General inpatient work
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Specialist areas |
Functional requirements |
Details/ health and safety factors |
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General inpatient work |
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Ward rounds |
Standing for long periods Carrying notes and equipment round wards |
May present problems for doctors with mobility issues from a variety of causes e.g. neurological and musculoskeletal conditions |
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Clinical administration |
Hand written tasks e.g. writing in notes, filling in forms |
May present problems for doctors with upper limb disorders especially in dominant hand, neck and lower back conditions and problems of vision/visual acuity May cause problems for doctors with dyslexia |
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Display screen equipment tasks e.g. comuterised notes, results, email |
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Talking and listening on phone |
May present problems for doctors with hearing loss or wearing hearing aids. |
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Dictating and reading letters |
May present problems for doctors with problems of vision/visual acuity May cause problems for doctors with dyslexia |
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Using bleep/pager |
May present problems for doctors with hearing loss or wearing hearing aids |
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Doctor-patient consultation |
Communicating with patients and relatives |
May present problems for doctors with visual or hearing problems |
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Sitting for defined periods |
May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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Getting in and out of chair |
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Helping to manual handle patients during examination, and on/off bed |
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Examination of patients |
Bending over patients on bed/chair
Using stethoscope
Using auroscope Using ophthalmoscope
Performing rectal and vaginal examinations |
May present problems for doctors with musculoskeletal conditions especially neck and lower back
May present problems for doctors with hearing loss or wearing hearing aids
May present problems for doctors with problems of vision/visual acuity
May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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Clinical procedures |
Taking blood, ECGs etc
Also see specific specialties |
May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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Contact with infectious diseases |
Contact with blood and body fluids
Contact with infectious patients |
Risk to all from needlestick injuries and splashes May present problems for doctors who are immunosuppressed due to variety of causes including medication, radiotherapy, HIV etc Specific concerns during pregnancy (e.g. parvovirus, measles, whooping cough) |
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Doctor-staff interaction |
Communicating with other staff members both verbally and by phone Teaching junior doctors, medical students etc |
May present difficulties for doctors with visual or hearing problems |
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Member of resuscitation team (CPR) |
Performing cardiac massage, manual ventilation and defibrillator CPR sometimes performed in awkward positions /places e.g floor Ability to attend arrest in timely fashion on large hospital site |
May present problems for doctors with upper limb disorders, or neck and lower back problems
May present problems for doctors with mobility issues from a variety of causes e.g. neurological, musculoskeletal |
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Management responsibilities |
Administration Meetings Finances |
May cause problems for doctors with dyslexia |
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Shift work |
Work day, evening and night shifts, plus on call |
May present problems for doctors with a variety of medical conditions including diabetes, epilepsy, some types of cardiac and respiratory disease, recovery from psychiatric illness, and taking medication with strict timetable For information on advice in pregnancy see http://www.fom.ac.uk/wp-content/uploads/HWDU-Pregnancy-Guidelines-Feb-2013.pdf |