This document provides an overview of safety policies and procedures for Chesapeake Medical Staffing employees, including emergency codes, disaster planning, hazardous materials, fire safety, and more. Universal safety principles should always be followed in clinical settings. The document reviews key safety elements and responsibilities of both the facility and individual employees to ensure a secure environment.
Introduction to medical equipments safety and testingMEHABOOB RAHMAN
Medical equipment can present a variety of hazards including mechanical, electrical, fire-related, and those resulting from improper function or incorrect output. It is important to properly maintain equipment and perform safety testing using calibrated equipment to minimize risks to patients and users. Regular performance testing helps ensure medical devices are functioning as intended.
A work permit is a document that identifies work being done, associated hazards, and safety precautions. There are several types including general, hot work, height work, excavation, electrical, hazardous, and confined space permits. The permit process involves the issuer, acceptor, machine operators, workers, supervisors, and client representatives. First aid involves responding to critical emergencies, treating wounds, burns, temperature extremes, injuries, bites/stings, and performing CPR. CPR provides chest compressions and ventilation to preserve brain function until further treatment can restore blood circulation and breathing. An AED analyzes heart rhythm and delivers shocks to restore normal rhythm in cardiac arrest.
The medical superintendent of a 400-bed hospital received complaints about ineffective air conditioning, too many people in the operating theater, supply shortages from the central sterile supply department, and frequent surgery cancellations. An analysis found increased length of stays and postoperative infection rates. The OT committee was tasked with identifying reasons and recommending solutions. Problems included outdated air conditioning, lack of security and guidelines, insufficient sterile supplies and staffing, and absenteeism. Solutions involved recruiting and training staff, maintaining equipment and inventory controls, restricting access, and enforcing policies. The goals were optimizing theater use and maintaining aseptic standards like sterilization, cleaning, and hand hygiene.
Hospital device and equipment safety pptRebecka David
Hospital devices and equipment require safety protocols to ensure proper functioning and protect patients and medical professionals. Key stakeholders in safety include manufacturers, vendors, and users. Manufacturers must design and test devices to safety standards, vendors must ensure compliant products and provide training, and users need proper qualifications and training. A hospital's equipment safety program involves planning, management, implementation including inspection, preventative maintenance and corrective actions, and monitoring. The goal is optimized and cost-effective care through reliable equipment and hazard prevention.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
This document outlines the process for conducting medical risk assessments for fitness for work. It discusses:
1) The different roles doctors may take on and perspectives they must consider, such as a general practitioner versus an occupational doctor.
2) The steps involved in a risk assessment, including identifying potential medical incidents based on a condition, assessing likelihood, potential job consequences, calculating risk, considering mitigation measures, and evaluating risk.
3) The need to justify decisions in writing by thoroughly explaining the medical condition, likelihood of incidents, job risks, risk evaluation and conclusions.
1. The document discusses perioperative mortality and safe anesthesia practices. It defines anesthetic death and classifies the causes of perioperative mortality.
2. Major causes of perioperative mortality include human error, communication failures, equipment failures, and underlying patient diseases. The document provides strategies to prevent complications through improved preoperative assessment, monitoring standards, anesthesia techniques, and postoperative care.
3. In the event of a complication or death, the document stresses the importance of general management practices like monitoring, diagnosis, and treatment, as well as thorough documentation, handling of deceased patients sensitively, and communicating with family members.
Introduction to medical equipments safety and testingMEHABOOB RAHMAN
Medical equipment can present a variety of hazards including mechanical, electrical, fire-related, and those resulting from improper function or incorrect output. It is important to properly maintain equipment and perform safety testing using calibrated equipment to minimize risks to patients and users. Regular performance testing helps ensure medical devices are functioning as intended.
A work permit is a document that identifies work being done, associated hazards, and safety precautions. There are several types including general, hot work, height work, excavation, electrical, hazardous, and confined space permits. The permit process involves the issuer, acceptor, machine operators, workers, supervisors, and client representatives. First aid involves responding to critical emergencies, treating wounds, burns, temperature extremes, injuries, bites/stings, and performing CPR. CPR provides chest compressions and ventilation to preserve brain function until further treatment can restore blood circulation and breathing. An AED analyzes heart rhythm and delivers shocks to restore normal rhythm in cardiac arrest.
The medical superintendent of a 400-bed hospital received complaints about ineffective air conditioning, too many people in the operating theater, supply shortages from the central sterile supply department, and frequent surgery cancellations. An analysis found increased length of stays and postoperative infection rates. The OT committee was tasked with identifying reasons and recommending solutions. Problems included outdated air conditioning, lack of security and guidelines, insufficient sterile supplies and staffing, and absenteeism. Solutions involved recruiting and training staff, maintaining equipment and inventory controls, restricting access, and enforcing policies. The goals were optimizing theater use and maintaining aseptic standards like sterilization, cleaning, and hand hygiene.
