#OTalk Transcript

Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.

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Becca Khanna @rebecca_khanna
RT @OTalk_: Lets get started with question 1: Do you engage with or participate in any occupations that may not be deemed as “age appropria…
OT Sophie @OTSophie
Hi everyone!! Who is out there tonight? Lets get started!! What is your current involvement with safeguarding? (any? Explain). #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
Hello folks! This week I am still in holiday mode. This time I am in Taiwan. It’s 3 am here. #otalk
#OTalk @OTalk_
Who's joining us this evening? Tell us a bit about yourself! (or lurk quietly if you'd prefer 😊) #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie Well- I don’t want to be jet lagged too much when I return. I have to work Saturday... lol! It’s in the low to mid 30’s literally every day + high humidity! #otalk
OT Sophie @OTSophie
@AideenKa @OTalk_ Have you observed or heard much about safeguarding? #OTalk
#OTalk @OTalk_
@AideenKa Hi Aideen! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie In my regular work setting, I know I am responsible for reporting any elder related abuse if I see one. There are guidelines on how soon I need to report such, depending on the case. #otalk
OT Sophie @OTSophie
@BillWongOT Thanks Bill (you just can't help yourself can you ;)), do you find you have to do that very often? #OTalk
Katharine Scott @kathscottOT
Hi I’m an OT and lead a team of complex discharge coordinators - we are all safeguarding ambassadors @RBandH #OTalk
Tori OT @Tori_Doll_
@OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identified within the ward as ‘vulnerable’ & a safeguarding alert will be recorded to outline the risk & strategies to mitigate this, & is then reviewed within MDT. #OTalk
#OTalk @OTalk_
RT @BillWongOT: @OTSophie In my regular work setting, I know I am responsible for reporting any elder related abuse if I see one. There are…
#OTalk @OTalk_
@mileswashbrook Hi Miles! Remember to write #OTalk at the end of your tweets so that people who are following the chat by searching the hashtag can see it 🙂
OT Sophie @OTSophie
@Tori_Doll_ Thanks Tori! So as a team you collectively outline the risks and strategies? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie Fortunately not really! But it is important for me to know because just in case the nursing home is in annual surveys (when state surveyors come), it is ALWAYS a good idea to come up with the responses quickly! #otalk
#OTalk @OTalk_
RT @Tori_Doll_: @OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identif…
Erica Davis @ezzybezzy1989
@OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a few safeguarding situations interesting to complete and you know that you are protecting that person. #OTalk
OT Sophie @OTSophie
@AideenKa @OTalk_ Well that's great! Do you find the OTs very involved in any of it, from what you have observed so far? #OTalk
@mileswashbrook @mileswashbrook
@OTalk_ Yes, sorry, thanks I will do. #OTalk
#OTalk @OTalk_
RT @ezzybezzy1989: @OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a…
Erica Davis @ezzybezzy1989
@AideenKa @OTSophie @OTalk_ Yes this is very key at the moment and interesting to read about #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie Haha- I think I have an #otalk alarm clock every week. ⏰ https://t.co/tGhiNwITKd
OT Sophie @OTSophie
@ezzybezzy1989 @AideenKa @OTalk_ Yes I can imagine! After you raise the safeguarding, do you follow it any further or is that continued by a different professional? #OTalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@OTalk_ Khalilah Johnson from North Carolina. OT faculty and practitioner (13 years). I’m lurking tonight. #Otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @ezzybezzy1989: @OTSophie @AideenKa @OTalk_ So I work predominantly in A&E and working with elderly and have been involved in raising a…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie Q1 Response: My involvement at present is more from a clinical team perspective, in terms of a patient is identif…
Bill Wong, OTD, OTR/L @BillWongOT
RT @kathscottOT: Hi I’m an OT and lead a team of complex discharge coordinators - we are all safeguarding ambassadors @RBandH #OTalk
OT Sophie @OTSophie
@BillWongOT Absolutely! What kind of legislation is supporting safeguarding work out there? #OTalk
Tori OT @Tori_Doll_
@OTSophie Yes, as part of the development of a management strategy around safeguarding needs. This then goes external to the designated safeguarding team via social work. I work within a forensic mental health environment just to put this into context. #OTalk
Erica Davis @ezzybezzy1989
@OTSophie @AideenKa @OTalk_ So we can loads with our safeguarding team to see the progress. But often it is then passed to the social work team who then will investigate it further. #OTalk
OT Sophie @OTSophie
@ezzybezzy1989 @AideenKa @OTalk_ Yes, I think there's lots of change going on with DOLs at the moment isn't there? #OTalk
OT Sophie @OTSophie
@AideenKa @OTalk_ Great! Nice to hear two professionals working together! Surprised no Social Worker involved though. #OTalk
Sarah Sharland @SarahSharland19
@OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident contact, unwitnessed falls etc. #OTalk
Sadie Blue @SadieBlueOT
@OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've learnt a huge amount since graduating, I actually feel uni study did not cover safeguarding in enough depth at all. #OTalk
#OTalk @OTalk_
RT @SarahSharland19: @OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident con…
