2.01 #1 PPP Safety Considerations Safety Considerations (6 days for PPP x8)

Current Events Review Handout   Read a current news article related to safety issues in healthcare and complete the handout.   Suggested sources: - Joint Commission Journal on Quality - Patient Safety Quality and Safety in Health Care   Possible topics for discussion include but are not limited to   Work related injuries and the primary causes of these injuries   Costs of work related injuries   Top sentinel events   Costs of patient injuries   How can safety impact these issues?

Safety Considerations  Patient Safety  Healthcare Professional Safety  Environmental Safety 2.01 Understand safety procedures 3

Safety Considerations Patient Safety 2.01 Understand safety procedures 4

Patient Safety  Perform procedures for which you have been trained 2.01 Understand safety procedures 5

Patient Safety  Always identify the patient 2.01 Understand safety procedures 6

Patient Safety  Explain the procedures 2.01 Understand safety procedures 7

Patient Safety  Observe patient for response to treatment 2.01 Understand safety procedures 8

Patient Safety  Assure patient safety after procedures  position bed at lowest level  side rails up  wheels locked  place call bell within patient’s reach 2.01 Understand safety procedures 9

2.01 #2 PPP HealthcareProfessionalSafety (6 days for PPP x8) 2.01 Understand safety procedures 10

Healthcare Professional Safety  Walk, don’t run 2.01 Understand safety procedures 11

Healthcare Professional Safety Healthcare Professional Safety  Report injury, accident or unsafe situation 2.01 Understand safety procedures 12

Healthcare Professional Safety  Wash hands frequently 2.01 Understand safety procedures 13

Healthcare Professional Safety  Wear safety glasses when risk of eye injury 2.01 Understand safety procedures 14

Healthcare Professional Safety  Avoid “horseplay” 2.01 Understand safety procedures 15

Healthcare Professional Safety  Always follow instructions carefully 2.01 Understand safety procedures 16

Healthcare Professional Safety  Use correct posture and body mechanics  The efficient movement and balance of the body 2.01 Understand safety procedures 17

Healthcare Professional Safety  Walk, don’t run  Report injury, accident, or unsafe situation  Wash hands frequently  Wear safety glasses when risk of eye injury  Avoid “horseplay”  Always follow directions  Use correct posture and body mechanics 2.01 Understand safety procedures 18

Healthcare Professional Safety Ergonomics  The study of workplace design and equipment used by employees that contribute to the  comfort  efficiency  safety  ease of use 2.01 Understand safety procedures 19

Healthcare Professional Safety Ergonomic Program Healthcare Professional Safety Ergonomic Program  Personal components include  Comfort  Good posture  Exercise to prevent stiffness and soreness  Body mechanics 2.01 Understand safety procedures 20

Healthcare Professional Safety Ergonomic Program Workplace design includes  Comfort  Placement of furniture for ease of work  Avoidance of repetitive motions  Awareness of hazards in the environment 2.01 Understand safety procedures 21

Healthcare Professional Safety #3 PPP Body Mechanics (6 days for PPP x8) 2.01 Understand safety procedures 22

Healthcare Professional Safety Healthcare Professional Safety Body Mechanics  The efficient movement and balance of the body 2.01 Understand safety procedures 23

Healthcare Professional Safety Body Mechanics Reasons for use: Best use of muscles Makes lifting, pulling, and pushing easier Prevents unnecessary fatigue and strain Saves energy Prevents injury 2.01 Understand safety procedures 24

Healthcare Professional Safety Body Mechanics Body Mechanics 1- Maintain a broad base of support 2.01 Understand safety procedures 25

Healthcare Professional Safety Healthcare Professional Safety Body Mechanics 2- Bend at the hips and knees; get close to the person or object get close to the person or object 2.01 Understand safety procedures 26

Healthcare Professional Safety Body Mechanics 3- Use the strongest muscles 2.01 Understand safety procedures 27

Healthcare Professional Safety Body Mechanics 4- Use your body weight to help push or pull or pull 2.01 Understand safety procedures 28

Healthcare Professional Safety Body Mechanics 5- Carry heavy objects close to the body 2.01 Understand safety procedures 29

Healthcare Professional Safety Body Mechanics 6- Avoid twisting the body 2.01 Understand safety procedures 30

Healthcare Professional Safety Body Mechanics 7- Avoid bending for extended periods 2.01 Understand safety procedures 31

Healthcare Professional Safety Body Mechanics 8- Get help if the person or object is too heavy for you to lift 2.01 Understand safety procedures 32

Healthcare Professional Safety Body Mechanics Rules: 1 Maintain a broad base of support 2 Bend at the hips and knees to get close to the person or object 3 Use the strongest muscles 4 Use your body weight to help push, or pull 5 Carry heavy objects close to the body 6 Avoid twisting the body 7 Avoid bending for extended periods 8 Get help if the person or object is too heavy for you to lift 2.01 Understand safety procedures 33

SKILL 1- review the handout 2-demonstrate the skill 3-provide for guided practice 4-provide for independent practice 5-verify student passing

#4 PPP EnvironmentalSafety (6 days for PPP x8) 2.01 Understand safety procedures 35