Hospital device and equipment safety pptRebecka David
Hospital devices and equipment require safety protocols to ensure proper functioning and protect patients and medical professionals. Key stakeholders in safety include manufacturers, vendors, and users. Manufacturers must design and test devices to safety standards, vendors must ensure compliant products and provide training, and users need proper qualifications and training. A hospital's equipment safety program involves planning, management, implementation including inspection, preventative maintenance and corrective actions, and monitoring. The goal is optimized and cost-effective care through reliable equipment and hazard prevention.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
This document outlines the process for conducting medical risk assessments for fitness for work. It discusses:
1) The different roles doctors may take on and perspectives they must consider, such as a general practitioner versus an occupational doctor.
2) The steps involved in a risk assessment, including identifying potential medical incidents based on a condition, assessing likelihood, potential job consequences, calculating risk, considering mitigation measures, and evaluating risk.
3) The need to justify decisions in writing by thoroughly explaining the medical condition, likelihood of incidents, job risks, risk evaluation and conclusions.
1. The document discusses perioperative mortality and safe anesthesia practices. It defines anesthetic death and classifies the causes of perioperative mortality.
2. Major causes of perioperative mortality include human error, communication failures, equipment failures, and underlying patient diseases. The document provides strategies to prevent complications through improved preoperative assessment, monitoring standards, anesthesia techniques, and postoperative care.
3. In the event of a complication or death, the document stresses the importance of general management practices like monitoring, diagnosis, and treatment, as well as thorough documentation, handling of deceased patients sensitively, and communicating with family members.
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
The document provides guidance on developing a risk management plan. It begins by outlining the objectives of risk management in healthcare and establishing the context of a bone marrow transplant program. It then identifies risks through a risk registry and scores them based on likelihood and impact. High risks are identified as epidemics, acquiring infections, and ICU bed availability. Response strategies are proposed to mitigate the highest risk of COVID-19 epidemics through prevention, reduction, and segregation techniques. The plan also establishes a review process to monitor implementation and compliance. The goal is to proactively control COVID-19 risks through a failure modes and effects analysis to reduce infections among bone marrow transplant patients.
The document discusses diagnostic procedures and the nurse's role in caring for patients undergoing them. It outlines that the nurse is responsible for assessing the patient's knowledge, preparing them for the procedure, providing a safe environment and support. The nurse must understand procedures and use classifications to determine patient risk. The nurse should explain procedures to patients, understand their fears, and provide reassurance. Safety guidelines are provided for before, during, and after procedures. Monitoring, documentation and special considerations for different populations are also reviewed.
Anesthesia carries risks that can lead to patient death or injury. Several factors contribute to risks in the operating room including equipment issues, patient health factors, human performance errors, and system failures. Some key errors that can cause severe harm are airway issues, medication errors, and procedure mistakes. Maintaining vigilance, checklists, standards, training, and learning from adverse events can help improve safety. Thorough documentation and review of incidents is important for quality assurance.
What must i consider to safely anesthetize someoneanvardr
The document discusses considerations for safely anesthetizing patients in an office setting. It covers physical office requirements like adequate space and equipment. It also discusses physician qualifications and certifications. For patient selection, it recommends low-risk ASA 1-2 patients and excluding those with significant comorbidities. Evidence shows office anesthesia can be low-risk when standards are followed. Guidelines published by professional societies provide recommendations.
The document discusses the responsibilities and procedures of Approved Doctors in conducting medical examinations of seafarers under new Norwegian regulations. It outlines that while the regulations introduce some changes, the doctors' main obligations remain the same - to follow administrative law, conduct thorough evidence-based medical assessments according to best practices, and justify their decisions. The document provides guidance on collecting relevant medical information, performing risk assessments based on the job and vessel, applying ethical standards, and explaining the rationale for certification decisions in writing.
This document contains the slides from a presentation on risk management orientation by Dr. Nashwa Elsayed. The presentation covers why risk management is important in healthcare, key risk management concepts like risk identification and analysis, how to use a risk register, incident reporting and investigation procedures, sentinel event reporting and investigation, the job description of a risk management coordinator, and an overview of relevant risk management policies. The goal is to provide an introduction and overview of risk management for healthcare professionals.
This document discusses strategies to improve patient safety during anesthesia. It identifies that anesthesia can induce physiological changes that increase morbidity and mortality risks, so factors threatening safety in the operating room must be addressed. These factors include equipment issues, patient health problems, and human errors by anesthetists and surgeons. The document recommends developing preoperative plans, maintaining situational awareness during procedures, emphasizing teamwork and communication, avoiding production pressures, and fostering a learning culture where errors are reported and used to implement safety improvements.