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie https://t.co/qGmZTSq2nm We have these regulations in the USA with nursing home setting. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SarahSharland19: @OTalk_ I’m an OT in the private sector. We raise safeguarding alerts on a regular basis. Mostly resident-resident con…
OT Sophie @OTSophie
Q2: How do safeguardings affect your current practice? E.g therapy, rapport #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie Yes, as part of the development of a management strategy around safeguarding needs. This then goes external to t…
OT Sophie @OTSophie
@SadieBlueOT Oh would love to hear more. Interesting you say that Sadie because I completely agree- I wonder if this impacts #OT confidence in contributing to it? #OTalk
#OTalk @OTalk_
RT @SadieBlueOT: @OTSophie I work non-traditionally for the nspcc. Safeguarding threads through every contact I have with every child. I've…
Tori OT @Tori_Doll_
@OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the development of skills (such as communication skills, assertiveness, sustaining relationships, routine etc) & then contributing to this within the safeguarding plan. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
And of course now I am also in academia, it is also important to safeguard students’ academic related information! #OTalk
OT Sophie @OTSophie
@BillWongOT Thanks Bill, great to have context across the pond so to speak! I'll have a look later to see if there are similarities to here #OTalk
Lauren @Lauren_OT
@OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involvement depends really, could be disclosure, referrals/reporting, attending meetings, daily implementation of safeguarding plans. Safeguarding is everyone’s role. #OTALK
#OTalk @OTalk_
Question 2! #OTalk
#OTalk @OTalk_
RT @Lauren_OT: @OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involveme…
#OTalk @OTalk_
RT @Tori_Doll_: @OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the develo…
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie In terms of nursing home, this is actually a collaborative effort between different disciplines. So we actually have to be cohesive so that we can ensure every resident has good quality of life. #otalk
OT Sophie @OTSophie
@Tori_Doll_ That's great Tori- preventative and enabling by the sounds of things. #OTalk
Erica Davis @ezzybezzy1989
@SadieBlueOT @OTalk_ @OTSophie I don't think uni prepare you for what safeguarding is actually. First time you complete one is a scary experience I think #OTalk
#OTalk @OTalk_
RT @ezzybezzy1989: @SadieBlueOT @OTalk_ @OTSophie I don't think uni prepare you for what safeguarding is actually. First time you complete…
Bill Wong, OTD, OTR/L @BillWongOT
And as for being an academic now also, safeguarding is important because you sometimes have to balance between trying to help the student vs. protecting the student. #otalk
OT Sophie @OTSophie
@Lauren_OT Exactly! Sounds like you are fully embracing it! I think sometimes as OTs we see it as other professionals roles. #OTalk
Sadie Blue @SadieBlueOT
@OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguarding processes. I think we tend to rely on other professions/senior staff to safeguard if we notice concerns but in reality it's everyone's duty. #OTalk
OT Sophie @OTSophie
@ezzybezzy1989 @SadieBlueOT @OTalk_ Absolutely! A bit like capacity assessments, the thought of it is more daunting than doing it. Great to see a theme emerging that I hadn't realised. #OTalk
Tori OT @Tori_Doll_
@OTSophie Not limited to ... but I think this is definitely our unique contribution to the safeguarding process within inpatient mental health #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie I think I learned the very basics of it in uni. But placements are the places where we see real-life applications for the first time. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Lauren_OT: @OTSophie I work in a ward team in acute mental health, by definition all of our patients are ‘adults at risk’. My involveme…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie In my role, I think the role of #OT is around how to decrease the vulnerability of the patient through the develo…
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @Lauren_OT Exactly! Sounds like you are fully embracing it! I think sometimes as OTs we see it as other professionals roles.…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguardin…
OT Sophie @OTSophie
@BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life at the heart of the safeguarding- great way to frame it. #OTalk
Erica Davis @ezzybezzy1989
@BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of some of these situations would help out students #OTalk
OT Sophie @OTSophie
@BillWongOT @ezzybezzy1989 @SadieBlueOT @OTalk_ True, but not necessarily everyone (if anyone!) will get this experience in placement, well, I speak for myself in the UK- anyone else found this? #OTalk
Lauren @Lauren_OT
@ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie It can feel daunting but remember that if you have a concern then it’s probably valid and the patients needs you to advocate for them and support them and making the referral is just part of your role in that. It’s better to be safe than sorry. #OTalk
OT Sophie @OTSophie
@SadieBlueOT Not only that, but as OTs we can provide a really unique and important view point in problem solving and outcome planning. #OTalk
#OTalk @OTalk_
RT @SadieBlueOT: @OTSophie Hugely impacts. Safeguarding is everyone's business and I certainly was not confident leaving uni in safeguardin…
