promotion of safety in health care. safety is everyone’s responsibility in the hospital setting…...
TRANSCRIPT
SAFETY IS EVERYONE’S RESPONSIBILITY IN THE HOSPITAL SETTING…
• Medical errors rank as the 8th leading cause of death in the US – higher than motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516)
• According to the CDC, in US hospitals hospital-acquired infections account for an estimated 1.7 million infections and 99,000 associated deaths each year
• One in every four Medicare patients who were hospitalized from 2000 to 2002 and experienced a patient-safety incident died
• Safety in the health care industry is every employee’s responsibility
• Safety protects: patients, health care worker, co-workers and visitors
• Common injuries of health care workers: musculoskeletal strain, needlesticks
ORGANIZATIONS RESPONSIBLE FOR SAFETY IN HEALTH CARE:• OSHA: Occupational Safety and Health
Administration
• www.osha.gov
• JCAHO: Joint Commission on Accreditation of Healthcare Organizations
• www.jointcommission.org
JOINT COMISSION
• Non profit est in 1951
• Safety/quality of care
• Accreditation status can affect licensure/funding
• Surveys conducted annually
• National patient safety goals
• Safety goals: id pt correctly, improve communication, med admin, reduce HAI, identify pt safety risks, prevent surgical mistakes
• Responsibility of all hcw
OSHA
• Dept of Labor agency
• Occup Safety and Health Act in 1970
• Mission:
• prevent work-related injuries, illnesses, and deaths
• Est/enforce workplace safety/health standards
• 2 standards that affect health care workers:
• 1. Occupational Expos to Hazardous Chemicals Standard
• 2. Blood Borne Pathogens Standard
1. OCCUP EXP TO HAZ CHEM
• Emplyrs must:
• inform ee’s of wrkplace hazards, safe handling procedures, location of MSDS (Material Safety Data Sheet)
• train ee’s, report all exposures
• All manufacturers must provide MSDS for hazardous products sold
• MSDS: physical data, health effects, first aid, reactivity, storage, disposal, PPE, spill/leak procedures
• BBP, est in 1991 to protect hcw from exp to body fl
• Primary diseases transmitted by body fl inc: Hep B, Hep C, HIV/AIDS
• Emplyr: H/W, Hep B vacc, PPE, sharps disposal, tx for exposures, training
• Needlestick Safety Act of 2001: safer devices, inj log, tx for sticks
DID YOU KNOW
• Over 1 million workers suffer from back injuries during the course of their careers
• 60% of the US population has experienced back pain at some point in their lives
• 5% of the US population suffers from chronic back pain
• Lifting a 10lb object can put up to 1150 lbs of pressure on the lower back!
• Most back injuries are preventable!
BODY MECHANICS DEFINED
• utilization of correct muscles to complete a task safely/efficiently, w/out undue strain on any muscle/joint
• way the body moves and maintains balance while making efficient use of all of its parts
4 REASONS FOR GOOD BODY MECHANICS:
• Muscles work best when used correctly
• Makes tasks easier
• Prevents fatigue/strain; saves energy
• Prevents injury to self and others
9 RULES OF GOOD BODY MECHANICS
• 1. Maintain Wide Base of Support: keep feet 8-10” apart pointed in direction of movement
• 2. Bend at knees and hips not from waist; keep back straight
• 3. Use strongest muscles: deltoid, bi/tricep, quad, hamstring
• 4. Use body weight to push, pull or slide. Try not to lift
• 5. Keep the object being lifted close to your body
• 6. Avoid twisting; turn feet and entire body
• 7. Avoid prolonged bending
• 8. Always plan lift and test load
• 9. If unsure, get help
RISK FACTORS FOR BACK INJURIES:
• Obesity
• Lack of muscle tone/poor physical fitness
• Poor body mechanics
• Poor posture
• Age
• Previous back injury
• Stress
• Smoking
• Underlying disease process
ERGONOMICS
• Adapting the environment to prevent inj
• Includes:
• Correct placement of equip, training for correct use of muscles, avoidance of repetitive motion
1. EQUIPMENT/SOLUTION SAFETY
• Do not use any equipment unless trained
• Read all equip instructions/attend inservices
• Report all damage/malfunction
• Observe all equip safety precautions
• Read MSDS
• Do not use unlabeled soln
• Read labels 3 times
• Do not mix solns unless there is awareness of compatibility
• Clean all spills acc to institution/soln guidelines
2. PATIENT SAFETY
• Do not perform any procedures unless qualified/trained
• Always verify all medical orders
• Use only approved methods
• Avoid shortcuts
• Explain all procedures/obtain consent
• Observe the patient closely during all procedures
• Wash hands frequently!
• Wear PPE when indicated
• Identify the patient: Ask name/DOB, check wristband, use name x 2, check chart
• Prior to proced: introd self, ID pt, explain proced, obtain consent
PATIENT BRACELETS
• Allergy
• DNR
• Restricted Extremity
• Yellow: Fall Risk
• Latex allergy
• Same Name
• Observe patient safety checkpoints:
• 1. pt in a comfortable position
• 2. bed in lowest position
• 3. siderails up if indicated
• 4. bed wheels locked
• 5. call signal/supplies in reach
• 6. door/curtain open/closed
• 7. pt area neat/clean
• 8. check for hazards
Wheelchair safety:
•1.Inspect w/c: all parts in good working order?
•2. Use right side of hallway/care at intersections.
•3. Pull w/c backwards into elevator
•4. Walk w/c backwards down any ramps
•5. Use body weight to push chair
3. HEALTH CARE WORKER SAFETY• Individual responsibility
• Use correct body mechanics
• Walk!
• Follow traffic pattern: keep to right
• Report any unsafe situations
• Report all injuries, even if minor, to superv
• Keep work area neat
• Wear ID, proper attire
• H/W frequently!
• Use PPE as indicated for certain pts/procedures
• Always follow standard and isolation based precautions
• Never recap needles
• Flush eyes/skin if contaminated
FIRE SAFETY
• Potential in hosp d/t electrical equipment/solutions in use
• Units at greatest risk?
• Multipurpose fire extinguisher: Class ABC
• Remain calm!
• Follow all institution guidelines; know fire emergency plan
• Know how to operate a fire extinguisher
• What are the Code Red procedures at Taylor?
• Follow institution no smoking policies
• Dispose of waste in appropriate containers
• Use care when operating all electrical equip
• Store flammables in appropriate containers/areas
• Make sure fire exits are not blocked
• Observe O2 safety guidelines