© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Environmental and Nursing Assistant Safety Unit 14

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Objectives Spell and define terms. Describe the health care facility environment. Identify measures to promote environmental safety. 2

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Objectives List situations when equipment must be repaired. Describe the elements required for fire. List five measures to prevent a fire. Describe the procedure to follow if a fire occurs. 3

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Objectives Demonstrate the use of a fire extinguisher. List techniques for using ergonomics on the job. Demonstrate appropriate body mechanics. 4

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Objectives Describe the types of information contained in Safety Data Sheets (SDS). 5

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Introduction The hospital room is the patient’s home while he or she is hospitalized Cheerful and pleasant surroundings give the patient a better sense of well- being 6

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. The Patient Environment In a health care facility, the basic patient unit consists of a/an: –Hospital bed with rails –Bedside table and chair –Reading lamp (overhead) –Wastebasket –Overbed table –Signal cord 7

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. The Patient Environment Private room — contains one bed Semiprivate room — contains two beds Ward — multiple-bed room, usually with three or four beds 8

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Hospital Beds Hospital beds mostly have the same features –There may be some differences Side rails are attached to the hospital bed –Protect patient from falling –Considered restraints in some cases 9

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Temperature, Air Circulation, and Light As you adjust and maintain the temperature, light, and ventilation –Keep in mind the patient’s condition –The patient’s personal preference –The needs of the other patients in the room 10

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Cleanliness and Noise Reduction You are responsible for the cleanliness, quiet, and order of the patient units to which you are assigned 11

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Safety Measures Safety is the responsibility of everyone A safe environment is essential for both the patients and the staff Make safety part of everything you do 12

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Environmental Safety Conditions Incidents can be prevented by keeping hallways free of equipment and clutter Keep equipment on one side of the hallway, leaving the other side free Never block an exit door 13

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Equipment and Its Care Daily or concurrent cleaning of equipment is an important part of your job It contributes to the safety of your patients 14

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Safety It is a scientific fact that if three elements are present in the right proportions, there will be a fire –Heat, fuel, and oxygen –Refer to Figure

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Safety 16

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Safety Every staff member –Needs to know and regularly practice the fire and evacuation plans of the facility 17

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Hazards Some possible fire hazards: –Frayed electrical wires –Overloaded circuits –Smoking where oxygen is being used –Others 18

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Prevention You and every staff member can do a great deal to prevent the disaster of fire –Check for frayed electrical wires –Don’t allow clutter to accumulate in doorways or traffic lanes 19

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Fire Prevention You and every staff member can do a great deal to prevent fire –Empty wastebaskets in the proper receptacles –Perform many other preventive actions to make the health care facility a fire-safe environment 20

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Smoking Smoking in bed should never be permitted. Smoking is prohibited in accredited hospitals. Some facilities prohibit smoking anywhere on the property. 21

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Precautions The use of oxygen presents a specific hazard When oxygen is in use: –You must make sure the environment is safe 22

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. In Case of Fire You must be familiar with the fire policies and procedures of your facility In case of fire, stay calm 23

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. RACE System R = Remove patients from the area A = Sound the alarm C = Contain fire (close door) E = Extinguish fire, if possible or E = Evacuate, if fire cannot be extinguished (Refer to Figure 14-18) 24

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. RACE System 25

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Other Actions to Take Close all the doors Remove everything from the hallway and place it behind a door Touch doors with the back of your hand before opening –If hot, do not open the door 26

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Use of a Fire Extinguisher Remember the letters PASS: –Pull the pin –Aim the nozzle at the base of the fire –Squeeze the handle –Sweep back and forth along the base of the fire 27

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Other Emergencies There may be other disasters for which you and your facility must be prepared –Tornadoes, hurricanes, floods, earthquakes, and bomb threats 28

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Nursing Assistant Safety Work performed by nursing assistants requires a great deal of lifting and moving It is important that you use your body correctly to avoid injury 29

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Ergonomics Adapting the environment and using techniques and equipment to prevent injury to the body 30

© 2016 Cengage Learning ®. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Hazards in the Work Environment All health care facilities have hazards that can potentially cause injury to employees Many of these hazards are chemicals that you may have in your own home Be aware of these and other hazards to guarantee a safe environment 31