This document discusses dangerous substances and risk assessment. It defines dangerous substances as liquids, gases or solids that pose risks to worker health or safety. The document outlines a 5-step process for risk assessment of dangerous substances: 1) identify hazards and those at risk, 2) evaluate and prioritize risks, 3) decide on preventive actions like elimination or substitution, 4) take action, and 5) monitor and review the assessment. The goal of risk assessment is to protect workers from harm by implementing controls for dangerous substances in the workplace.
Do you want to be a hero? Industrial hygienists do it everyday in the workplace. They protect workers from health hazards that include a variety of dust, mists, fumes, gases, and vapors by testing the atmosphere in which they breath and evaluate the exposure against standards and guidelines. They are interested in examining all of the potential toxins in the air, on building surfaces, those that can be ingested or a combination thereof. It's not an easy task. Industrial hygienist need to talk with many stakeholders in finance, engineering, human resources, public policy, medicine, law, etc. The idea is to identify the potential health hazards that may cause harm to workers, unsuspecting public, and the environment. Many of these hazards involve chemicals, biological and physical agents, radiological exposure, human factors and ergonomics, indoor air quality, toxicology and epidemiology, handling and storage, transportation, research and development, and many other considerations. So if you want to be a hero, contact your local section of the American Industrial Hygiene Association. They can provide the information that you will need for a career pathway from academia to senior business professional.
COSHH (Control of Substances Hazardous to Health) TrainingTraining Express
COSHH covers chemicals, fumes, dust, vapours, mists and gases, as well as any packaging with hazard symbols. This COSHH – Control of Substances Hazardous to Health Training Course provides training for employees of all levels, teaching them how to comply with COSHH safety regulations and recognize any potential hazards and risks while at work.
See Details: http://bit.ly/2Wx0N0z
Do you want to be a hero? Industrial hygienists do it everyday in the workplace. They protect workers from health hazards that include a variety of dust, mists, fumes, gases, and vapors by testing the atmosphere in which they breath and evaluate the exposure against standards and guidelines. They are interested in examining all of the potential toxins in the air, on building surfaces, those that can be ingested or a combination thereof. It's not an easy task. Industrial hygienist need to talk with many stakeholders in finance, engineering, human resources, public policy, medicine, law, etc. The idea is to identify the potential health hazards that may cause harm to workers, unsuspecting public, and the environment. Many of these hazards involve chemicals, biological and physical agents, radiological exposure, human factors and ergonomics, indoor air quality, toxicology and epidemiology, handling and storage, transportation, research and development, and many other considerations. So if you want to be a hero, contact your local section of the American Industrial Hygiene Association. They can provide the information that you will need for a career pathway from academia to senior business professional.
COSHH (Control of Substances Hazardous to Health) TrainingTraining Express
COSHH covers chemicals, fumes, dust, vapours, mists and gases, as well as any packaging with hazard symbols. This COSHH – Control of Substances Hazardous to Health Training Course provides training for employees of all levels, teaching them how to comply with COSHH safety regulations and recognize any potential hazards and risks while at work.
See Details: http://bit.ly/2Wx0N0z
Subtopic: Introduction to Industrial Hygiene. Physical factors
Define terms associated with industrial hygiene
Identify the types and classes of occupational hazards
Identify the various disciplines that form the foundations of industrial hygiene
Understand the primary approaches to protecting workers in their work environment
Describe the primary controls employed by industrial hygienists to control workplace exposure
Occupational safety and health (OSH) also commonly referred to as occupational health and safety (OHS) or workplace health and safety (WHS) is an area concerned with the safety, health and welfare of people engaged in work or employment. The goals of occupational safety and health programs include to foster a safe and healthy work environment
The webinar covers:
• Ways to Identify Hazard
• Risk Assessment
• Hierarchy of Control
Presenter:
This webinar was presented by Mr. David Mutuna, PECB Trainer, who is also the Founder SHEQ and Food Safety Management Systems.
