Welcome Guest! The IOSH forums are a free resource to both members and non-members. Login or register to use them

Postings made by forum users are personal opinions. IOSH is not responsible for the content or accuracy of any of the information contained in forum postings. Please carefully consider any advice you receive.

Notification

Icon
Error

Options
Go to last post Go to first unread
Lojikglos  
#1 Posted : 13 April 2011 14:47:49(UTC)
Rank: Forum user
Lojikglos

Hello to every and thanks in advance to any one who offers suggestions. I need to complete a risk assessment for a new employee within the company who is Insulin dependant type 1 diabetes sufferer (if thats the correct political language to use). The person in question self medicates with injections and has not had a "hypo" for, by there own admission, a considerable length of time. it has been explained that the person Knows when they are about to have a hypo and they have another form of medication which is fast acting and prevents a full blown "hypo" Naturally starting point for research is the HSE website for producing a risk assessment which is a bit slow but on going. The company employs an EMAS registered specialist who may be able to shed some light on the more medical aspects of the risk assessment etc but So i need advice if any one is able to point me in the right direction. Im unsure of the legalities about who is allowed to administer the fast acting insulin Not sure if all staff need breifing on type 1 diabetes syptoms of hypo, what actions to take etc Not sure if I deliver the brief through verbal briefing one on one or if a document was produced and signed as evidence that it has been read and understood. Look forward to all and any responses
Leslie3048  
#2 Posted : 13 April 2011 15:09:04(UTC)
Rank: Forum user
Leslie3048

I do not think you need to go too deep into this. Unless someone is trained in giving insulin injections then I would not advacate it. Complete your risk assessment anyway and you can always get help from NHS direct or simply dial 999 if he/she has an attack. BUT you must ask the person who has diabetes his/her views and what you should do in case of an emergency. If they wish to, it is much better for them to give advice to work collegues etc on what to do. Hope this helps Les
MB1  
#3 Posted : 13 April 2011 15:09:56(UTC)
Rank: Super forum user
MB1

Remember to consider the indvidual's dignity within respects of who and what is discussed!
ianjones  
#4 Posted : 13 April 2011 18:50:58(UTC)
Rank: Forum user
ianjones

my son has type 1 so i can hope i can help 1 never administer insulin
ianjones  
#5 Posted : 13 April 2011 19:03:30(UTC)
Rank: Forum user
ianjones

sorry laptop cut me off! 1 never give insulin this is an injection to lower blood sugars and is used to combat the sugars in the food that we eat, we take a long acting one as a background insulin and a fast acting one as a counter to any food or drink we take this varys according to the sugar content in the food/drink a hypo is the condition when a person has a low sugar count in their blood, in that case you give sugar! this is normally a fizzy drink or a dextrose tablet a person may show a hypo by being unsteady, appear drunk, fall over generally they will be very tired and may want to sleep - if they do not receive sugar quickly they will become unconscous and can slip into coma and then death most diabetics carry a sugar solutin gel with them, thi sis smeared on the lips and gums and wil bring them round in seconds if unconscious otherwise give a sugar drink okay - talk to your colleague all symtoms differ slightly from person to person and they will tell what there symptoms are other people if the person agrees what symptoms look like what to do i.e fizzy drink your risk assessment should take into account lone working and workinng at heigths etc othewise no changes from normal occupational risks hope this helps Ian
TDS1984  
#6 Posted : 14 April 2011 09:24:53(UTC)
Rank: Forum user
TDS1984

Presumably your site first aiders are available and should already be aware of what to do in the case of a diabetic patient. But as stated earlier work with the diabetic employee to wrap up any issues you feel are there.
Barrie(Badger)Etter  
#7 Posted : 14 April 2011 09:30:52(UTC)
Rank: Super forum user
Barrie(Badger)Etter

Don't go overboard - KISS IT. Advise first aiders so that they will be ready for response to that persons condition. All that Ian said goes and you can add Mars bars and Boost bars especially as they are high in sugar. I should know my love for them pushed me over the top as a diabetic, but that's' another story. Your first aid RA will need adjusting to cater for this 'disability' but a general RA is NOT req'd. Suggest to person concerned that they advise immediate colleagues of condition and what symptoms to look out for, that way they are involved in the RA process. Badger
Canopener  
#8 Posted : 14 April 2011 15:53:27(UTC)
Rank: Super forum user
Canopener

You don't say what sort of work this person is doing; that would be helpful! I assume 'desk/admin' work? I'm glad Ian replied to try and correct the confusion that people have with hypo's (low blood sugar, < 4mmol/l) and hyper's (high blood sugar). The warning signs of the hypo are typically, feeling 'wobbly', sweaty, losing colour and getting irritable and angry (it's a great excuse to use at times!). Many type 1's carry dextrose tablets, but a normal fizzy drink (not alcoholic) or a few soft sweets/choccies or a biscuit or two will normally get their sugar levels up sufficiently, for them to be able to measure their own levels and sort themselves out. The hyper on the other hand is a different matter, and I wouldn't personally recommend that anyone gives further insulin without being in the position of being absolutely sure that the person is having a HYPER (read DON'T) Should they be having a HYPO then further insulin would be the last thing that they need. If you suspect a HYPER and the person isn't able to check their own levels, make a decision on what to do, ansd administer insulin themselves then I suggest that you call an ambulance. The best person to advise, is usually the person themselves. They will be able to tell you how well controlled they are, the warning signs that they tend to suffer from etc. Most sufferers of T1 diabetes are responsible and will let those around them know what to look out for and what to do. You do not need to treat them like a person with two heads! I personally don't see the need to, or subscribe to people having to sign as having read and understood. IMHO a relatively simple approach is all that is required, it doesn't need reams of additional paperwork or major re-working of the FA RA. Keep it in proportion. As an aside does everyone appreciate that diabetes affects about 5% of pregnant women? (as opposed to pregnant men, who don't suffer from it at all!!!!)
Users browsing this topic
Guest
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.