This document discusses safe anesthesia practice and crisis management during anesthesia. It begins by defining safety for the anesthetist, surgeon, and patient. It then outlines international standards for safe anesthesia practice from 2010, including pre-anesthesia checks, monitoring during anesthesia, and crisis management protocols. Specific techniques are also discussed, such as managing a difficult airway and addressing laryngospasm. The presentation emphasizes protocols, checklists, skills, teamwork and communication to ensure patient safety.
Clinical engineering represents the applications of biomedical engineering theories and methodologies to improve healthcare quality. Clinical engineers manage medical equipment in hospitals throughout its lifecycle, including selection, procurement, training, maintenance, and disposal. A full clinical engineering implementation involves diagnostic studies, inventory management, standards compliance, cost control, maintenance, training, and ensuring patient safety.
The document discusses creating a platform for learning from defects using the Comprehensive Unit-based Safety Program (CUSP) approach. It describes how CUSP was implemented at Tawam Hospital over several years starting in 2008 in various units. Key aspects of CUSP include administering staff safety surveys, executive leadership rounds, learning from mistakes by investigating patient safety reports, and celebrating safety successes. The presentation provides examples of systems changes and policies implemented at Tawam as a result of analyzing defects reported, such as restricting certain narcotic medications and developing chemotherapy administration protocols.
This document provides guidance on new regulations from the Department of Occupational Medicine. It aims to support doctors in their decision making and ensure harmonized, evidence-based risk assessments. The guidance covers topics like vision, hearing, physical capacity and common medical conditions. It is an online resource that will be updated regularly based on experience and feedback to aid doctors in evaluating seafarers' medical certificates.
Background Hospital contributes significantly tangible and intangible resources on a concurred plan by the scheduling of surgery on the OT list. Postponement decreases efficiency by declining throughput leads to wastage of resources hence burden to the nation. Patients and their family face economic and emotional implication due to the postponement. Postponement rate being a quality indicator controls check mechanism could be developed from the results. Postponement of elective scheduled operations results in inefficient use of the operating room (OR) time on the day of surgery. Inconvenience to patients and families are also caused by postponements. Moreover, the day of surgery (DOS) postponement creates logistic and financial burden associated with extended hospital stay and repetitions of pre-operative preparations to an extent of repetition of investigations in some cases causing escalated costs, wastage of time and reduced income. Methodology A cross-sectional study was done in the operation theaters of a tertiary care hospital in which total ten operation theaters of General Surgery Data of scheduled, performed and postponed surgeries was collected from all the operation theater with effect from March 1st to September 30th, 2018. A questionnaire was developed to find out the reasons for the postponement for all hospital’s stakeholders (surgeons, Anesthetist, Nursing Officer) and they were further evaluated time series analysis of scheduling of Operation Theater for moving average technique. Results Total 958 surgeries were scheduled and 772 surgeries performed were and 186 surgeries were postponed with a postponement rate of 19.42% in the cardiac surgery department during the study period. Month-wise postponement Rate exponential smoothing of time series data shows the dynamic of operating suits. To test throughput Postponement rate was plotted the postponed surgeries and on regression analysis is in a perfect linear relationship.
The document discusses considerations for surgical services to prepare for mass casualty events, including identifying event types that could impact capacity or capabilities and developing a culture of continual readiness. It identifies objectives such as recognizing event characteristics, considerations for capacity and specialized needs, and recommends three actions like planning communication systems and conducting drills to test preparedness plans.
The document provides guidelines for ambulatory anesthesia and surgery. It recommends that anesthesiologists play a leadership role in all ambulatory surgical facilities. The guidelines apply to all settings involving anesthesiology and are meant to encourage high quality patient care. Facilities must be properly equipped and staffed to handle emergencies. Patient care should include a pre-anesthesia evaluation, anesthesia plan, administration or supervision of anesthesia by qualified professionals, and discharge only when medically appropriate.
The document provides an operating theatre (OT) checklist to help ensure patient safety during surgical procedures. It lists several checks that the operating team should complete in the ward and theatre before surgery, including correctly identifying the patient, marking the intended surgical site, checking for allergies and previous medical history, and confirming critical patient information has been exchanged. The goal is for the team to operate on the right patient and site, take appropriate precautions, and communicate effectively to safely conduct the surgery and prevent errors.
The document discusses the blood transfusion process and hemovigilance. It describes hemovigilance as a set of surveillance procedures covering the entire transfusion chain from donation to follow up of patients. The goal of hemovigilance is to improve the safety of blood transfusion by monitoring, reporting, investigating and analyzing any adverse events related to the transfusion process and taking actions to prevent their occurrence. Key aspects of hemovigilance include establishing national and hospital-level systems to ensure traceability, quality, and continuous improvement in transfusion safety.
Anesthetic risk, quality improvement and liability●๋•αηкιтα madan
This document discusses anesthesia risk and mortality. It provides estimates from various studies that anesthesia-related mortality rates range from less than 1 per 10,000 anesthetics to 1 per 1,560 anesthetics historically. Common complications discussed include nerve injuries, awareness during general anesthesia, eye/dental injuries, and postoperative cognitive dysfunction in elderly patients. Risk management strategies to minimize liability like adherence to standards of care, vigilance, documentation, and informed consent are also outlined.
