Chapter 13 Promotion of Safety 2009 Delmar Cengage

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 O 2 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 © 2009 Delmar, Cengage Learning

O 2 Precautions • • • O 2 in use sign on patient door No smoking sign O 2 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 © 2009 Delmar, Cengage Learning

Ergonomics • Applied science to promote the safety and well-being of a person by adapting the environment and using techniques to prevent injuries © 2009 Delmar, Cengage Learning

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 © 2009 Delmar, Cengage Learning

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=0 CVk. Ep Xp 7 ho © 2009 Delmar, Cengage Learning