Transporting Clients Safely
Published: 06 September 2020
Published: 06 September 2020
In order to ensure that these clients can maintain a level of freedom, participate in their communities and access essential services, healthcare organisations may offer transportation assistance.
While these services can positively contribute to clients’ quality of life and create opportunities for independence and social interaction, there are also a variety of risks that need to be mitigated.
When transporting clients, you have a responsibility to ensure their safety, as well as your own.
There are a variety of hazards associated with transporting clients that may lead to accidents, injuries or harm. There may be adverse outcomes for you, your clients, or all parties involved. Potential hazards include:
(Wilshire Community Services 2018; QLD Gov 2018; Mid-Western Regional Council 2017)
Clients may need to bring mobility aids or assistive equipment with them when travelling. Examples include:
(Australian Gov 2012; Wilshire Community Services 2018)
Equipment should always be safely restrained during the journey so that it does not cause injury to you or your passengers (WorkSafe VIC 2020).
The vehicle used should be appropriate for transporting clients, as well as any equipment they may require. Keep in mind the number of doors, the seat height and other factors that may make the vehicle difficult for clients to access. Depending on the clients you are transporting, the vehicle may also require extra features such as swivel seats or storage space (WorkSafe VIC 2020).
The vehicle must be roadworthy, well-maintained and clean. All instruments and mechanisms should be working correctly. The interior should be free of any debris or clutter that could lead to injury. In order to ensure passengers are comfortable, the vehicle should be equipped with heating and cooling systems, along with appropriate ventilation (Wilshire Community Services 2018).
The vehicle should be properly inspected prior to transporting clients (ACARES 2017). When checking the vehicle, ensure that:
(Wilshire Community Services 2018)
The loading and unloading process can be dangerous and cause injuries to staff and clients, especially in the dark. Always conduct a risk assessment before loading or unloading clients and ensure the vehicle is parked in a safe and appropriate position before commencing (NHS 2018).
Any manual handling of passengers and their equipment should be performed with care to ensure the safety of staff and clients. Only perform manual handling tasks if you have been appropriately trained to do so (Mid-Western Regional Council 2017).
In order to avoid an accident on the road, defensive driving is essential. You must always consider others while driving, with the goal of keeping yourself and all others on the road safe. Defensive driving requires you to be conscientious, careful and focused (Wilshire Community Services 2018).
When transporting clients:
(Wilshire Community Services 2018; WorkSafe VIC 2020; ACARES 2017; QLD Gov 2018)
Clients are often frail and have special care needs. It is important to monitor your client’s condition while they are using transportation services in case they suddenly become ill or deteriorate. If you recognise any changes in a client’s behaviour or condition, notify the appropriate personnel and call emergency services if required (Mid-Western Regional Council 2017; Wilshire Community Services 2018).
You should also be familiar with any equipment that could indicate an emergency situation. For example, a patient’s ventilator alarm might go off, meaning the patient is not receiving any air (Wilshire Community Services 2018).
Always treat clients with respect and empathy. Some clients may have difficulty accepting their loss of independence, so be patient and understanding. Identify any clients who may be prone to violence, aggression or dangerous behaviour and make appropriate arrangements to ensure transportation is safe (e.g. seat them further away so that they cannot interfere with your driving). Pull over if a client is displaying violent or concerning behaviour that places you or other passengers’ safety at risk (Wilshire Community Services 2018; WorkSafe VIC 2020; ACARES 2017).
Your organisation should have a procedure in place for managing violent or aggressive behaviour.
In some cases, clients may be able to move around freely at their destination until they are picked up. If a client does not appear for their scheduled return service, all reasonable attempts should be made to locate them, while considering the safety and comfort of any other clients who are present. If you are still unable to find the lost client, the police may need to be called (Mid-Western Regional Council 2017).
Many clients who are unable to move around in the community independently rely on transportation services to socialise and go about their daily activities.
While these services are necessary for the health and wellbeing of clients, there are a number of potential risks associated with picking up, driving and dropping off vulnerable people. In order to keep yourself and your clients safe, it is essential to work conscientiously and follow all required procedures.
Question 1 of 3
What steps should you take if you recognise a deteriorating client?
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