Transcript Health and Safety

Health and Safety
•Charlie Crist, Governor
•Jim De Beaugrine, Director
1
Updated 8/2010
Health and Safety
Health
and
Safety
Course
(One of two required components of Core Competency Training)
2
Health and Safety
Today’s Agenda
 Module 1: Training Overview
 Module 2: Health Overview
 Module 3: Medication Awareness
 Module 4: Infection Control and Food Safety
 Module 5: Emergency Preparedness and
Response
 Module 6: Health & Safety Summary & Course
Quiz
3
Health and Safety
Purpose of This Course
• Equip participants to provide maximum health
and safety standards
• Equip you to share this knowledge
4
Health and Safety
Who Should Participate
Individuals who are serving people that are:
• Attending Adult Day Training programs
• Receiving Residential Supports and Services
• Receiving Companion Services
• Participating in Supported Employment
• Receiving any other community-based services
5
Health and Safety
Length of Course
• The estimated completion time for this course is
6 hours.
6
Health and Safety
Module 2
Health Overview
Five responsibilities
for providing
optimum health care
Graphic Here
7
Health and Safety
Key Learning Objectives
 List the five responsibilities for providing health
care
 Demonstrate accurate documentation of health
care information
 Demonstrate how to report changes
 Demonstrate how to take appropriate action
 Describe examples of non-emergency situations
 State actions to take for non-emergency situations
 Describe conditions that constitute an emergency
8
Health and Safety
Key Learning Objectives (Cont’d)
 State when, to whom, and how to report an
emergency
 Describe “other changes”
9
Health and Safety
Five Responsibilities of the
Support Professional
1. Observe
Use
your
5 senses
10
Health and Safety
Five Responsibilities of the
Support Professional
2. Document
Create a
behavioral
and
physical
snapshot
11
Health and Safety
Five Responsibilities of the
Support Professional
3. Report
Who
What
When
Where
Why
12
Health and Safety
Five Responsibilities of the
Support Professional
Use
Decision
Tree
4. Take Action
Stabilize
Action
Get help?
React
appropriately
13
Health and Safety
Five Responsibilities of the
Support Professional
5. Follow Up
• Optimal
health
• Completes
medication
• Document
changes
Follow Up
Observe
Document
Report
Take
Action
14
Health and Safety
Observing
You can pick up clues that a person’s
health is changing by monitoring vital signs,
which include:
Temperature
Pulse
Blood pressure
Respiration
15
Health and Safety
Behavioral Observations
 Mood changes (withdrawal, demanding more
affection, more aggressive physical or verbal
behavioral outbursts) or abusiveness
 Unusual fatigue or signs of depression
including crying spells, not cooperating, or
unusual interactions including grabbing or
hanging on to other people
 Becoming more withdrawn and less interested
in what others say
16
Health and Safety
Behavioral Observations (Cont’d)
 Increases in the number, type, length, or
response of the person before, during, and
after a seizure
 Behavior that may harm self, such as head
banging, scratching, and picking at own hair
or skin
17
Health and Safety
External Observations
Changes in skin, including scratches, burns, and
bruises
Blood in stool or urine or on toilet paper
Blue- or purple-tipped nails, lips, fingers, or toes,
indicating lack of oxygen in the blood (cyanosis)
Any infection that does not respond to treatment
after a physician’s recommended period of time
18
Health and Safety
External Observations (Cont’d)
Weight gain or loss
Conditions that decrease mobility (broken bone,
strained or sprained muscle or ligament)
Changes in breathing patterns during sleep
Changes in patterns of elimination in either the
bowel or the bladder
19
Health and Safety
Internal Observations
Increases in sinus and lung congestion including
wheezing, coughing, gagging, or difficult
breathing
Increased or decreased blood sugar levels in
people who have diabetes
Repeated episodes of high or low body
temperatures (hypo- or hyperthermia), especially
if not previously experienced
20
Health and Safety
Activity 1: Observation
Complete this Exercise
in
your Participant’s Guide
on Page 11-12.
21
Health and Safety
Documentation
• Provides a history of the person’s health so that
changes can easily be detected.
• Helps track these changes.
Key point:
Information you write down
must be measurable!
22
Health and Safety
Activity 2: Documentation
Complete the Exercise
in
your Participant’s Guide
on Page 14
23
Health and Safety
Reporting
• Who to tell?
– Legal representative
– Family
– Other support professionals
– Medical personnel
24
Health and Safety
Reporting (Cont’d)
• Why report health status to others?
Others may need to make decisions based on
the changes you’ve observed
25
Health and Safety
Reporting (Cont’d)
• What to report:
– When changes first appeared
– Changes over time (trends)
– Any factors you or others observed or wrote
down that might have caused these changes
26
Health and Safety
Activity 3: Reporting
Complete the Exercise
in your Participant’s Guide
On Page 19.
27
Health and Safety
Taking Action
See Decision Tree
What’s difference between life-threatening and
non-life-threatening situations?
28
Health and Safety
Activity 4: Taking Action
Complete the Exercise
in your Participant’s Guide
on Page 22
29
Health and Safety
Follow Up
•
•
•
•
Observe
Document
Report
Take Action
30
Health and Safety
Activity 5: Follow Up
Complete the Exercise
in your Participant’s Guide
on Page 24
31
Health and Safety
Module 3
Medication Awareness