2.01 Understand safety procedures Environmental Safety General Guidelines  Read Policy and Procedure Manual 2.01 Understand safety procedures 36

2.01 Understand safety procedures Environmental Safety General Guidelines  Always get training before operating equipment 2.01 Understand safety procedures 37

2.01 Understand safety procedures Environmental Safety General Guidelines  Use electrical equipment in a dry area, free from water 2.01 Understand safety procedures 38

2.01 Understand safety procedures Environmental Safety General Guidelines  Observe all safety precautions 2.01 Understand safety procedures 39

Environmental Safety General Guidelines  Keep area clean and neat 2.01 Understand safety procedures 40

2.01 Understand safety procedures Environmental Safety General Guidelines  Frequently check for safety hazards in patient and visitor areas 2.01 Understand safety procedures 41

Environmental Safety General Guidelines  Report unsafe situations 2.01 Understand safety procedures 42

2.01 Understand safety procedures Environmental Safety Hazardous Materials 2.01 Understand safety procedures 43

2.01 Understand safety procedures Environmental Safety Hazardous Materials  Employer must inform employee of chemicals or other hazards in the workplace 2.01 Understand safety procedures 44

2.01 Understand safety procedures Environmental Safety Hazardous Materials  Handling Liquids  Read label at least 3 times  Never mix solutions  Store solutions in a locked cabinet locked cabinet 2.01 Understand safety procedures 45

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols 2.01 Understand safety procedures 46

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  Materials marked with this symbol may be contaminated or contain infectious pathogens 2.01 Understand safety procedures 47

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  This sign is found near radiation treatment areas or x-ray facilities 2.01 Understand safety procedures 48

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  This sign is used on damaged or dangerous equipment 2.01 Understand safety procedures 49

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  Sign indicates area in which compressed oxygen is being used. No smoking or open flames should be present in these areas Understand safety procedures 50

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  This sign indicates which type of personal protective equipment must be worn before entering a specific area. Can also indicate specific safety hazards 2.01 Understand safety procedures 51

2.01 Understand safety procedures Environmental Safety Hazardous Materials Safety Signs and Symbols  Sign placed in areas that are highly contaminated and should only be entered by trained individuals who are wearing the proper protective equipment 2.01 Understand safety procedures 52

Students will choose an item from the list provided or as approved by the teacher. Using the MSDS information, the student will complete the information requested on the handout. Students will briefly present and compare the information gathered. Facilitate discussion

2.01 Understand safety procedures Environmental Safety Hazardous Materials Material Safety Data Sheets  Required by Occupational Safety and Health Administration (OSHA)  Must have a Material Safety Data Sheet (MSDS) for every liquid in the facility 2.01 Understand safety procedures 55

2.01 Understand safety procedures Environmental Safety Hazardous Materials Material Safety Data Sheets   Product Information   Precautions   Instructions for use   Clean up procedure   Disposal   Emergency Care if injured 2.01 Understand safety procedures 56

2.01 Understand safety procedures #5 PPP Environmental Safety Basic Emergency Response (6 days for PPP x8) 2.01 Understand safety procedures 57

2.01 Understand safety procedures Environmental Safety Basic Emergency Response 2.01 Understand safety procedures  Immediate actions to  save lives  protect property  protect the environment  meet basic human needs 58

2.01 Understand safety procedures Environmental Safety Basic Emergency Response 2.01 Understand safety procedures Prepare Prepare Respond Respond Recover Recover 59

2.01 Understand safety procedures Environmental Safety Basic Emergency Response 2.01 Understand safety procedures Prepare  plan  organize  train  equip  practice  evaluate and improve 60

2.01 Understand safety procedures Environmental Safety Basic Emergency Response 2.01 Understand safety procedures Respond  gain awareness of the situation  activate key resources  direct response action 61

2.01 Understand safety procedures Environmental Safety Basic Emergency Response 2.01 Understand safety procedures Recover Short-term recovery is immediate Long-term recovery may take months or years 62

2.01 Understand safety procedures Environmental Safety Basic Emergency Response  Stay Calm  Follow procedure of agency  Provide for the safety of yourself and others 2.01 Understand safety procedures 63

2.01 Understand safety procedures Environmental Safety #6 PPP Fire Safety (6 days for PPP x8) **Set up guest speaker from local fire dept to discuss local fire safety issues at end of PPP if possible Understand safety procedures 64

2.01 Understand safety procedures Environmental Safety Fire Safety Needs of a Fire 2.01 Understand safety procedures Heat Fuel Oxygen 65

2.01 Understand safety procedures Environmental Safety Fire Safety 2.01 Understand safety procedures ClassUses AOrdinary combustibles BFlammable liquids CElectrical fires DBurning or combustible metals only ABCUsed on class A, B, C fires Classes of Fire Extinguishers 66

Environmental Safety Fire Safety Emergency Fire Plan 2.01 Understand safety procedures 67

Environmental Safety Fire Safety  Rescue/Remove anyone in immediate danger of the fire 2.01 Understand safety procedures 68

Environmental Safety Fire Safety  Activate the nearest fire alarm pull station and call “911” 2.01 Understand safety procedures 69

