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UNIT VII: Concept of Safety: Risk Management
Define safety
Describe the characteristics of safety
Identify physical and microbial hazards in environment
Discuss various ways to minimize hazards
Discuss the assessment for environmental safety
Identify physical and microbial hazards in the hospital environment, which
interfere with patients’ safety.
7. Explain general preventive measures for safe environment for health team
members and patient.
8. Using assessment, identify people at risk for safety dysfunction.
ouM SPNDera =wy- 11-18
* Safety is the state of being "safe“.
* The condition of being protected from harm or other non-
desirable outcomes. Safety can also refer to the control of
recognized hazards in order to achieve an acceptable level of
safety against risk.Describe the characteristics of safety
It provides a safe environment to nurse and client to interact properly.
Reduces harms and risks to patient as well as healthcare team.
It accelerates the clients recovery.
Increase the reputation of health care facility.
Give calm and comfort to the client as long as he is in hospital and reduces the
hospital environment induced depression. Q
2 ew.
6. Staff also work properly in the safe environment .Identify physical and microbial hazards in environment
What is a hazard?
A hazard is an agent which has the
potential to cause harm to a vulnerable
target. Hazards can be both natural or
human induced. Sometimes natural
hazards such as floods and drought can
be caused by human activity.Types of hazards.
. Physical hazards.
. Microbial or biological hazards.
. Chemical hazards. Pp ( M
. Mechanical hazards.
. Psychosocial hazards. C p 1’)ObBWN PR
. Physical hazards. —————_——»>
. Microbial or biological hazards.
. Chemical hazards.
. Mechanical hazards.
. Psychosocial hazards.Types of hazar
. Physical hazards. a
i ; . ; ETC)
s alee) or biological hazards—» » Een
. Chemical hazards. _ Virus
. Mechanical hazards. Meta ante)
. Psychosocial hazards.|
. Physical hazards.
. Microbial or biological hazards.
. Chemical hazards. ——____»
. Mechanical hazards.
. Psychosocial hazards.
Op wWNY PeOb wWN PR
. Physical hazards.
. Microbial or biological hazards.
. Chemical hazards.
. Mechanical hazards. ——_——»
. Psychosocial hazards.Types of hazards.
. Physical hazards.
. Microbial or biological hazards.
. Chemical hazards.
. Mechanical hazards.
. Psychosocial hazards. 1. Stress
yee (1a) ese) ce (=aBIKAUIS MVC IAOLUM Nm COM ala an PAeMat-F2-16
Most effective Physically remove
the hazard
b substitution f Replace the hazard
Engineering Isolate people from
Teed eneiaeare
Bla
=o
Protect the worker
least etiective with personal
protective
equipmentDiscuss the assessment for environmental safety
1. Identify All Hazards(biological , physical , chemical etc.).
. Determine Who Might Be Harmed and How. (Patient, children ,
older Adults)
. Assess vulnerability of the people present in the environment.
4. Evaluate Each Risk and Detide How to Combat Them.(make decision
and perform specific interventions to combat).
. Record Your Findings.
6. Review the Risk Assessment. |Oe St
eee eT uly
High temperature —————— .
falls Deco aa
Improper Positioning
Suffocation Prec ee ear Ice
Radiation
Electricity
Ergonomic hazards CN aA OoIdentify physical and microbial hazards in the hospital
environment, which interfere with patients’ safety.
Physical Hazards:
1. In health care agency , fires are
1. High temperature
2. Fire more hazardous because
3. Falls people cannot move without
4. |mproper Positioning assistance.
5. Suffocation 2. It is very necessary for nurses
6. Noise to know what to in such
WaaRadiation circumstances.
8. Electricity
9. Ergonomic hazards AaIdentify physical and microbial hazards in the hospital
environment, which interfere with patients’ safety.
Physical Hazards: . People of any age can fall , most
High temperature specifically children and older
Fire adults become the victim of
Falls ———_—_—_—__—_»> accidents due to falls.
. In hospital setting , patients usually
(o-TaTare) ute MOULeale Ula la leo
. TT eR AN A eee ol
Noise EVEN elena em anette TAI
Radiation and without any assistance
Improper Positioning
Suffocation
ce ON) FeIdentify physical and microbial hazards in the hospital
environment, which interfere with patients’ safety.