Welcome to the Health
Overview module. In this
module you’ll learn a
simple way to remember
the five responsibilities you
have in providing for the
optimum health of a person
with developmental
disabilities.
32
Health and Safety
Key Learning Objectives
 List and describe four possible effects of
medication
 List and describe three possible effects of drug
interactions
 Describe information that must go with person
to the doctor, and identify your agency’s policy
for acquiring this information
 List four items of information that must be
obtained when a new medication is ordered
33
Health and Safety
Key Learning Objectives (Cont’d)
Determine whether order and label agree
List medication documents that the law
requires you to keep
Demonstrate proper preparation of all
medication forms required by your agency
Explain when/how to report physical and
behavioral changes
34
Health and Safety
Key Learning Objectives (Cont’d)
 Identify proper and improper medication storage
practices
35
Health and Safety
The Possible Effects of Medication
1.
2.
3.
4.
Desired Effects
Side Effects
No Effect
Adverse Effects
36
Health and Safety
Desired Effects
Drug has done what it was meant to do!
37
Health and Safety
Side Effects
Expected, usually mild or easily treated
38
Health and Safety
No Effects
No change
after the allotted time
for a drug to take effect
39
Health and Safety
Adverse Effect
Severe allergic or other physical reaction
40
Health and Safety
Effects of Drug Interactions
1.
2.
3.
Drug Potentiation
Drug Antagonism
New Effects
41
Health and Safety
Drug Potentiation
When effects of one or more drugs are increased
42
Health and Safety
Drug Antagonism
When effects of one or more drugs are decreased
43
Health and Safety
New Effects
When two or more drugs are taken together,
totally new effects may occur
44
Health and Safety
Activity 6. Drug Effects & Interactions
Complete the Exercise
in your Participant’s Guide
On Page 31
45
Health and Safety
Information That Goes
with a Person to the Physician
• make sure certain information is provided to
the doctor
• See the chart in your Participant’s Guide
(page 32) to help you organize information
46
Health and Safety
Information Obtained
From the Physician
1.
2.
3.
4.
Written Physician’s Order
Written Prescription
Purpose and Desired Effect of the Drug
Response Time
47
Health and Safety
Activity 7. Information Obtained from
a Physician
Complete the Exercise
in your Participant’s Guide
on pages 36 - 37
48
Health and Safety
Checking Physician’s Order and
Pharmacy Label
• Before having prescription filled, make sure you
understand specifically what the doctor
ordered (e.g., drug name, dosage, directions,
numbers of refills remaining, etc.)
• Compare order with what you receive
• If different, have pharmacist correct
49
Health and Safety
Required Agency Documents
1. The medication in the container supplied by
the pharmacist
2. A correct and legible label on the container
3. A written physician’s order for the medication
4. Answers to the questions in the table you just
printed
50
Health and Safety
Effects of Medications
• Medication can cause unwanted side effects
• Communicate all signs and symptoms you
observed
51
Health and Safety
Storing Medications
Refer to information from pharmacist
about medication storage
52
Health and Safety
Module 4—Infection Control &
Food Safety
The purpose of this module is to
equip direct support professionals
with principles and practices that
will ensure a healthy, safe eating
environment. Also, as much as
possible, direct support
professionals need to instill these
principles and practices in
individuals receiving supports and
services.
53
Health and Safety
Key Learning Objectives
Apply nutritional guidelines when cooking
meals or assisting others
List seven methods of proper food
handling and storage
Define the term Standard Precautions
List three ways to prevent spreading
infection
54
Health and Safety
Nutritional Guidelines
• MyPyramid
• See your Participant’s Guide
and Reproducible Job Aids for
the detailed guidelines.
55
Health and Safety
Special Diets
• Some medical conditions require special
preparations, types, and amounts of foods such as diabetes, Prader-Willi, swallowing
difficulties, and heart conditions.
• Dietician usually provides instructions for the
foods people with this condition can eat.
• Follow the dietician’s guidelines for people with
unique food needs, and be sure to observe,
document, and report any changes in the
person’s behavior or appearance.
56
Health and Safety
Activity 8: Anatomy of the Pyramid
Turn to the page titled Anatomy of
MyPyramid in the Reproducible Job
Aids Booklet (pages 15 – 29) and
discuss each section (activity,
moderation, personalization,
proportionality, variety, and gradual
improvement).
57
Health and Safety
Food Handling and Storage
58
Health and Safety
Standard Precautions for
Infection Control
Refers to
a group of prevention practices
that apply to all people,
regardless
of whether they
have a diagnosed infection or
not.
59
Health and Safety
What does this mean?
Blood, secretions,
excretions, broken skin
and mucous membranes
MAY contain infectious
agents.
60
Health and Safety
How do you protect yourself &
others?
Wash Your Hands!
1.
2.
3.
4.
5.
6.
Running water
Soap
Rub hands together 30
sec.
Rinse & dry hands
Turn off water using same
towel used for drying
hands
Dispose of towel
61
Health and Safety
Wear protective equipment
Disposable gloves
Gowns
Mouth protection
Nose protection
Eye protection
62
Health and Safety
Another Way
to prevent the spread of infection
63
Health and Safety
Best Way
to prevent
the spread of infection?
Wash
Your
Hands
64
Health and Safety
Activity 9: Ways to Better Assure a
Healthy Living Environment
Refer to the pages in the Job Aids Booklet
(pages 32 – 34 related to this module, break
into groups of 4 and
 review specific job aids;
 discuss how aids can be used in
specific residential settings;
 develop a list of aids that would make
good posters; and
 suggest where to post.
65
Health and Safety
Module 5—
Emergency Preparedness & Response