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think looking back, this is very indirect. It is deeper level stuff that we may look back and realize, “Hey! This is safeguarding.” #otalk
#OTalk @OTalk_
RT @OTSophie: @BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life a…
Student Platform OT @SPOTeurope
RT @OTalk_: Question 2! #OTalk https://t.co/NX9gGKamz6
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @BillWongOT You have highlighted a really important aspect that we often forget- the person's wellbeing and quality of life a…
Student Platform OT @SPOTeurope
RT @OTSophie: @ezzybezzy1989 @SadieBlueOT @OTalk_ Absolutely! A bit like capacity assessments, the thought of it is more daunting than doin…
Student Platform OT @SPOTeurope
RT @ezzybezzy1989: @BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of s…
OT Sophie @OTSophie
@ezzybezzy1989 @BillWongOT @SadieBlueOT @OTalk_ Perhaps OTs in education sharing this learning with students? #OTalk
Student Platform OT @SPOTeurope
RT @Lauren_OT: @ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie It can feel daunting but remember that if you have a concern then it’s probabl…
Lauren @Lauren_OT
@ezzybezzy1989 @SadieBlueOT @OTalk_ @OTSophie I think it’s difficult to learn this at uni and really does come in practice. Each trust will have different policy/procedure and each LA will have different referrals and pathways in. This should form part of induction / preceptorship and is part of mandatory training. #OTalk
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ But it is also important to recognise that sometimes just the word safeguarding can have quite damaging connotations #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think maybe these could be opportunities for students to ask such questions to their placement educators? #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @ezzybezzy1989: @BillWongOT @SadieBlueOT @OTalk_ @OTSophie Most definitely but I think some further understanding of what to expect of s…
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Good point! Perhaps feedback may be for the safeguarding training to have an OT perspective in it? #OTalk
Erica Davis @ezzybezzy1989
@OTSophie @SadieBlueOT @OTalk_ I think it is. Safeguarding is so complex and you won't understand it in 1 form that's completed #OTalk
OT Sophie @OTSophie
Q3: Do you feel safeguarding should be part of the Occupational Therapy role, why? #OTalk
Tori OT @Tori_Doll_
@OTSophie Doesn’t necessarily impact my practice as I consider this as part of the role. It is reassuring to have these systems in place to support our vulnerable client group #OTalk
Elizabeth @Lizzie_OT
@OTalk_ Evening all. Sorry late joining you tonight #OTalk
OT Sophie @OTSophie
@Tori_Doll_ So, almost a tool to support you to help you complete your job/make decisions? #OTalk
Erica Davis @ezzybezzy1989
@OTSophie Safeguarding makes it difficult at times as you sometimes do have to go against what the patient wants making rappor difficult. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie Doesn’t necessarily impact my practice as I consider this as part of the role. It is reassuring to have these sys…
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie Yes- because we are supposed to do no harm... and this includes not putting patients at risk, including being abused. #otalk
#OTalk @OTalk_
Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Good point! Perhaps feedback may be for the safeguarding training to have an O…
Bill Wong, OTD, OTR/L @BillWongOT
RT @ezzybezzy1989: @OTSophie Safeguarding makes it difficult at times as you sometimes do have to go against what the patient wants making…
Kate Joester @rebelraising
@OTSophie Working in a non-trad role (dementia link worker) I found I was able to articulate risk enablement and safeguarding in a much more balanced way than I had previously found in OT directly. However "returning to practice" now five years later I think things have changed. #OTalk
#OTalk @OTalk_
@Lizzie_OT Better late than never! Glad you could join us 😊 #OTalk
Lauren @Lauren_OT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ In what way do you mean? Different professions attend the same training in our Trust and the levels of training depend on banding and clinical role. #OTalk
Kate Joester @rebelraising
@OTSophie It's part of life. It's an obligatory part of working life, pretty much no matter what your job. #OTalk
Erica Davis @ezzybezzy1989
@OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of safeguarding and be able to act upon issues that arise #OTalk
Tori OT @Tori_Doll_
@OTSophie Yes, a framework to guide practice and promote cohesive MDT working. Having said that, I have worked in teams where this has/hasn’t been successful. Comes down to training/individuals etc to name a few variables. #OTalk
#OTalk @OTalk_
RT @ezzybezzy1989: @OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of sa…
OT Sophie @OTSophie
@ezzybezzy1989 This is a really interesting point- how can we build rapport in these situations? Yesterday we took someone to an allotment to build rapport before doing a capacity assessment- it was really successful! #OTALK
Bill Wong, OTD, OTR/L @BillWongOT
RT @ezzybezzy1989: @OTalk_ I think we need to remember it's part of all our roles. We need to have an understanding of the importance of sa…
Bill Wong, OTD, OTR/L @BillWongOT
RT @rebelraising: @OTSophie It's part of life. It's an obligatory part of working life, pretty much no matter what your job. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @rebelraising: @OTSophie Working in a non-trad role (dementia link worker) I found I was able to articulate risk enablement and safeguar…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie Yes, a framework to guide practice and promote cohesive MDT working. Having said that, I have worked in teams whe…