Link of the recorded session published on YouTube: https://youtu.be/9twKT0wc1xc
Subtopic: Introduction to Industrial Hygiene. Physical factors
Define terms associated with industrial hygiene
Identify the types and classes of occupational hazards
Identify the various disciplines that form the foundations of industrial hygiene
Understand the primary approaches to protecting workers in their work environment
Describe the primary controls employed by industrial hygienists to control workplace exposure
Occupational safety and health (OSH) also commonly referred to as occupational health and safety (OHS) or workplace health and safety (WHS) is an area concerned with the safety, health and welfare of people engaged in work or employment. The goals of occupational safety and health programs include to foster a safe and healthy work environment
The webinar covers:
• Ways to Identify Hazard
• Risk Assessment
• Hierarchy of Control
Presenter:
This webinar was presented by Mr. David Mutuna, PECB Trainer, who is also the Founder SHEQ and Food Safety Management Systems.
Link of the recorded session published on YouTube: https://youtu.be/9twKT0wc1xc
The following presentation discussess the changes to the OSHA HAZCOM standard to comply with the GHS rules. As of 1 Dec 13, all business should have completed the training to inform the workforce of the changes to product labels and containers as well as information provided on Safety Data Sheets. If you need help with your GHS policy, program, or procedures, contact us by telephone in the US at 1+ 7322215687 or by email at windsgroup@aol.com.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
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Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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2. What are dangerous substances?
Dangerous substances (DS):
Are any liquids, gases or solids that pose a risk to
workers’ health or safety
Can be found in nearly all workplaces, including in
SMEs (farms, hairdresser’s shops, motor-cycle
repair shops, hospitals, schools…)
Include chemical as well as biological agents
(bacteria, viruses, yeast and mould, parasites...)
Include substances produced as a by-product of
work, as well as raw materials (welding fumes,
diesel exhaust, wood dust, flour used in
bakeries…).
3. Dangerous substances and harm
If the risks of using DS are not properly
managed,
workers’ health can be harmed in a variety of
ways:
Through a single short exposure
Through multiple exposures
Through long-term accumulation of
substances in the body.
4. Health effects
DS can have many different health effects including:
Acute effects: poisoning, suffocation, explosion and
fire
Long-term effects, for example:
Respiratory diseases (reactions in the airways and lungs)
such as asthma, rhinitis, asbestosis and silicosis
Occupational cancers (leukaemia, lung cancer,
mesothelioma, cancer of the nasal cavity)
Health effects that can be both acute and long-term:
Skin diseases, reproductive problems and birth defects,
allergies
Some substances can accumulate in the body
Some substances can have a cumulative effect
Some substances can penetrate through the skin
5. Dangerous Substances - the law
Legislation in this field includes regulations on the
protection of workers from the risks related to:
Chemical agents
Biological agents
Carcinogens and mutagens (including asbestos and wood
dust)
Regulations on classification and labelling are equally
important, but do not apply to all dangerous
substances (e.g. hairdressing chemicals,
pharmaceuticals)
Restrictions on use and marketing are imposed on
some substances and work procedures.
You should seek clarification of the specific national
legislation that may apply to you, relating to the use of
DS in the workplace.
6. Otherrelevant legislation
REACH
European Community Regulation EC 1907/2006
creates a new, single system for the Registration,
Evaluation and Authorisation of Chemicals:
Aims to do more to protect the environment and health of
users
Makes industry more responsible for managing the risks
from chemicals and providing safety information on
substances to all who produce or use a substance.
More on REACH: http://echa.europa.eu
GHS – the United Nations Globally Harmonised
System of Classification and Labelling of Chemicals
-will also have an impact on workers’ health
More on GHS:
7. In a nutshell…
By law, employers in the EU must protect their
workers from being harmed by DS in the
workplace.
In order to protect workers from DS,
employers are required by law to carry out a
Risk Assessment (RA). Workers should be
involved in this task.