Physical Hazards:
High temperature
Fire
Improper position always lead a
Falls ferialUalm ONION Tec MIC
Improper Positioning ——————>_ Ie]-e Relea la la) oe
Suffocation
Noise
Radiation
Electricity
Ergonomic hazards
COCR OMioe Yt
Falls
Improper Positioning
Suffocation —————_______> 2
Noise
Radiation
. Suffocation or asphyxiation is lack
of oxygen due to interrupted
lego
One common reason is choking of
food or a foreign object or a cut of
supply of oxygen to the patient
who is on mechanical ventilation.ORR Scie 02 Nf
High temperature
Fire
Falls
Improper Positioning
Suffocation
Noise ——————_———>
Radiation
Electricity
Ergonomic hazards
ee RAE ORCL)
hazard which can ultimately cause
lal aeRO no
SoM Rel mel Reale)
120dB are painful and may cause
Lala ae omPe OnaAnERwWwner
High temperature
Fire
Falls
Improper Positioning
Suffocation
Noise
Radiation
Electricity
Ergonomic hazardsIdentify physical and microbial hazards in the hospital
environment, which interfere with patients’ safety.
Physical Hazards:
1. High temperature
2. Fire
3. Falls
4. Improper Positioning
Byesutfocation . Equipment and machinery attached
6. Noise ieoM eM Maem OLA CUT eke) LNG
7. Radiation could be a serious risk to patients
8. Electricity. life. They should be well organized
ws
Ergonomic hazards Eley tee) alee LeIdentify physical and microbial hazards in the hospital
environment, which interfere with patients’ safety.
Physical Hazards:
High temperature
Fire
Falls
Improper Positioning
Suffocation
Noise
Radiation
Electricity Marlee Neelam iti am TcelaT 4
Ergonomic hazards ———» posture).
CSCS |microbial hazards in the hospital
Identify physical
environment, which interfere with patients’ safety.
Microbial Hazards:
1. Parasites
2. Bacteria
3. Virus
4. Rickettsia
Vikan Biscuit P Dak.the hospital
Ta icelalancial em VACA 1R lace UUL MeN odd l gece
Microbial Hazards:
; 1. They all become a source of
tbat different kinds of infections in
2. Bacteria — > Peele
3. Virus > PR amare hain akecic)
4. Rickettsia > Ea rnva teu ieclicsatccteeti tena
and infection control methods
are not working properlyExplain general preventive measures for safe environment
for health team members and patient.
>To prevent Physical Hazards:
> Properly cleaning and maintaining floors.
> Reporting leaks and spills.
> Storing cylinders upright.
> Storing flammables in approved, closed containers.
> Wearing proper personal protective equipment,
including hearing protection where necessary.
> Maintaining electrical equipment according to
manufacturer and company standards.Explain general preventive measures for safe environment
for health team members and patient.
> Regularly inspecting tools, cords, grounds and accessories;
> Locking and tagging out power sources and switches when servicing
or repairing mechanical equipment;
> Learning to recognize and treat the signs of heat stress and drinking
plenty of water.
> Not entering restricted radiation areas, unless trained and
authorized.
>Treating and interviewing aggressive patients in relatively open
areas.
> Reporting all assaults or threats to a supervisor or manager.Explain general preventive measures for safe environment
for health team members and patient.
“To prevent from Microbial Agents:
> Keep hazardous agents labeled properly.
» Avoid eating around hazardous agents.
> Wear proper personal protective equipment, including
respirators where necessary.
> Request non-latex gloves if allergic to latex.
> Use tools to apply or handle hazardous agents.
» Avoid recapping needles and use safe and effective
alternatives where available.
> Learn where emergency eyewash stations are located.
> Dispose of hazardous agents in proper containers. {Using Assessment,
dysfunction.
people at risk for safety
* Assessing clients at risk for accidents and injury involves
* Noting pertinent indicators in the nursing history and physical
examination
* Using specifically developed risk assessment tools.
* Evaluating the client’s home environment.Using Assessment, identify people at risk for safety
dysfunction.
¢ Nursing History & Physical Examination:
* Nursing history may reveal the data about the client’s safety
practices and risks for injury.
* Data including age and developmental level ; General health status;
mobility status; presence or absence of physiological or perceptual
deficits such as olfactory , visual , tactile , taste or other sensory
impairments.
* A safety history also needs to include the clients’ awareness of
hazards , knowledge of safety precautions.Using Assessment, identify people at risk for safety
CON t (ela
* Risk Assessment:
* Risk assessment tools are available to determine clients at risk both for
specific kinds of injury , such as falls , or for the general assessment
necessary to keep the client safe in their homes and in health care settings.
* Risks could be poor vision , cognitive dysfunction (confusion , disorientation ,
impaired memory , impaired gait , difficulty walking).
* Difficulty getting in and out of chair or bed.
* Orthostatic hypotension.
* Urinary frequency.
* Weakness from disease.Using Assessment, identify people at risk for safety
dysfunction.
* Home Hazard Appraisal:
* Hazards in home are major causes of falls , fires , poisoning , suffocation ,
and other accidents such as those caused by improper use of household
equipment , tools , and cooking utensils. dy &
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