Lauren @Lauren_OT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should it though? #OTalk
KIRSTY OT @KIRSTY_OT
@OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people safe... #OTalk
Lauren @Lauren_OT
@OTSophie It’s everybody’s role. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie And as for myself also now being an educator, it is my job to make sure I don’t put students in unnecessarily and potentially harmful situations. #otalk
OT Sophie @OTSophie
@rebelraising Interesting points there Kate- how do you think things have changed? I find risk enablement particularly interesting in regard to safeguarding- e..g sometimes "safeguardings" are actually not safeguardings, but risk aversity! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa…
Student Platform OT @SPOTeurope
RT @OTalk_: Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk https://t.co/tCn3R4iCu6
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @rebelraising Interesting points there Kate- how do you think things have changed? I find risk enablement particularly intere…
Carolyn is an OT @CeeCeeOT
RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa…
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Ahh see where I work OTs and Social workers have the same training, run by a Social Worker. #OTalk
Kate Joester @rebelraising
@Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should or should not, the reality is that it can (I think). People are afraid that it means an infringement of liberty, link it to "taking away" a child or vulnerable adult from their care. #OTalk
OT Sophie @OTSophie
@OTJuliedo But does that impact our therapeutic relationship if we are raising or dealing with the safeguarding concerns directly as OTs? #OTalk
@mileswashbrook @mileswashbrook
@OTalk_ #OTalk It comes back to Kielhofner. If we are not assessing and treating for purposeful activities in the future, happily, in a safe and sustainable way, what are we doing ? https://t.co/7jVBNkFU6g
Sadie Blue @SadieBlueOT
@Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie I disagree. Safeguarding can be taught quite easily - group work discussion of case studies and learning the "signs of safety" model will prepare all future professionals to walk into any role and feel more competent then a 30 min e-learning course. #OTalk
#OTalk @OTalk_
That's a great point, Kate! Maybe this is a situation where we shouldn't think of ourselves just in terms of being OTs but as part of a wider MDT? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @rebelraising: @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Should or should not, the reality is that it can (I think). Peop…
Kate Joester @rebelraising
@OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Interesting - I find that safeguarding judgements, for me, are not possible without dialogue with colleagues, and it was always social workers that I found most helpful. Perhaps because I already *am* an OT and can use that perspective myself! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @OTJuliedo But does that impact our therapeutic relationship if we are raising or dealing with the safeguarding concerns dire…
Erica Davis @ezzybezzy1989
People are worried what it means. I think safeguarding can be so confusing though for those putting in the referral and those in need of it too. #OTalk
Carolyn is an OT @CeeCeeOT
RT @OTalk_: Question 3! "Is this part of the OT role?" always an interesting question... 🤔#OTalk https://t.co/tCn3R4iCu6
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ It absolutely shouldn't, do we all frame things in the right way? Is there a way of addressing something before it needs the formalilty of a safeguarding enquiry? #OTalk
Erica Davis @ezzybezzy1989
RT @OTalk_: That's a great point, Kate! Maybe this is a situation where we shouldn't think of ourselves just in terms of being OTs but as p…
Bill Wong, OTD, OTR/L @BillWongOT
@OTSophie @OTJuliedo Well- but we also don’t want liability lawsuits in our hands either! #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie I disagree. Safeguarding can be taught quite easily - group work discussion of…
OT Sophie @OTSophie
@KIRSTY_OT But in what context? Does it have to be the formality of a safeguarding enquiry or could it be a different process? #OTalk
#OTalk @OTalk_
RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa…
Erica Davis @ezzybezzy1989
So true. I think we need to remember it's not just OTs who do it. Many healthcare professionals do #OTalk
Erica Davis @ezzybezzy1989
RT @KIRSTY_OT: @OTSophie Absolutely. Safeguarding is everyone's responsibility and it certainly is our duty to safeguard and keep people sa…
Bill Wong, OTD, OTR/L @BillWongOT
@SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ @OTSophie Perhaps we can put that in a so-called ethical dilemmas class... or when students doing debriefing halfway through their placements that are vital for their licensure. #otalk
OT Sophie @OTSophie
@rebelraising @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ I guess I mean from a more preventative approach? #OTalk
Tori OT @Tori_Doll_
@OTSophie Not explicitly OTs role, it is each and every member of staff who works with the patients role to be aware of safeguarding. Each member of the MDT will have their own individual role to play within the system. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @rebelraising: @OTSophie @Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Interesting - I find that safeguarding judgements, for me, are n…