8. What is RiskAssessment?
Risk Assessment (RA) is the process of
evaluating the risks to workers’ safety and
health from workplace hazards. It is a
systematic examination of all aspects of work
that considers:
What could cause injury or harm
Whether hazards could be eliminated and, if not,
What preventive or protective measures should be in place
to control the risks.
RA is the basis for successful safety and
health management, the key to reducing
occupational accidents and illnesses
9. Risk Assessment for DS
RA for DS involves the same basic principles and
processes as for other occupational risks
Whoever carries out the RA it is essential that
employees are consulted and involved in the
process. They:
Know their workplace
Are the ones who will have to implement any changes in working
conditions/ practices.
Different methods are available. But for most
businesses, a straightforward five-step approach
to RA works well.
10. Step 1: Identify hazards and those at risk(1)
Look for substances that have the potential to
cause harm, and identify any workers who may be
exposed to the substances
Particular attention should be paid to groups of
workers who may be at increased risk e.g:
Young workers
Pregnant women and nursing mothers
Migrant workers
Untrained or inexperienced staff
Cleaners, contractors and members of the public.
Reminder: a hazard can be anything — whether work materials,
equipment, work methods or practices — that has the potential to
cause harm.
11. Step 1: Identify hazards and those at risk(2)
To help identify hazards:
Make an inventory of substances used and generated
in the workplace
Collect information about these substances e.g. the
harm they can do and how this can happen
Standardised safety labels, risk symbols, and safety data
sheets (SDS), which must be provided by the supplier of a
chemical, are important source of information
Check the Occupational Exposure Limits (OELs) for
the substances
OELs help to control exposure to DS in the workplace, by
setting the maximum amount of (air) concentration of a
substance
Assess whether you are using carcinogens or
mutagens, for which more stringent rules apply
12. Step 2: Evaluate and prioritise risks
Assess workers’ exposure to DS that have been
identified, looking at the type, intensity, length,
frequency of exposure to workers
Consider which work procedures are being used
Consider combined exposures to substances
Consider combined effects with other risks, for
example:
Fire risks near flammable substances
Heavy physical work that can increase the uptake of
chemicals,
Wet work that can increase the effect of chemicals on the
skin
The list can then be used to draw up a action plan.
Reminder: a risk is the chance, high or low, that somebody may be
harmed by a hazard.
13. Step 3: Decide on preventive action (1)
Follow the hierarchy of measures to prevent or reduce
the exposure of workers to DS :
Elimination – the best way to reduce the risks
associated with DS
Remove the need to use the DS by changing the process or product in
which the substance is used
Substitution – if elimination is not possible
Substitute or replace the DS with non-hazardous or less hazardous
alternatives
14. Step 3: Decide on preventive action (2)
Control - if a substance or process cannot be
eliminated or substituted
Prevent or reduce the exposure through:
• Enclosure of the process that results in DS being emitted
• Control of the emission at the source
• Better management of processes
• Technical solutions to minimise exposure
• Reducing the number of workers exposed to the dangerous
substance, and the duration and intensity of exposure
• Where exposure cannot be prevented by other means, ensure
that individuals have suitable personal protective equipment
and are trained in its use.
15. Substitution – workprocesses
Start with substances and work processes that:
Have already caused problems in your enterprise (health
problems, accidents or other incidents)
Make regular health monitoring (such as medical examination of
workers) necessary
Are covered by specific national regulations imposing restrictions
of use in the workplace
Lead to high levels of exposure among workers, or result in
exposure to many workers.
Work processes to consider include:
Open processes, e.g. painting large surfaces,
mixing/compounding in open containers/vessels
Processes that generate dusts, vapours or fumes, or that
disperse liquids in the air, e.g. welding, paint-spraying.
16. Substitution – substances
Substances to consider include those that:
Increase the risk of fire and explosion
Are volatile, e.g. organic solvents, or that are
dispersed in the air (aerosols, dust)
Cause acute health risks, e.g. poisons, corrosives
and irritants
Cause chronic health risks, e.g. allergens,
substances that affect reproduction
Cause occupational diseases
Can be absorbed through the skin
Make the use of personal protective equipment
(e.g. inhalation protection)necessary.
