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Working Alone or In Isolation

Staff work alone or in isolation if they are at work and assistance is not readily available in case of emergency, injury, or illness.

To determine whether assistance is readily available ask the following questions:

  • Are other people in the clinic? 
  • Are those people aware of your staff’s need for assistance?
  • Would those people be willing to help?
  • Are they able to help in a timely manner?

Employer Responsibilities

  • Review Responsibilities

    Employees who work alone or in isolation are more vulnerable than those who have co-workers present. The employer must provide a workplace that is as safe as possible for workers. If you have staff who are assigned to work alone or in isolation, you must do the following and review annually for effectiveness.

    • Identify hazards and assess risks to staff who work alone or in isolation.
    • Eliminate or minimize the hazards when possible.
    • Develop and implement a written procedure for checking on the well-being of employees.
    • Provide staff training for the working alone check-in procedure.

Risk Assessment

  • Complete Risk Assessment

    The employer is responsible for identifying staff who are:

    • Working alone or in isolation.
    • In a position where they might not be able to secure assistance in the event of illness, injury, or other misfortune.

    This template can be used to assess the risk of staff working alone in your practice.

    Working Alone or in Isolation Risk Assessment

Policy and Procedures

  • Develop Policy and Procedures

    If clinic staff may work alone or in isolation, the employer must establish a policy and procedures for this.

     

    Working Alone and in Isolation Procedure and Policy 
  • Implement Check Procedure

    Employers must develop and implement a procedure for monitoring the well-being of employees working alone or in isolation. Regular check-ins help employees feel safer and more valued, reducing the anxiety and stress of working alone. It’s important to provide staff with clear check-in and check-out procedures.

Tips When Alone with Patients

  • Tips for when Working Alone with Patients

    Review the patient’s chart before their appointment. Take note of any potential concerns and use precautionary measures if necessary. For example, have another person in the room or leave the door ajar slightly.

    • Do not see a patient when you are alone or in isolation if you feel uncomfortable. Reschedule the appointment for when other staff are around. Consider if the appointment can be virtual.
    • Use the check-in and check-out procedure if working alone.
    • Approach a patient in a non-threatening and respectful manner.
    • Clearly and fully explain what you are going to do before and during the treatment or procedure.