Bill Wong, OTD, OTR/L @BillWongOT
RT @ezzybezzy1989: People are worried what it means. I think safeguarding can be so confusing though for those putting in the referral and…
OT Sophie @OTSophie
@SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ I think risk enablement does also play an important role in this though. #OTalk
Erica Davis @ezzybezzy1989
It's difficult I think it's gaining there trust. And explain the reason why. #OTalk
OT Sophie @OTSophie
@BillWongOT @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ Sounds like a great idea Bill. Would be a good way of assessing ability during training #OTalk
@mileswashbrook @mileswashbrook
#OTalk #WomeninSport #Safeguarding #shouldertoshoulder
Lauren @Lauren_OT
@SadieBlueOT @ezzybezzy1989 @OTalk_ @OTSophie It’s been a while since I went to uni so I can’t honestly remember what we did in terms of safeguarding, but I know that the training within our trust is very thorough and certainly not delivered via 30 minutes of e-learning #OTalk
OT Sophie @OTSophie
Q4: What systems (if any) are in place currently for you to prevent safeguardings? E.g quality issues, training #OTalk
Kate Joester @rebelraising
@OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material), safety and wellbeing are in there, and there's a sort of threshhold where your alarm bell goes "now I need to think more formally about this". #OTalk
#OTalk @OTalk_
This is an interesting way of looking at it; what do you think is the individual role of OT in safeguarding (as opposed to the role of other team members)? #OTalk
Sarah Sharland @SarahSharland19
@OTalk_ I think it should be a part of everyone’s role! #OTalk
#OTalk @OTalk_
RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material…
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @BillWongOT @SadieBlueOT @Lauren_OT @ezzybezzy1989 @OTalk_ Sounds like a great idea Bill. Would be a good way of assessing ab…
OT Sophie @OTSophie
@Lauren_OT @SadieBlueOT @ezzybezzy1989 @OTalk_ It sounds like this may vary across the board (which may be part of the problem!). In Adult Social Care we have 2 days and then yearly refreshers. This is likely to impact confidence on input I would imagine #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @Lauren_OT @SadieBlueOT @ezzybezzy1989 @OTalk_ It sounds like this may vary across the board (which may be part of the proble…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SarahSharland19: @OTalk_ I think it should be a part of everyone’s role! #OTalk
Colin P G Jones @colinpgjones
@OTSophie @BillWongOT @OTJuliedo Yes as it’s keeping people safe the hard conversation & asking the questions are worth the discomfort of doing it, especially when it is happening so you have safeguarded your client/vulnerable person if you can’t ask the difficult question are you really doing the job? #OTalk
Tori OT @Tori_Doll_
@OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safeguarding risks/vulnerabilities (I.e communication skills, assertiveness, roles, employment, education to name a few!). #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material…
#OTalk @OTalk_
Question 4! I wonder how this varies between different settings? #OTalk
@mileswashbrook @mileswashbrook
@rebelraising @BillWongOT @Lauren_OT @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ #OTalk There is without doubt unresolved risks around removing a child from its parents, especially when the parent, plenty of evidence to support. Additionally DOL on dementia patients undermedicated could be construed as financial abuse
#OTalk @OTalk_
RT @Tori_Doll_: @OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safegua…
Bill Wong, OTD, OTR/L @BillWongOT
RT @colinpgjones: @OTSophie @BillWongOT @OTJuliedo Yes as it’s keeping people safe the hard conversation & asking the questions are worth t…
Lauren @Lauren_OT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ Yes, some of the referrals that go from our ward don’t actually get taken forwards as we can demonstrate what we have done locally and how that has reduced risk of harm. #OTalk
Elizabeth @Lizzie_OT
@OTalk_ Absolutely! Our core values underpin the holistic, client centred approach required and should promote wellbeing, empower choice and control, as per the Care Act? We are well positioned in terms of complex assessment and risk management #otalk
Student Platform OT @SPOTeurope
RT @rebelraising: @OTSophie @KIRSTY_OT Safeguarding is a thread of professional thinking - when you look at environment (human and material…
OT Sophie @OTSophie
@colinpgjones @BillWongOT @OTJuliedo Colin you raise an interesting point, as I think as OTs sometimes we shy away from the difficult questions by nature. #OTalk
Sarah Sharland @SarahSharland19
That said, although we all need to know how to report it, we need training to ensure consistency in documentation and the process. For us, safeguarding also needs to be reported to CQC. Need to ensure the loops are closed. #OTalk
Student Platform OT @SPOTeurope
RT @OTSophie: Q4: What systems (if any) are in place currently for you to prevent safeguardings? E.g quality issues, training #OTalk
Sadie Blue @SadieBlueOT
@OTSophie In my role working with children/young people it's important that at the first meet I explain what safeguarding is and what that means so that kids don't feel "tricked" after talking about concerns which may need safeguarding. #OTalk
Kate Joester @rebelraising