Applied Safety Science and Engineering Techniques (ASSETTM) merge hazard based safety engineering and safety science principles in an overall framework of a safety
management process to achieve, maintain and continuously improve safety. The ASSET process has been synthesized from current, industry-standard risk assessment and risk management guidelines, including recent International Organization for
Standardization (ISO), International Electrotechnical Commission (IEC) and American National Standards Institute (ANSI) publications.
The document discusses various topics relating to industrial safety, with a focus on electrical safety. It provides guidance on machine guarding, lock-out procedures, personal protective equipment, handling compressed gas cylinders, working with air compressors, and basic electrical safety checks. The document emphasizes that safety should be the top priority in all industrial operations and maintenance work. Proper training and adherence to safety protocols can help prevent accidents and protect workers.
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
The document provides guidance on developing a risk management plan. It begins by outlining the objectives of risk management in healthcare and establishing the context of a bone marrow transplant program. It then identifies risks through a risk registry and scores them based on likelihood and impact. High risks are identified as epidemics, acquiring infections, and ICU bed availability. Response strategies are proposed to mitigate the highest risk of COVID-19 epidemics through prevention, reduction, and segregation techniques. The plan also establishes a review process to monitor implementation and compliance. The goal is to proactively control COVID-19 risks through a failure modes and effects analysis to reduce infections among bone marrow transplant patients.
The document discusses diagnostic procedures and the nurse's role in caring for patients undergoing them. It outlines that the nurse is responsible for assessing the patient's knowledge, preparing them for the procedure, providing a safe environment and support. The nurse must understand procedures and use classifications to determine patient risk. The nurse should explain procedures to patients, understand their fears, and provide reassurance. Safety guidelines are provided for before, during, and after procedures. Monitoring, documentation and special considerations for different populations are also reviewed.
Anesthesia carries risks that can lead to patient death or injury. Several factors contribute to risks in the operating room including equipment issues, patient health factors, human performance errors, and system failures. Some key errors that can cause severe harm are airway issues, medication errors, and procedure mistakes. Maintaining vigilance, checklists, standards, training, and learning from adverse events can help improve safety. Thorough documentation and review of incidents is important for quality assurance.
What must i consider to safely anesthetize someoneanvardr
The document discusses considerations for safely anesthetizing patients in an office setting. It covers physical office requirements like adequate space and equipment. It also discusses physician qualifications and certifications. For patient selection, it recommends low-risk ASA 1-2 patients and excluding those with significant comorbidities. Evidence shows office anesthesia can be low-risk when standards are followed. Guidelines published by professional societies provide recommendations.
The document discusses the responsibilities and procedures of Approved Doctors in conducting medical examinations of seafarers under new Norwegian regulations. It outlines that while the regulations introduce some changes, the doctors' main obligations remain the same - to follow administrative law, conduct thorough evidence-based medical assessments according to best practices, and justify their decisions. The document provides guidance on collecting relevant medical information, performing risk assessments based on the job and vessel, applying ethical standards, and explaining the rationale for certification decisions in writing.
This document contains the slides from a presentation on risk management orientation by Dr. Nashwa Elsayed. The presentation covers why risk management is important in healthcare, key risk management concepts like risk identification and analysis, how to use a risk register, incident reporting and investigation procedures, sentinel event reporting and investigation, the job description of a risk management coordinator, and an overview of relevant risk management policies. The goal is to provide an introduction and overview of risk management for healthcare professionals.
This document discusses strategies to improve patient safety during anesthesia. It identifies that anesthesia can induce physiological changes that increase morbidity and mortality risks, so factors threatening safety in the operating room must be addressed. These factors include equipment issues, patient health problems, and human errors by anesthetists and surgeons. The document recommends developing preoperative plans, maintaining situational awareness during procedures, emphasizing teamwork and communication, avoiding production pressures, and fostering a learning culture where errors are reported and used to implement safety improvements.
This document discusses safe anesthesia practice and crisis management during anesthesia. It begins by defining safety for the anesthetist, surgeon, and patient. It then outlines international standards for safe anesthesia practice from 2010, including pre-anesthesia checks, monitoring during anesthesia, and crisis management protocols. Specific techniques are also discussed, such as managing a difficult airway and addressing laryngospasm. The presentation emphasizes protocols, checklists, skills, teamwork and communication to ensure patient safety.
Clinical engineering represents the applications of biomedical engineering theories and methodologies to improve healthcare quality. Clinical engineers manage medical equipment in hospitals throughout its lifecycle, including selection, procurement, training, maintenance, and disposal. A full clinical engineering implementation involves diagnostic studies, inventory management, standards compliance, cost control, maintenance, training, and ensuring patient safety.
