Course Outline:
Introduction & Course Overview (10 min)
- Welcome and introductions
- Course objectives & relevance to community nursing
- Participants’ experiences & concerns about lone working
1. Understanding Lone Working (20 min)
- Definition of lone working in healthcare
- Types of lone working scenarios in community nursing
- Legislation & guidance:
- Health and Safety at Work Act 1974
- Management of Health and Safety at Work Regulations 1999
- NHS and local policy requirements
- Employer & employee responsibilities
2. Risk Awareness & Hazard Identification (25 min)
- Common risks for community nurses:
- Environmental hazards (slips, trips, poor lighting)
- Aggression or violence from patients, relatives, or public
- Medical emergencies
- Road and travel risks
- Group activity: Hazard spotting in case scenarios
3. Risk Assessment & Dynamic Risk Assessment (30 min)
- Formal risk assessments before visits
- Dynamic risk assessment during visits
- Red flags & signs to leave or seek help
- Case study: Applying a dynamic risk assessment step-by-step
4. Personal Safety Measures (35 min)
- Travel safety tips & vehicle checks
- Arrival protocols & safe entry/exit strategies
- Positioning in the home for safety
- Communication plans and lone worker devices/apps
- Maintaining professional boundaries
- Role-play: De-escalation techniques in challenging situations
5. Communication, Escalation & Reporting (20 min)
- Informing base/team before, during, and after visits
- “Check-in” systems & GPS tracking
- Escalation when feeling unsafe
- Reporting incidents and near misses
- Documentation requirements
6. Emergency Procedures (20 min)
- When to withdraw from a situation
- Calling emergency services (police, ambulance)
- Medical emergencies when alone
- Post-incident actions & support
- Scenario-based discussion