@ezzybezzy1989 And council H&SC front desks get referrals from locksmiths, from pet rescue, from bank managers - people encounter vulnerable fellow humans all over the place and use that way of thinking. I feel like this is safeguarding, perhaps I'm being too broad? #OTalk
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ This is great to hear Lauren, have you got any examples of the type of input you had to do this? #OTalk
Elizabeth @Lizzie_OT
@OTalk_ My previous role in adult social care; undertaking complex moving and handling assessments differentiated my contribution to safeguarding to that of my social work colleagues for example #Otalk
OT Sophie @OTSophie
@SadieBlueOT I can imagine this is especially hard in regard to trust with the kids! How do you make that work for you therapeutically? Honesty only? #OTalk
Sadie Blue @SadieBlueOT
@OTSophie In my experience they value the transparency of what this means, and if I do have to safeguard then its always a collaborative approach if appropriate #OTalk
Kate Joester @rebelraising
@SadieBlueOT @OTSophie (A wonderful charity worker just demonstrated how to do this in an exemplary way to my daughter today. I was literally taking notes on the wording she used! #OTalk #OTalkFringe)
Tori OT @Tori_Doll_
@OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around safeguardings, due to increased understanding of factors such as relational security. This helps to reduce/prevent safeguardings I imagine. #OTalk
OT Sophie @OTSophie
@Suze17 Absolutely, great examples. How as OTs could we make that investigation meaningful to that person? #OTalk
#OTalk @OTalk_
RT @Tori_Doll_: @OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around…
Sadie Blue @SadieBlueOT
@OTSophie In the field I work in I think the kids respect and appreciate an adult they can trust, who will safeguard and advocate for their needs so I feel its pretty accepted in the work we do #OTalk
OT Sophie @OTSophie
@SadieBlueOT Sounds great, do you have any strategies you use to make that approach accessible to them? I can imagine it can be confusing. #OTalk
OT Sophie @OTSophie
@rebelraising @SadieBlueOT If only they were in this chat! #OTalk
Lauren @Lauren_OT
@OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think it’s our role to challenge the negativity and have that open and honest communication regarding Safeguarding processes with patients and carers, as people tend to think they know stuff as the media publish worse case, when actually it should be supportive process. #OTalk
Colin P G Jones @colinpgjones
@OTSophie Loads in my area of CYPF Local authority work, especially as the evidence suggests Disable persons are 4 time more likely to experience abuse, neglect and be at risk of exploration. #OTalk I guess it’s like any area there is loads if you look and take the time to apply & reflect
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTSophie: @colinpgjones @BillWongOT @OTJuliedo Colin you raise an interesting point, as I think as OTs sometimes we shy away from the d…
@mileswashbrook @mileswashbrook
@OTSophie @SadieBlueOT #OTalk I recently treated a number of rape victims just north of Manchester and had to explain the perpetrators behaviours in a different way to the Government's line.
OT Sophie @OTSophie
@KIRSTY_OT @rebelraising @OTalk_ Ahh proportionate response and least intrusive. Very logical. #OTalk
Godfrey Kimathy @GKimathy
@OTSophie It's an absolute role of OT in the practice to ensure the wellbeing of our clients #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Lauren_OT: @OTSophie @ezzybezzy1989 @SadieBlueOT @OTalk_ I think it’s our role to challenge the negativity and have that open and hones…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @OTSophie In the field I work in I think the kids respect and appreciate an adult they can trust, who will safeguard and a…
Tori OT @Tori_Doll_
@OTSophie This includes things like, trading, language used in gang culture, dynamics between patients, ward atmosphere etc. There is no data around how this reduces the need for formal safeguardings being recorded, but it enables the MDT to be aware and be responsive #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie We have a very robust system in secure services to identify/record intelligence that could lead to issues around…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @OTSophie In my experience they value the transparency of what this means, and if I do have to safeguard then its always a…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Lizzie_OT: @OTalk_ My previous role in adult social care; undertaking complex moving and handling assessments differentiated my contrib…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SadieBlueOT: @OTSophie In my role working with children/young people it's important that at the first meet I explain what safeguarding…
OT Sophie @OTSophie
@Lauren_OT @ezzybezzy1989 @SadieBlueOT @OTalk_ Great word to use there Lauren, supportive! And highlights the impact of media and challenges family can pose in these situations. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @SarahSharland19: That said, although we all need to know how to report it, we need training to ensure consistency in documentation and…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Lizzie_OT: @OTalk_ Absolutely! Our core values underpin the holistic, client centred approach required and should promote wellbeing, em…
@mileswashbrook @mileswashbrook
@OTSophie @SadieBlueOT #OTalk Equally there were couples involved with substance abuse issues and worklessness that were experiencing high anxiety about their children being taken into 'care' and what would happen to them.