The document discusses creating a platform for learning from defects using the Comprehensive Unit-based Safety Program (CUSP) approach. It describes how CUSP was implemented at Tawam Hospital over several years starting in 2008 in various units. Key aspects of CUSP include administering staff safety surveys, executive leadership rounds, learning from mistakes by investigating patient safety reports, and celebrating safety successes. The presentation provides examples of systems changes and policies implemented at Tawam as a result of analyzing defects reported, such as restricting certain narcotic medications and developing chemotherapy administration protocols.
This document provides guidance on new regulations from the Department of Occupational Medicine. It aims to support doctors in their decision making and ensure harmonized, evidence-based risk assessments. The guidance covers topics like vision, hearing, physical capacity and common medical conditions. It is an online resource that will be updated regularly based on experience and feedback to aid doctors in evaluating seafarers' medical certificates.
Background Hospital contributes significantly tangible and intangible resources on a concurred plan by the scheduling of surgery on the OT list. Postponement decreases efficiency by declining throughput leads to wastage of resources hence burden to the nation. Patients and their family face economic and emotional implication due to the postponement. Postponement rate being a quality indicator controls check mechanism could be developed from the results. Postponement of elective scheduled operations results in inefficient use of the operating room (OR) time on the day of surgery. Inconvenience to patients and families are also caused by postponements. Moreover, the day of surgery (DOS) postponement creates logistic and financial burden associated with extended hospital stay and repetitions of pre-operative preparations to an extent of repetition of investigations in some cases causing escalated costs, wastage of time and reduced income. Methodology A cross-sectional study was done in the operation theaters of a tertiary care hospital in which total ten operation theaters of General Surgery Data of scheduled, performed and postponed surgeries was collected from all the operation theater with effect from March 1st to September 30th, 2018. A questionnaire was developed to find out the reasons for the postponement for all hospital’s stakeholders (surgeons, Anesthetist, Nursing Officer) and they were further evaluated time series analysis of scheduling of Operation Theater for moving average technique. Results Total 958 surgeries were scheduled and 772 surgeries performed were and 186 surgeries were postponed with a postponement rate of 19.42% in the cardiac surgery department during the study period. Month-wise postponement Rate exponential smoothing of time series data shows the dynamic of operating suits. To test throughput Postponement rate was plotted the postponed surgeries and on regression analysis is in a perfect linear relationship.
The document discusses considerations for surgical services to prepare for mass casualty events, including identifying event types that could impact capacity or capabilities and developing a culture of continual readiness. It identifies objectives such as recognizing event characteristics, considerations for capacity and specialized needs, and recommends three actions like planning communication systems and conducting drills to test preparedness plans.
The document provides guidelines for ambulatory anesthesia and surgery. It recommends that anesthesiologists play a leadership role in all ambulatory surgical facilities. The guidelines apply to all settings involving anesthesiology and are meant to encourage high quality patient care. Facilities must be properly equipped and staffed to handle emergencies. Patient care should include a pre-anesthesia evaluation, anesthesia plan, administration or supervision of anesthesia by qualified professionals, and discharge only when medically appropriate.
The document provides an operating theatre (OT) checklist to help ensure patient safety during surgical procedures. It lists several checks that the operating team should complete in the ward and theatre before surgery, including correctly identifying the patient, marking the intended surgical site, checking for allergies and previous medical history, and confirming critical patient information has been exchanged. The goal is for the team to operate on the right patient and site, take appropriate precautions, and communicate effectively to safely conduct the surgery and prevent errors.
The document discusses the blood transfusion process and hemovigilance. It describes hemovigilance as a set of surveillance procedures covering the entire transfusion chain from donation to follow up of patients. The goal of hemovigilance is to improve the safety of blood transfusion by monitoring, reporting, investigating and analyzing any adverse events related to the transfusion process and taking actions to prevent their occurrence. Key aspects of hemovigilance include establishing national and hospital-level systems to ensure traceability, quality, and continuous improvement in transfusion safety.
Anesthetic risk, quality improvement and liability●๋•αηкιтα madan
This document discusses anesthesia risk and mortality. It provides estimates from various studies that anesthesia-related mortality rates range from less than 1 per 10,000 anesthetics to 1 per 1,560 anesthetics historically. Common complications discussed include nerve injuries, awareness during general anesthesia, eye/dental injuries, and postoperative cognitive dysfunction in elderly patients. Risk management strategies to minimize liability like adherence to standards of care, vigilance, documentation, and informed consent are also outlined.
Applied Safety Science and Engineering Techniques (ASSETTM) merge hazard based safety engineering and safety science principles in an overall framework of a safety
management process to achieve, maintain and continuously improve safety. The ASSET process has been synthesized from current, industry-standard risk assessment and risk management guidelines, including recent International Organization for
Standardization (ISO), International Electrotechnical Commission (IEC) and American National Standards Institute (ANSI) publications.
