift equation |
| Why do physio's use fx testing? | • Measure someone’s ability to complete work tasks. • Compare abilities to job requirements (via job task analysis). • Track progress over time. - Determine safe lifting limits and physical capacity baselines. |
| Why should physio's conduct an FCE? | • Return-to-work planning - rehab planning • Injury management • Medico-legal cases Ensuring safe, graded return to heavy work roles |
| What is an FCE? | An FCE evaluates a person’s ability to perform work-related activities, taking into account: • Physical function • Health status Work demands |
| What is the difference between standardised and non-standardised FCE's? | A standardised FCE uses a fixed, validated protocol with consistent testing and scoring, whereas a non-standardised FCE is a flexible, clinician-designed assessment tailored to the individual and job demands. |
| What are some examples of some FCE's ? | -WorkHab FCE – widely used, validated, minimal equipment, used in Australia. often more reliable, practical for any clinic, often used in medical legal cases -Blankenship FCE System – includes behavioural profile, ROM, strength testing, hand testing. |
| What are some contraindications to FCE? | • Unstable medical conditions • Recent surgery (<6 weeks) • Psychiatric/behavioural issues • Communication barriers - instructions being misunderstood • Inappropriately dressed - safety issues If concerned get: medical approval |
| What is required for the preparation of an FCE | Max, purpose, Plan out components to include if non-standardised, background info on job task, informed consent, prep environment |
| What is involveed in conducting an FCE? | Informed consent, subjective interview (contra's, current ADLs), asst Questionaires, Objective Assx (MSK and Neuro screen), cardio tests, functional tests, job-specific simulation |
| What are some health consequences of not working? | • Higher mortality rates - CVD and suicide • Poor physical and mental health • Somatic complaints • Loss of identity and confidence Increased disability and health service use |
| what are 3 different impacts that can occur when someone cannot work? | Personal (pain, financial stress, reduced QOL, stressful rehab/claims) Employer impacts (Lost productivity, increased premiums (work cover), extra work for other staff Social impacts (Higher healthcare spending and loss of productive workers) |
| How many worker's compensation systems are there in Aus? And how do they operate and what is the goal? | 11. all operate on a no-fault basis, primary goal is to return worker to pre-injury role, aggravation of pre-existing condition is also compensable. |
| WHat is one government act or regulation in relation to work safety? | Work Health and Safety Act 2011: requires workers to take reasonable care for their own health and safety and to cooperate with their employer |
| What is another government act in relation to work cover? | Workers Compensation and Rehabilitation Act 2003: outlines workers’ obligations to notify their employer of a work-related injury and to participate in injury management and rehabilitation |
| What would be required for a claim to be lodged with WorkCover QLD | notify employer, lodge a claim, provide a med cert from GP stating injury is work related. This injury but have arisen at the time of employmenmt and be supported by medical and workplace evidence |
| What does it mean to pay 'out of pocket'? | This means that the person must pay at their own expense instead of using insurance claims. Must pay the gap between the clinic fees and the medicare rebate |
| What does it mean to be a sole trader/contractor working in a physio clinic? | operates as their own business not under the company. Responsible for their own registration, professional indemnity insurance, tax, and superannuation. They do not get benefits like other employees at the clinic like leave. Charge their own price. |
| What does it mean to be a self-managed participant of the NDIS? | the participant (or their nominee) is responsible for managing their own NDIS funding, rather than having it managed by the NDIA or a plan manager. |
| WHat are the benefits to being self-managed? | Greater choice and flexibility Access to a broader range of providers More control over how and when funds are used |
| What are the Ahpra Guidlines for social media? | comply with confidentiality/privacy obligations maintain professional boundaries communicating professionally and respectfully not presenting info that is false, misleading or deceptive |
| What are the APA professional guidelines? | Maintain accurate, truthful clinical records Practise within the law and organisational policies Respect patients, colleagues, and employers Avoid misleading or deceptive conduct Be accountable for professional decisions and actions |
| WHen would it be required to report behaviour to Ahpra? | - engaged in behaviour that places the public at substantial risk of harm like practising while intoxicated, engaging in sexual misconduct, or having a serious impairment affecting safe practice |
| WHat does it mean to be 'plan managed'? for NDIS | the NDIS pays a registered plan manager to pay your invoices, track NDIS budget, help understand your funding, make sure payments follow NDIS rules. |
| what does reasonable and necessary mean regarding funded supports in the NDIS | NDIS will fund supports that genuinly help you live a better, more independent life. must be related to disability and help you achieve personal goals, and be good value for money. |
| What are Ahpra's 5 obligations physio's must have to maintain health records? | 1. must keep good health records 2. good processes support good health records 3. continuity of care is important 4. Health records must be kept private and confidential 5. Patients have a right to access their health records |
| What are some different forms of racism? | - Verbal - behavioural (assult) - institutional discrimination - macro-discrimination (media misinformation) |
| How many ACCHS Organisations are there across Aus? | Over 140 |
| What does equity mean? | Equity is where everyone is provided with the same opportunity to be successful |
| What does equality mean? | Equality occurs when everyone is treated the same, equity does not necessarily occur with equality |
| What is liberation? | a combination of both equality and equity and occurs when everyone is included, and all barriers are removed |
| What is the IUIH and what is it for? | it is a network of aboriginal and Torres strait islander clinics and health services that work as a collective to transform aspects of the health care system for better outcomes |
| Give me some strength based approaches? | - client has talent and resources - goal is to empower - therapy is solutions focused - both professional and client are experts - actions are inspired by the client |
| Give me some deficit-based approaches? | - client has a problem - Goal is to fix the problem - therapy is problem focused - professional is the expert - actions are driven by the professional |
| What are core supports for? | Assistance with dailey life, transport, consumables, assistance with social and community participation |
| What are capacity building supports for? | - improved daily living skills - improved learning - health and wellbeing - social and community activities - getting and keeping a job |
| What are capital supports for? | - assistive technology - vehicle mods - home mods |
| What does negligence occur from? | Negligence can result from an action or an omission (failing to do something that should have been done) |
| What is the Civil Liability Act 2003? | - treatment provided is widely accepted by peer professionals - Different opinions will both be respected and respectable - Opinion cannot be relied on if the court believes it to be irrational or contrary to the law |
| What are the AI Ahpra guidelines? | - accountability (you remain responsible for decisions) - understanding the tool and limits - transparency and appropriate consent - privacy and data protection - keeping you up to date with elvolving guidance |
Created by:
HollyRicho