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTalk_ OT has a very unique contribution in this ... we can support the person to develop skills to mitigate their safegua…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Tori_Doll_: @OTSophie This includes things like, trading, language used in gang culture, dynamics between patients, ward atmosphere etc…
OT Sophie @OTSophie
@colinpgjones Do you mind sharing what types of things your LA use? We use quality referral forms in mine- they have changed my life! #OTalk and helped identify patterns
OT Sophie @OTSophie
LAST QUESTION! Q5: How can we as Occupational Therapist’s positively prevent safeguardings? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
Need to go back for some 😴. See you guys next week. #otalk
#OTalk @OTalk_
We're coming to the end of today's #OTalk! It's been a really interesting chat tonight; lots to think about regarding how we're taught about safeguarding and how we "do" safeguarding in a way that fits with our roles as OTs
Sophie Faulkner @sleepOTsophie
@OTSophie Sometimes if you help someone enhance their self-efficacy through achieving in other areas, they can become less vulnerable to abuse and better at speaking up when someone tries it! #OTalk
Kate Joester @rebelraising
@KIRSTY_OT @OTalk_ @OTSophie Yes! Clarifying (in my case, through chatting with colleagues always best) what exactly set your alarm bells ringing, what is clear, what needs informal enquiry and what needs formal action now. #OTalk 1/2
Sadie Blue @SadieBlueOT
@OTSophie We have a really easy to understand hand out which explains safeguarding, confidentiality and data protection. We talk about how we use their data and how they can request to read their files. I also say this verbally and leave lots of time for questions etc #OTalk
Sophie Faulkner @sleepOTsophie
@OTSophie Not really a system, but use of OT approach. #OTalk
OT Sophie @OTSophie
@Tori_Doll_ I wonder how you could possibly collate that data?! So hard to capture those outcomes, even though what has helped! #OTalk
#OTalk @OTalk_
Final question for tonight on preventing safeguarding issues #OTalk
KIRSTY OT @KIRSTY_OT
@OTSophie For my prison area of work there is a safeguarding panel and as an OT, I will also support the panel to protect and advocate for the more vulnerable residents. #OTalk
Sarah Sharland @SarahSharland19
@OTSophie In my setting, things like unwitnessed falls and pressure areas/wounds would be raised as safeguardings. We have monthly audits on falls, skin integrity, nutrition and other clinical governance issues. We identify trends and risks and act accordingly. #OTalk
#OTalk @OTalk_
RT @sleepOTsophie: @OTSophie Sometimes if you help someone enhance their self-efficacy through achieving in other areas, they can become le…
OT Sophie @OTSophie
@sleepOTsophie This is a great topic to home in on Sophie! I don't we as OTs are doing that enough as a preventative approach. Can you elaborate any further on ways to do that? #OTalk
#OTalk @OTalk_
RT @SarahSharland19: @OTSophie In my setting, things like unwitnessed falls and pressure areas/wounds would be raised as safeguardings. We…
OT Sophie @OTSophie
@rebelraising @KIRSTY_OT @OTalk_ Having that open dialogue is so important. #OTalk
Colin P G Jones @colinpgjones
@OTSophie @BillWongOT @OTJuliedo I guess it’s about the working culture, from my experience it depends on the Lead OT in your working environment or the management you work to. It also depends on identity, at the end of the day we ask some of the most personal & illuminating questions to our client #OTalk
Sarah Sharland @SarahSharland19
@OTSophie For resident-resident contact, we have 1:1 in place for residents who pose a risk to others. This is recorded hourly and reviewed weekly to see if the level is appropriate. We can grade this for different levels of observation too. #OTalk
OT Sophie @OTSophie
@sleepOTsophie Even better!! #OTalk
#OTalk @OTalk_
RT @SarahSharland19: @OTSophie For resident-resident contact, we have 1:1 in place for residents who pose a risk to others. This is recorde…
@mileswashbrook @mileswashbrook
@BillWongOT Thanks Bill, great to meet you #OTalk
OT Sophie @OTSophie
@KIRSTY_OT That's great that you have a pivotal role. #OTalk
OT Sophie @OTSophie
@SarahSharland19 So is any work done on how to prevent those happening/being safeguarding? #OTalk
OT Sophie @OTSophie
@SadieBlueOT When kids already feel powerless, I can imagine that impacts the whole process- this probably goes for vulnerable adults too! #OTalk
@mileswashbrook @mileswashbrook
@veryunfakenews @LCY1878 #OTalk We never see this behaviour from Chinese people. We never see this behaviour from Hindu's with Indian heritage. We only ever see it from followers of mohammeds book of rules (allah-carte korak) that explicitly sanctions such atrocities. It is A Spectral Disorder.