Environmental Safety Fire Safety  Contain the fire by closing doors (do not lock) and windows 2.01 Understand safety procedures 70

Environmental Safety Fire Safety  Extinguish the fire (if able to do so safely) OR  Evacuate the area 2.01 Understand safety procedures 71

Environmental Safety Fire Safety Emergency Fire Plan 2.01 Understand safety procedures 72

Environmental Safety Fire Safety Use of Fire Extinguisher 2.01 Understand safety procedures 73

Environmental Safety Fire Safety  Pull. The pin, release a lock latch, or press a puncture lever Understand safety procedures 74

Environmental Safety Fire Safety  Aim the extinguisher nozzle, horn, or hose at the base of the fire Understand safety procedures 75

Environmental Safety Fire Safety  Squeeze or press the handle 2.01 Understand safety procedures 76

Environmental Safety Fire Safety  Sweep from side to side at the base of the fire 2.01 Understand safety procedures 77

Environmental Safety Fire Safety Use of Fire Extinguisher 2.01 Understand safety procedures 78

2.01 Understand safety procedures Environmental Safety Fire Safety  Fire Prevention  Obey “No Smoking” Rules  Extinguish flames completely  Dispose of wastes properly  Prevent Clutter  Do Not Block Exits 2.01 Understand safety procedures 79

SKILL 1- review the handout 2-demonstrate the skill 3-provide for guided practice 4-provide for independent practice 5-verify student passing

2.01 Understand safety procedures Environmental Safety #7 PPP Other Emergency Procedures (6 days for PPP x8) 2.01 Understand safety procedures 81

2.01 Understand safety procedures Environmental Safety Other Emergency Procedures  Spills  Get the MSDS  Follow the procedure for cleaning up the spill & disposing of products  Report the incident to supervisor  Receive appropriate first aid 2.01 Understand safety procedures 82

2.01 Understand safety procedures Environmental Safety Other Emergency Procedures  Blood and Body Fluids Exposure  Wash or flush with water  Report exposure to supervisor  Discuss with facility’s exposure control manager  Follow appropriate post exposure treatment 2.01 Understand safety procedures 83

2.01 Understand safety procedures Environmental Safety Other Emergency Procedures  Foreign Body in Eye  Do not remove object object  Seek immediate medical attention medical attention  Notify supervisor 2.01 Understand safety procedures 84

2.01 Understand safety procedures Environmental Safety Other Emergency Procedures  Chemical Injury to Eye  Rinse with copious amounts of water  Seek immediate medical attention medical attention  Notify supervisor 2.01 Understand safety procedures 85

Safety Guidelines #8 PPP Illness and Injury Prevention (6 days for PPP x8) 2.01 Understand safety procedures 86

Discussion as you view the PPP:   How do some of the agencies have more than one function, both as providers of healthcare and as healthcare regulatory agencies?

Safety Guidelines Illness and Injury Prevention Requires employers to:  Have an Illness and Injury Prevention Plan  Provide training regarding the plan  Provide safety equipment for the employee 2.01 Understand safety procedures 88

Safety Guidelines Illness and Injury Prevention Requires employees to:  Use products as directed  Understand potential hazards  Store products and equipment properly   Right to immunizations if high-risk for exposure within the first 10 days of work 2.01 Understand safety procedures 89

Safety Guidelines Regulatory Agencies Review The Regulatory Agencies are presented here as a review from 1.03 Understand healthcare agencies, finance and trends Understand safety procedures 90

Safety Guidelines Regulatory Agencies Review Centers for Disease Control and Prevention (CDC)   Concerned with causes, spread, and control of diseases in population   Focus Areas:   Adverse Events   Hand Hygiene/Standard Precautions/Infection Control   Injection Practices 2.01 Understand safety procedures 91

Safety Guidelines Regulatory Agencies Review Occupational Safety and Health Administration (OSHA)   Creates and enforces standards that apply specifically to healthcare facilities   Main Focus Areas for Healthcare   Occupational Exposure to Hazardous Chemicals Standards   Bloodborne Pathogen Standard   Conducts workplace inspections 2.01 Understand safety procedures 92

Safety Guidelines Regulatory Agencies Review International and National Joint Commission on Safety   Promotes specific improvements in patient safety   Highlight problematic areas in healthcare   Requirements focus on system wide solutions   Standards are evaluated and updated annually as necessary 2.01 Understand safety procedures 93

Safety Guidelines Regulatory Agencies Review EPA Environmental Protection Agency (EPA)   Goal is to protect human health and environment.   Enforces specific regulations in healthcare, including proper disposal of biohazardous waste Understand safety procedures 94

Safety Guidelines Regulatory Agencies Review FDA Food and Drug Administration (FDA)   Responsible for protecting and advancing public health.   Regulates food and drug products sold to the public Understand safety procedures 95

National Patient Safety Goals   Show both of the next 2 slides.   Show the Universal Protocol Video at eature=relatedhttp:// eature=related 9.26 min   Facilitate discussion of the 2011 National Patient Safety Goals in both an ambulatory and hospital setting.

2.01 Understand safety procedures 2.01 Understand safety procedures 99