Transcript Safety Part 2 PowerPoint

Chapter 13
Promotion of Safety
© 2009 Delmar, Cengage Learning
Oxygen
• Oxygen is necessary for life. Some diseases
and conditions cause the patient to be unable
to take in enough oxygen. In these cases, the
doctor will usually order additional oxygen
to be given by an oxygen delivery system
© 2009 Delmar, Cengage Learning
Oxygen
• A colorless, odorless gas
• It is considered medication prescribed by a
doctor
• Highly flammable and feeds a fire, which can
turn a small spark into a big flame
• Used by many people in healthcare facilities
and in the community
• Represented by the chemical symbol of O 2.
© 2009 Delmar, Cengage Learning
Oxygen
• O 2 tank - holds limited
amount of O 2, gauge
shows how much is left
• O 2 concentrator machine removes O2
from the air, power
source is needed
• Wall Outlet -O 2 is piped
into each patients unit.
© 2009 Delmar, Cengage Learning
Oxygen Administration
• Nasal Cannula - prongs are
inserted into nostrils, tubing
goes over ears and under chin
to keep in place.
• Simple Facemask - nose and
mouth are covered. Carbon
Dioxide CO 2 escapes from
small holes in the sides.
• Endotracheal tube and
ventilator which supports
breathing
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O2 Precautions
•
•
•
•
•
O2 in use sign on patient door
No smoking sign
O2 tanks should always be in a carrier
Be mindful of oxygen extension tubing
Cotton clothing only
– Avoid static electricity
• No open flames
© 2009 Delmar, Cengage Learning
The Joint Commission (TJC)
• The Joint Commission (TJC), formerly
the Joint Commission on Accreditation
of Healthcare Organizations (JCAHO)
• An independent, not-for-profit
organization
• Certifies more than 20,000 health care
organizations
• Certification is recognized nationwide
as a symbol of quality that reflects an
organization’s commitment to meeting
certain performance standards.
© 2009 Delmar, Cengage Learning
The Joint Commission
• National Patient Safety Goals- to improve patient safety in identified
problematic areas
– Patient falls
– Patient identification
– Improve communication
– Medication safety
– Health care associated infections
– Reconcile medications
– Reduce flu and pneumococcal disease
– Surgical fires
– Pressure ulcers
– Risk assessment
– Changes in patient condition
– Universal/standard precautions
© 2009 Delmar, Cengage Learning
13:2 Preventing Accidents and Injuries
• Occupational Safety and Health
Administration (OSHA)
– Division of the Department of Labor
– Establishes and enforces safety standards
in the workplace
– Two main standards that affect health care:
• The Occupational Exposure to Hazardous Chemicals Standard
• The Bloodborne Pathogen Standard
(continues)
© 2009 Delmar, Cengage Learning
Preventing Accidents and Injuries
(continued)
• Two standards that affect health care
workers:
1. The Occupational Exposure to Hazardous
Chemicals Standard
2. The Bloodborne Pathogen Standard
© 2009 Delmar, Cengage Learning
1. Occupational Exposure to
Hazardous Chemicals
• The Standard requires employers to
inform employees of all chemicals and
hazards in workplace
• All manufacturers must provide
Material Safety Data Sheet (MSDS)
with any hazardous product they sell
• Specific information has to be provided
on
the MSDS
• Training for employees
© 2009 Delmar, Cengage Learning
Bloodborne Pathogen Standard
• Contains mandates to protect health care
providers from diseases caused by exposure
to body fluids
• Diseases that can be contracted by exposure
to body fluids include hepatitis B, hepatitis
C, and AIDS
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Ergonomics
• Applied science to promote the safety
and well-being of a person by adapting
the environment and using techniques
to prevent injuries
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Components of Ergonomics
• Correct placement of
furniture and
equipment
• Training in muscle
movements
• Efforts to avoid
repetitive motions
• An awareness of the
environment to
prevent injuries
(continues)
© 2009 Delmar, Cengage Learning
Components of Ergonomics
(continued)
• Prevention of accident and injury
• Centers around people and the
immediate environment
• Health care worker must follow
safety regulations
• Remember, health care workers have a legal
responsibility to protect the patient from
harm and injury
© 2009 Delmar, Cengage Learning
Equipment and Solutions Regulations
• Do not operate or use any
equipment until you have been
trained on how to use it
• Read and follow operating
instructions
• Report any damaged or
malfunctioning equipment
immediately
• Do not use frayed or damaged
electrical cords
(continues)
© 2009 Delmar, Cengage Learning
Equipment and Solutions Regulations
(continued)
• Observe all safety rules
• Read MSDSs
• Never use solutions that are
from
unlabeled bottles
• Read labels at least three times
• Do not mix solutions together
unless instructed to do so
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Patient/Resident Safety Regulations
• Do not perform any procedures on patients
unless instructed and properly authorized
• Provide privacy for all patients
• Identify your patient
• Explain the procedure
(continues)
© 2009 Delmar, Cengage Learning
Personal Safety Regulations
• Responsible to protect yourself and others
from injury
• Use correct body mechanics
• Wear the required uniform
• Walk; do not run
• Report any injury or accident
• Unsafe situations need to be reported
(continues)
© 2009 Delmar, Cengage Learning
Personal Safety Regulations
(continued)
• Keep all areas neat and clean
• Wash hands frequently
• Dry hands thoroughly before handling
electrical equipment
• Wear safety glasses when appropriate
• Observe all safety precautions
(continues)
© 2009 Delmar, Cengage Learning
Personal Safety Regulations
(continued)
• If any solution comes in
contact with skin
or eyes, flush immediately
with cool water and report
• If particle gets in eyes, report
immediately,
do not try to remove or rub
eye
© 2009 Delmar, Cengage Learning
Occurrence/ Incident Reports
• Records details of an accident or unusual
event of patient, visitor or employee within
24 hours of event
• This report documents exact details of the
occurrence
• Useful when dealing with possible liability
issues in the future
• It never becomes a part of the patient medical
record
© 2009 Delmar, Cengage Learning
Summary
• Health care workers are legally
responsible for familiarizing themselves
with disaster policies
• Preventing fires is everyone’s concern
• Be alert to causes of fires and take measures
to prevent them
• Know policies to follow in case of fire
© 2009 Delmar, Cengage Learning
Create a Brochure for:
TJC National Patient Safety Goals
• National Patient Safety Goals- to improve patient safety in identified
problematic areas
– Patient falls
– Patient identification
– Improve communication
– Medication safety
– Health care associated infections
– Reconcile medications
– Reduce flu and pneumococcal disease
– Surgical fires
– Pressure ulcers
– Risk assessment
– Changes in patient condition
– Universal/standard precautions
© 2009 Delmar, Cengage Learning
Safety Video
• http://www.youtube.com/watch?v=0CVkEp
Xp7ho
© 2009 Delmar, Cengage Learning