Colin P G Jones @colinpgjones
@OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human beings can do some horrible things to each other, as well as amazing kind & helpful things. Reflection & bravery to have professional curiosity....knowing our clients #OTalk
Sarah Sharland @SarahSharland19
@OTSophie The first level would be a behaviour chart - if we saw any concerns about their interactions with other residents, we would implement the 1:1 and then request funding for it. Of course then there is the deprivation of liberty involved in 1:1.... more paperwork! #OTalk
OT Sophie @OTSophie
@Lizzie_OT @OTalk_ agreed- sometimes the best placed I think! #OTalk
Sadie Blue @SadieBlueOT
@OTSophie I don't see safeguarding as a negative in my role. Safeguarding means we are aware of the potential risks. I use the signs of safety model and honestly, it is a brilliant tool and so easy to get in to the habit of doing with every note I record. #OTalk
#OTalk @OTalk_
RT @colinpgjones: @OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human bein…
#OTalk @OTalk_
RT @colinpgjones: @OTSophie I’m not sure you can stop safeguarding. But u can be reflective & alive to the issues. Unfortunately human bein…
#OTalk @OTalk_
RT @SadieBlueOT: @OTSophie I don't see safeguarding as a negative in my role. Safeguarding means we are aware of the potential risks. I use…
OT Sophie @OTSophie
@SadieBlueOT I shall look it up! #OTalk
Sadie Blue @SadieBlueOT
@OTSophie Signs of safety is strength based and it helps us to 'hold in mind' any worries or potential worries. 1. What are we worried about? 2. What is working well? 3. What needs to happen next? Its focused and clear. #OTalk
Sarah Sharland @SarahSharland19
@OTSophie Yes, we have different levels of falls careplans and fully review the person and environment. For pressure care we look at 24 hour posture and pressure care - seating, mattresses, mobility etc. This also links to nutrition - in-house dietician and specialised diets #OTalk
Lauren @Lauren_OT
@OTSophie I don’t think Safeguarding is a negative thing and not really sure that preventing it should be what we are aiming for as sometimes unfortunately that’s what people need. #OTalk
OT Sophie @OTSophie
@SadieBlueOT Strength based is a great way to frame the process. #OTalk
Elizabeth @Lizzie_OT
@OTalk_ Using our core OT skills, client centred comprehensive assessment, effective communication & joined up working with other services as well as patients and carers. Engaging in supervision, reflective practice, clinical governance and audit for quality assurance #otalk
#OTalk @OTalk_
This is Carolina signing off; thanks @OTSophie for such an engaging chat! We'll have a transcript of the chat available on our blog (https://t.co/xq6um06VVE) later for anyone who would like to catch up 😊 #OTalk
Sophie Maynard @SophieMaynard8
@OTSophie I'm lurking when I have signal. Starting my first post next Tuesday #newbie #OTalk
Lauren @Lauren_OT
@OTSophie But I think that basic things like knowing your patients, having professional curiosity, sharing information with your colleagues and between agencies and teams, ensuring your Safeguarding knowledge is up to date etc are things that could maybe help #OTalk
Sarah Sharland @SarahSharland19
Great #OTalk tonight, good to be back into it (it’s been a while! A toddler and a newborn...) #OT #maternityleave
Tori OT @Tori_Doll_
@OTSophie Don’t think there would be a way to collate this? 🤔 #OTalk
OT Sophie @OTSophie
@Lauren_OT All very good points #Otalk
@mileswashbrook @mileswashbrook
#OTalk #God #Jesus #WellnessBoogies #JoyJumps https://t.co/9ItJNXpEDT
OT Sophie @OTSophie
Thanks everyone for engaging in a topic not necessarily top of our exciting list but so important to our practice and profession #OTalk
OT Sophie @OTSophie
Also thanks for not leaving me just talking to myself!! Hard to keep up though! #OTalk https://t.co/ypoSUUOz0S
OT Sophie @OTSophie
@SarahSharland19 Wow well done!! Super woman!! Hope you're getting some sleep! #OTalk
#OTalk content from Twitter.