The document discusses various topics relating to industrial safety, with a focus on electrical safety. It provides guidance on machine guarding, lock-out procedures, personal protective equipment, handling compressed gas cylinders, working with air compressors, and basic electrical safety checks. The document emphasizes that safety should be the top priority in all industrial operations and maintenance work. Proper training and adherence to safety protocols can help prevent accidents and protect workers.
A HAZ é uma empresa de comunicação visual com anos de experiência em impressão que oferece diversos serviços como ambientação, sinalização, materiais para PDV, banners, displays e totens. A empresa possui maquinário e equipamentos modernos para garantir qualidade nos projetos desde pequenas impressões até grandes projetos corporativos.
- The document discusses personal protective equipment (PPE) that employers must provide to employees to protect them from workplace hazards. It states that employers must identify risks, provide appropriate PPE, train employees on proper PPE use, and replace damaged PPE.
- The document also discusses various types of mandatory PPE like hard hats, safety boots, eye protection, ear protection, gloves, and fall protection equipment. It provides details on proper use of specific PPE like hard hats and safety boots.
- Finally, the document outlines employees' responsibilities to properly wear issued PPE, care for it, and report any defects.
Hazard Communication and General Safety TrainingDan Junkins
1. The document discusses hazard communication and general safety awareness, covering topics like hazard communication standards, regulation and policy, waste management, spills and emergencies, and pollution prevention.
2. It emphasizes the individual responsibility of employees to comply with regulations, minimize environmental impacts, and continually improve environmental systems through proper waste handling and pollution prevention.
3. Failure to comply can result in penalties like fines, loss of research funds, or closure of non-compliant areas, so following proper procedures for waste labeling, storage, disposal and spill response is important.
This document discusses several alternative energy resources including solar energy, wind energy, biomass fuel, and hydrogen. It provides details on each: Solar energy notes that the Earth receives around 51% of the sun's energy each day and ways to harness this through solar panels. Wind energy discusses how windmills have historically harnessed wind power and modern wind turbines generate electricity. Biomass fuel refers to anything that can burn or decompose, such as plant matter, and is starting to become more popular. Hydrogen has potential as a fuel but debate remains around the economics of production. In conclusion, alternatives should be utilized to conserve resources and protect the Earth.
This lecture discusses hazards, earthquakes, and earthquake measurement scales. It introduces the Richter scale and Modified Mercalli Intensity scale for measuring earthquakes. Key concepts covered include defining hazards, factors that influence vulnerability, common features of hazards, and hazards associated with earthquakes such as ground motion, faulting, aftershocks, fires, landslides, and tsunamis.
This document discusses various alternative energy resources including biofuels, wind, solar, geothermal, and hydroelectric energy. It provides details on each type of alternative energy resource, such as how biofuels are made from plants, how wind turbines convert kinetic wind energy to electricity, and how solar panels and collectors capture energy from the sun. It also outlines some disadvantages of different alternative energy sources like how biofuels require food crops and wind turbines can kill birds. The overall document serves to educate about alternative energy resources and their benefits as substitutes for non-renewable fossil fuels.
2009 sfpe san diego - a fundamental approach towards fire hazard classifica...Michael Gollner
The presentation discussed limitations with current commodity classification methods and proposed a more fundamental approach. Small-scale testing was being conducted to study upward turbulent fire propagation theory and develop nondimensional parameters. This work would inform experimental approaches and help establish a scientifically valid classification system. Full-scale modeling and testing were envisioned to validate concepts from smaller-scale work. The goal was to improve predictability in fire scenarios and ensure protection levels are based on understanding worst-case fire conditions.
Solar energy is radiant light and heat from the sun harnessed using a range of ever-evolving technologies such as solar heating , solar photovoltaic's , solar thermal energy , solar architecture and artificial photosynthesis.
Enhancement in the efficiency of solar cells final pptSwapnil Agarwal
This document discusses enhancing the efficiency of dye solar cells through improving various components and fabrication methods. Dye solar cells are a low-cost thin film solar cell technology that was invented in 1991 and works by using photosensitized dyes to convert sunlight to electricity. The document describes the materials, construction, advantages, and experimental results for building and testing different dye solar cells.
Chapter 1[definition and nature of insurance]aaykhan
The document defines insurance as a cooperative method for spreading risk over a group of individuals exposed to the same risks. It discusses key terms like risk, chance of loss, peril, hazard, loss, and the roles of the insurer and insured. The definition section examines insurance as both a functional and contractual concept that allows individuals to receive payment in the event of a specified loss or contingency in exchange for regular premium payments.
This document discusses hydrogen as an element and energy source. It notes that hydrogen is the simplest and most abundant element in the universe, though it does not naturally occur as a gas. The document outlines several methods of hydrogen production and discusses its use in fuel cells to produce electricity and heat. It provides examples of hydrogen's use in transportation applications like cars, buses and rockets. The document also briefly discusses challenges to wider hydrogen adoption such as high production and infrastructure costs.
