1. Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Textbook For Nursing Assistants Chapter 09 Workplace Safety

2. Slide 2 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Protecting Your Body

3. Slide 3 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Performing the same action over and over again places physical stress on the body: Lifting Pushing Pulling Stooping Bending Moving Physical Stress

4. Slide 4 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. The basic components of good body mechanics are: Alignment Balance Coordinated movement The “ABCs” of Good Body Mechanics

5. Slide 5 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Alignment is simply good posture Alignment ensures that no excess strain is placed on the joints and muscles The back is held in a “neutral” position, with the natural curvature of the lower back intact Alignment

6. Slide 6 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Improve your balance by: Increasing your base of support by spreading your feet further apart Bringing your center of gravity (your torso) closer to your base of support (your feet) by bending at the knees and hips, so that your torso is closer to your feet Balance

7. Slide 7 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Coordinated body movement involves using the weight of your body to help with movement When moving a person up in bed: Stand facing the bed with your feet apart Step sideways to move the person’s head and shoulders up Transfer your weight from one foot to the other and the momentum helps you to move the person Coordinated Body Movement

8. Slide 8 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Coordinated Body Movement Using body weight and coordinated body movement to lift a weight up the hill

9. Slide 9 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. When you have to move a patient or resident from the bed to a chair: you bend your knees and hold the person close to the center of your body you use the muscles in your thighs and hips to lift and move the person from the bed to the chair Employing proper lifting technique prevents back injuries Lifting and Back Safety

10. Slide 10 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Lifting and Back Safety

11. Slide 11 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Preventing Falls

12. Slide 12 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Many factors increase a nursing assistant’s risk of falling: Multiple duties during the shift Emergency situations Unnoticed wet floors Helping a very weak, unsteady, or uncooperative person to walk or transfer from one place to another without help Attempting to prevent a patient or a resident from falling Risk of Falling

13. Slide 13 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Preventing Chemical Injuries

14. Slide 14 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. The MSDS summarizes the following key information: what the chemical is made from which exposures may be dangerous what to do if an exposure occurs how to clean up spills As a nursing assistant: be familiar with the chemicals that you may come in contact with in your facility know the proper and safe way to handle each chemical in use Material Safety Data Sheet (MSDS)

15. Slide 15 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Preventing Electrical Shocks

16. Slide 16 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Electrical mishaps can occur due to: Frayed wires Loose plugs Unsafe electrical appliances Precautions need to be taken for all patients and residents against electrical fires and shocks Causes of Electrical Mishaps

17. Slide 17 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Use grounded appliances and power strips Use three-prong plugs, safety outlets with a ground-fault breaker Never use extension cords Do not operate electrical items around showers and bath tubs Preventive Measures

18. Slide 18 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Fire Safety

19. Slide 19 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. For a fire to occur, three elements must be present: Preventing Fire

20. Slide 20 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Common sources of fuel in a health care setting include: Cloth, such as bed linens, mattresses, and clothing Paper Cooking oil, gasoline, and nail polish remover The building itself Heat can be provided by: Electrical sparks (such as may occur with a frayed electrical cord, a “short” in a piece of electrical equipment, or even a lightning strike) Lighted smoking materials (such as cigarettes, cigars, or matches) Lighted candles Heating elements (such as radiators or furnaces) Stoves Oxygen Present in air Patients and residents receive oxygen therapy, which increases the content of the oxygen in the air in the immediate area Common Sources of Fuel and Oxygen

21. Slide 21 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. The general actions that are taken in the event of a fire emergency are known as the RACE fire response plan: Remove any patients or residents who are in immediate danger to safety Activate the alarm Contain the fire by closing doors and windows Extinguish the fire if possible, or, if the fire is large or spreading quickly Evacuate the building RACE Fire Response Plan

22. Slide 22 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. RACE Fire Response Plan

23. Slide 23 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Fires are classified as: “A” Type “B” Type “C” Type This classification determines the best way to put them out. Types of Fires

24. Slide 24 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Fueled by: Wood, paper Cloth Dried leaves and grass Extinguished by: Spraying water and removing the heat A - Type of Fire

25. Slide 25 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Fueled by: Petroleum products Cooking oil Grease Extinguished by: Sprinkling baking powder Do not try put this fire out with water. B - Type of Fire

26. Slide 26 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Fueled by: Electric short circuit Electric sparks Extinguished by: Using a fire extinguisher Do not try put this fire out with water It can result in shock It can result in electrocution C - Type of Fire

27. Slide 27 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. When using a fire extinguisher, remember the word PASS: Pull the safety pin out Aim the hose toward the base of the fire Squeeze the handle Spray the contents of the fire extinguisher at the base of the fire Using a Fire Extinguisher

28. Slide 28 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Disaster Preparedness

29. Slide 29 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. A disaster is a sudden, unexpected event that causes injury to many people, major damage to property, or both. Disasters can be caused by acts of nature or they may be the result of explosions, accidents, or acts of war or terrorism. Your facility or agency will have a disaster preparedness plan that will direct the actions of the health care team in the event of such an occurrence. You should know the particular duties that will be required of you in the event of a disaster and remain calm. Disaster Preparedness

30. Slide 30 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. End of Presentation