1. © 2009 Delmar, Cengage Learning Chapter 13 Promotion of Safety

2. © 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

3. © 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.

4. © 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.

5. © 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

6. © 2009 Delmar, Cengage Learning 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

7. © 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.

8. © 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

9. © 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)

10. © 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

11. © 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

12. © 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

13. © 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

14. © 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)

15. © 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

16. © 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)

17. © 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

18. © 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)

19. © 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)

20. © 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)

21. © 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

22. © 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

23. © 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

24. © 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

25. © 2009 Delmar, Cengage Learning Safety Video http://www.youtube.com/watch?v=0CVkEp Xp7hohttp://www.youtube.com/watch?v=0CVkEp Xp7ho