The purpose of this module is to
equip direct support professionals
with guidelines and principles in
the event of various emergencies
and natural disasters.

Also, as much as possible, direct support
professionals need to instill these principles
and practices in individuals receiving supports
and services.
66
Health and Safety
Key Learning Objectives
 Describe safety measures involved with
emergency situations such as fires, poisonings,
floods, hurricanes, etc.
 Identify appropriate disaster and emergency
procedures.
67
Health and Safety
Stocking a First Aid Kit
Include:
– Instruments
– Medicines
– Dressings
68
Health and Safety
Instruments
•
•
•
•
Tweezers
Scissors
Thermometer
Safety Pins
69
Health and Safety
Medicines
• emergency medication
• antiseptic
• antiseptic cream
70
Health and Safety
Dressings
•
•
•
•
•
•
gauze
paper tissues
bandages
sterile dressings
self-stick dressing strips
adhesive strapping
71
Health and Safety
Safety Measures in Emergency
Situations
• Most emergencies that you’ll have to respond to
fall in one of these categories:
–
–
–
–
Residential Fire
Electrical Shock
Chemicals and Poisonings
Falls
• See your Participant’s Guide for procedures to
handle these types of emergencies.
72
Health and Safety
Activity 10. Emergency Response
Complete the Exercise
in your Participant’s Guide
on Page 60
73
Health and Safety
Creating a Disaster Preparedness Kit
• Just as you need a First Aid Kit to prepare for
the emergencies we’ve discussed, you’ll also
need a Disaster Preparedness Kit for oncoming
disasters such as hurricanes, floods, tornadoes,
and forest fires.
• See your Participant’s Guide for Disaster
Preparedness Kit Guidelines.
74
Health and Safety
Safety Measures in Natural Disasters
• Florida’s most frequent and devastating natural
disasters are:
Hurricanes
Floods
Tornadoes
Forest Fires
• See your Participant’s Guide for Natural Disaster
Guidelines (pages 63-64).
75
Health and Safety
Activity 11. Natural Disaster Preparation
Complete the Exercise
in your Participant’s Guide
on Pages 65 - 66
76
Health and Safety
Residential Disaster Plan
Use the document
about Residential Disaster Planning
in your Participant’s Guide (pages 67-73)
to keep you and people you work with
safe when disaster strikes.
77
Health and Safety
Module 6—Health & Safety
Summary & Course Quiz

Congratulations! You have
completed the Health &
Safety course!

This final module will provide
you with a summary of what
you have learned, and allow
you to access the final course
quiz.
78
Health and Safety
Summary
• What questions do you still have?
• Are there topics you wish to review?
• Is there anything else that should be discussed
prior to finishing our session?
79
Health and Safety
In Conclusion
80