The document discusses hazard communication and chemical safety training. It outlines the goals of hazard communication which are the right to know about chemical hazards, use of personal protective equipment, procedures for first aid and spills. It describes the roles and responsibilities of chemical manufacturers, employers and employees for labeling, maintaining safety data sheets and training. Common physical and health hazards of chemicals are identified along with routes of chemical exposure. The importance of labels and material safety data sheets for conveying hazard information is also highlighted.
Occupational health and safety (Hazard and Risk assessment )Kara M
Bernardino Ramazzini is considered the father of occupational health and safety. In 1700, he published the first book connecting workplace hazards to disease. Occupational health and safety aims to prevent worker harm by identifying hazards, assessing risks, and implementing controls like eliminating hazards, substituting less risky materials, using engineering controls, changing work practices, and using personal protective equipment as a last resort. A risk assessment involves identifying hazards, evaluating risks, deciding if existing controls are adequate, and implementing a risk control hierarchy. Personal protective equipment includes items that protect the head, hands, and feet from various workplace hazards.
Solar thermal systems use solar energy to heat a fluid that is then used for applications like water and space heating. There are two main types of solar thermal collectors: non-concentrating and concentrating. Non-concentrating collectors absorb sunlight directly while concentrating collectors use mirrors to focus sunlight onto a receiver. Common examples are flat plate collectors and parabolic trough collectors. Key factors in evaluating performance include efficiency, operating temperature range, and cost per square meter. Solar thermal can be used for applications such as water heating, space heating, cooking, and industrial processes.
This document provides information about natural hazards caused by tectonic plate movements. It discusses the three main types of plate boundaries: divergent where plates move apart, convergent where they move together, and transform where they move past each other. At divergent boundaries, mid-ocean ridges and volcanic islands form through sea floor spreading. Rift valleys and block mountains form when continents split apart. At convergent boundaries, denser plates subduct under lighter ones, creating ocean trenches, volcanic island arcs, and fold mountains through compression. Transform boundaries cause earthquakes along tear faults as plates grind past each other.
Industrial safety is primarily a management activity concerned with reducing, controlling, and eliminating hazards from industries. It is important because accidents can cause great losses to both employers and employees through costs of compensation, medical aid, training, lost time, investigations, and damage to machinery. The objectives of industrial safety are to prevent accidents, eliminate work stoppages, achieve lower insurance rates, prevent injury and disability, and promote safety awareness. Common causes of industrial accidents include unsafe conditions, equipment, acts, and psychological factors. Measures to ensure safety include safety policies, committees, engineering controls, training, and government oversight.
This document discusses several National Patient Safety Goals established by the Joint Commission for hospitals to implement in order to improve patient safety. It provides details on the goals for 2013 related to reducing catheter-associated urinary tract infections, using two patient identifiers, eliminating transfusion errors, reporting critical test results in a timely manner, labeling medications and properly managing anticoagulant therapy.
This document provides an overview of safety protocols at Sandhills Endoscopy Center. It discusses environmental safety hazards from equipment, chemicals, and physical hazards and how to properly clean and dispose of infectious materials. Electrical safety precautions are outlined for various medical devices. Chemical safety procedures include handling, storage, and spill protocols. The document also details disaster plans, code systems and emergency contacts for the facility. Patient, staff, and environmental safety are the top priorities at Sandhills Endoscopy Center.
Prevention of Accidents in An Operation Theatre-NURSINGMariaKuriakose5
This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
2020 special considerations in emergent interfacility transportsRobert Cole
This document discusses special considerations for interfacility transports. It defines different types of transports including interfacility, specialty care, and levels of acuity. It discusses EMTALA requirements including conducting a medical screening exam, stabilizing patients with emergency conditions, and ensuring appropriate transfers. It notes special considerations for pregnant patients under EMTALA and requirements for qualified personnel and equipment during transfers.
This document discusses patient safety and the International Patient Safety Goals. It defines patient safety as the prevention of errors and adverse effects associated with healthcare. It also defines key terms like sentinel events and near misses. The document then summarizes each of the 6 International Patient Safety Goals which focus on correctly identifying patients, improving communication, safety of high-alert medications, correct site surgery, reducing healthcare associated infections, and reducing falls. It provides examples of processes to meet each goal.
M003 - Crash Cart and Emergency Medications Management 23.04.2021 (1).pptxMohamedFayek11
This document provides an overview of crash cart and emergency medication management. It discusses the minimum mandatory emergency medications and equipment required based on a health facility's scope of services. It also clarifies inventory checklist and inspection requirements, as well as ideal refill procedures. The document aims to strengthen healthcare professionals' knowledge of life support certification requirements and identify issues that could contribute to patient safety events.
