General inpatient work

 

Specialist areas

Functional requirements

Details/ health and safety factors

General inpatient work

 

 

 

 

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

 

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

 

 

 

 

Display screen equipment tasks e.g. comuterised notes, results, email

 

 

Talking and listening on phone

May present problems for doctors with hearing loss or wearing hearing aids.

 

 

Dictating and reading letters

May present problems for doctors with problems of vision/visual acuity

May cause problems for doctors with dyslexia

 

 

Using bleep/pager

May present problems for doctors with hearing loss or wearing hearing aids

 

Doctor-patient consultation

Communicating with patients and relatives

May present problems for doctors with visual or hearing problems

 

 

Sitting for defined periods

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

 

Getting in and out of chair

 

 

Helping to manual handle patients during examination, and on/off bed

 

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

 

Clinical procedures

Taking blood, ECGs etc

 

Also see specific specialties

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

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)

 

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

 

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

 

Management responsibilities

Administration

Meetings

Finances

May cause problems for doctors with dyslexia

 

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