Medical Devices Competency Statement Weighing Scales

Medical Devices Competency Statement Weighing Scales
Medical Devices Competency Statement
Weighing Scales – Wheelchair
SELF ASSESSMENT
Surname
Job Title/Designation
Department/Ward
Forenames (s)
Line Manager
Telephone number
Self-verification of competence is undertaken by assessment against the following
statements:
• Responsibility for use remains with the user, so if you are in any doubt regarding your
competence to use the device, you should seek further training.
• Carry out an initial assessment. You must be able to answer yes to all the questions
before considering yourself to be competent.
• If you are not competent, inform your Line Manager for further training and repeat
self-verification.
• Once this training has been completed, you will be required to complete a new form.
Questions to ask yourself
Do you know:
1. The scales have been calibrated in the last year
Initial
assessment
date:
Yes/No
Final
assessment
date:
Yes/No
2.
You can competently set up the scales without causing
damage to the connections (e.g. align pins carefully,
press release button when disconnecting pins, do not
twist connections when removing or inserting)
Yes/No
Yes/No
3.
You can safely manoeuvre the scales whilst following
correct moving and handling procedures
Yes/No
Yes/No
4.
There is access to an electric socket for the display unit
Yes/No
Yes/No
5.
The scales are on a flat, hard surface
Yes/No
Yes/No
6.
There is sufficient room for the scales and to manoeuvre
a wheelchair on and off
Yes/No
Yes/No
7.
The patient is able to get onto the scales in their
wheelchair with the assistance of a carer (not yourself)
Yes/No
Yes/No
8.
The scales are class 3 (200g or less between each
interval)
Yes/No
Yes/No
9.
The scales are likely to weigh the patient and the
wheelchair (sufficient maximum weight)
Yes/No
Yes/No
Yes/No
Yes/No
10. You are using the most appropriate scales. Can the
patient stand unsupported? (are other scales available if
required e.g. sitting scales, standing scales)
11. Wheelchair footplates are used where appropriate to
avoid risking damage to feet when the patient is wheeled
on and off the plates
Yes/No
Yes/No
12. There is consistent approach used e.g. weigh the
wheelchair without any unnecessary attachments but with
the usual cushions, foot plates. When weighing the
patient and wheelchair, check for no extra attachments
e.g. bag hanging off the back, blankets
Yes/No
Yes/No
Statement: Having answered “yes” to all the questions above and taken into account my
personal assessment of my competence with the device, I declare that:
I am competent to use this device without further training.
Signature:
Date:
I require further training before I can use this device in a competent manner.
Signature:
Date:
PASS THIS FORM ON TO YOUR LINE MANAGER TO ACTIVATE – THIS COPY TO BE
ADDED TO YOUR PERSON FILE
October 2013
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