1. What a pain! Karolina has just

1. What a pain! Karolina has just begun a new job as a Health Care Assistant (HCA) in a busy general surgical ward. She is paired up with Margaret, another HCA, and is asked to work with her and assist patients with their personal care needs. Margaret and Karolina have been asked to look after bay 5, which is a six-bedded male bay. All the patients have had operations for leg fractures. Four of the men say they are able to meet their own care needs, but Arthur and David say that they require assistance. Margaret tells Karolina to go and help Arthur while she assists David; Karolina feels unable to say no, as she is new. However, because Karolina has not completed any moving and handling training, she is unaware that it is the hospital policy not to lift patients and that lifting equipment, such as a hoist, should always be used. When Karolina gets Arthur into the shower, he insists he can stand unaided and wash himself, but Karolina is unaware that Arthur should be sitting down. She goes to get a towel for him, but upon her return, she finds Arthur on the shower floor. He asks Karolina to help lift him up, which she does, but as she straightens, she turns to sit Arthur on the commode and feels a sudden sharp pain in her back and is unable to move. Karolina pulls the emergency cord for help. When help arrives, Karolina has to explain what has happened. The ward sister is not happy! Questions How could this situation have been avoided? What did Karolina do wrong? Was Margaret at fault, and if so, why? When Karolina found Arthur on the floor, what should she have done? SCIENCE HEALTH SCIENCE NURSING BIO 123

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