17. Carcinogens and mutagens
• Regulations for carcinogens and mutagens impose more
stringent requirements:
►Carcinogenic and mutagenic substances must be replaced
as far as technically possible
►Enclosure of the emitting process is mandatory if it is
technically feasable
►Workers‘ access must be restricted
►More detailed records must be kept on workers‘ exposure,
and the must be kept for longer
►More information must be given to workers on exposure
and health monitoring.
• You should seek clarification of the specific national
legislation that may apply to you, regarding the use of
DS in the workplace
18. Step 4: Take action
Put in place preventive and protective
measures
Effective implementation involves the
development of a plan that specifies:
Who does what
When a task is to be completed
The means allocated to implement the measures
When the assessment will be revised and by whom
It is essential that any work to eliminate,
substitute or controls risks is prioritised.
19. Step 5: Monitorand review
The effectiveness of preventive measures
should be monitored
The assessment should be reviewed
whenever significant changes occur in the
organisation:
When there are changes in the work procedure
When new chemicals and work procedures are
introduced
When accidents or health problems occur
On a periodic basis, to ensure that the findings of the
RA are still valid.
20. Record the Assessment
• The Risk Assessment must be documented, such a
record can be used to:
►Pass information to the persons concerned
►Assess whether the necessary measures have been
introduced
►Provide evidence for supervisory authorities
►Revise measures if circumstances change.
21. Advice forworkers
To keep safe in relation to DS, workers should be
kept informed about:
The findings of the RA
The hazards they are exposed to
How they may be affected
What they have to do to keep themselves and others safe
What to do in case of an accident or when things go wrong
How to know when things go wrong
Who they should report any problems to
What to do when carrying out maintenance work
The results of any exposure monitoring or health surveillance.
22. Advice to employers: communication
Good communication between employer and worker
includes:
Having a list of hazardous substances that are used or
generated through the work process
Having Safety Data Sheets (SDS) and similar documents
available for each DS used
Producing work instructions based on information about
DS
Making sure that containers for DS are clearly labelled
Communicating the results of the RA
Regularly asking workers about potential health and safety
problems
Providing workers with all relevant information, instruction
and training on the DS present in the workplace.
24. Example 1: A laboratory researching resistance
factors for Bacillus anthracis
Example 2: A clinical laboratory conducting diagnostic
tests for diarrheal diseases
What are the key factors needed to conduct a risk
assessment?
What factors define likelihood?
What factors define consequence?
Agent factors?
Threat factors?
Laboratory factors?
Identify Key Factors For Assessing A Biosecurity Risk
25. Risk = F (Likelihood, Consequence)
Likelihood
The likelihood of theft from a facility and the likelihood an agent can be
used as a weapon
Consequences
Of a bioattack with the agent
Risks
Persons in area of attack
Persons in larger community from secondary exposure
Animals in area of attack
Animal in larger community from secondary exposure
Laboratory Biosecurity Risks
for Dangerous Pathogens
25
26. Conclusions
A systematic, standardized biological risk
assessment process enables:
The analysis of the risk to identify driving factors and allow better realization
of mitigation measures
Enables better communication of risk
Help to define what is acceptable risk
Biorisk can be strengthened by standard risk
governance approaches
Risk assessment and risk decision are the critical
foundations for the design of a laboratory
biosafety and biosecurity program
While characterizing biological agents for Biosecurity Risk Assessments, you have to do so from the point of view of the adversary.
What would an adversary find attractive about a particular agent?
RUN THROUGH SLIDE
And of course, we have to think about our potential adversaries.
How do we characterize them? By their motives:
Terrorists – seeking to cause indiscriminate harm for ideological reasons
Extremists – seeking to cause focused harm for ideological reasons
Criminals – no ideology, seeking to cause focused harm, such as murders and blackmail
OR, by their access to your facility
1) Insiders
2) Outsiders