This document outlines Infinite CareNET's Bloodborne Pathogen Exposure Control Plan to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA standards. It details methods of exposure determination, implementation of exposure controls such as universal precautions and PPE, hepatitis B vaccination, post-exposure follow up, housekeeping procedures, and training requirements to protect employees from exposure to bloodborne pathogens. The Clinical Operations Manager and Office Coordinators are responsible for ensuring the plan is followed.
1. Maternal mortality is a major issue in developing countries, where 99% of maternal deaths occur. The leading causes are direct obstetric complications and indirect medical conditions exacerbated by pregnancy.
2. Emergency obstetric care (EmOC) provides life-saving interventions for direct obstetric complications and must be available 24/7. International goals aim to increase access to and quality of EmOC.
3. Ensuring basic and comprehensive EmOC requires essential equipment, skilled birth attendants, clinical protocols, financial access, and emergency transport systems between facilities.
The document discusses infection control procedures for healthcare workers. It covers the goals of infection control training which are to educate workers on pathogen transmission in the workplace and apply principles to minimize risks. Standard precautions that should be used with all patients are outlined, including hand hygiene, use of gloves, gowns and masks. Additional contact and airborne precautions are described for patients with certain infections.
Chemotherapy safety and handling-Thao's presentationHA VO THI
This document discusses chemotherapy safety and handling guidelines. It outlines the risks of hazardous drug exposure, engineering controls like ventilation requirements, personal protective equipment, safe storage, compounding and administration practices, decontamination procedures, medical surveillance, and future steps for improving safety in Vietnam. The key points are that chemotherapy drugs pose risks and strict protocols are needed to minimize exposure for healthcare workers handling these agents.
The document discusses Life-Saving Rules, which are clear, simple rules developed by analyzing fatal incidents in the oil and gas industry. The rules address key high-risk activities and provide actions workers can take to protect themselves. Nine rules were created covering topics like confined space entry, hot work, driving, and working at height. The rules are intended to be universally applicable across the industry. They were tested with workers and experts before being implemented. Following the rules could have prevented 376 fatalities over the last 10 years according to analysis. Examples are given for each rule to illustrate their purpose.
PROMOTING SAFETY IN HEALTH CARE ENVIRONMENT.pptxBinal Joshi
This document discusses various aspects of promoting safety in healthcare environments. It outlines key factors that affect patient safety, including developmental stages, individual risk factors, lifestyles, sensory or mobility impairments, and risks within healthcare agencies like medical errors, falls, inherent accidents, and equipment-related accidents. It also discusses environmental safety, ensuring adequate lighting, ventilation, fire safety measures. Ensuring safety of equipment, installations, laboratories, and following guidelines for surgical, blood, sanitation, and infection control. Reducing medical errors requires identifying risks, monitoring them, prioritizing control measures, and continual monitoring.
Intra-operative care involves monitoring and caring for patients during surgery. It includes activities like monitoring vital signs, blood oxygen levels, providing fluids and medications, and assisting with the surgical procedure. The goals are to maintain patient safety, homeostasis, and sterile technique. Precautions must be taken due to the vulnerable state induced by anesthesia. Complications can occur from surgery, anesthesia, or positioning and must be quickly addressed by the healthcare team working together in the operating room.
PATIENT AND STAFF SAFETY MANAGEMENT.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
PATIENT AND STAFF SAFETY MANAGEMENT.pptxanjalatchi
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
Health care technicians work in specialized areas of the health care industry under the supervision of physicians and other health care professionals. They require focused training and education in areas like emergency medical services, radiology, psychiatry, and medical laboratory services. The document provides examples of roles for several types of health care technicians and outlines some of their key responsibilities and the services they provide.
The document outlines the policies and procedures for reporting occurrences and sentinel events at a hospital using Occurrence Variance Reports (OVR). It states that OVRs should be completed by staff to document any incidents, injuries, or issues. Sentinel events involving major patient harm or death require special reporting to the Quality Improvement Coordinator and Sentinel Event Committee for a root cause analysis and action plan. The Total Quality Management Department monitors OVRs, identifies trends, and reports to relevant committees to prevent future issues. All occurrence reporting and investigation information is kept confidential by the TQM department.
The document provides an overview of annual education for medical staff and residents at Sibley Hospital. It discusses the hospital's values of compassionate service, professionalism, teamwork, and continuous quality improvement. It then outlines the hospital's performance improvement plan, focusing on safe, effective, patient-centered, timely, and equitable care measures. The document also reviews general safety protocols, health information management, infection control, influenza prevention strategies, patient safety, quality improvement, and medication safety practices.
The document provides an overview of annual education for medical staff and residents at Sibley Medical Center. It discusses the hospital's values of compassionate service, professionalism, teamwork, and continuous quality improvement. It then outlines the hospital's performance improvement plan, focusing on safe, effective, patient-centered, timely, and equitable care measures. The document also reviews general safety protocols, health information management, infection control, influenza prevention strategies, patient safety, quality improvement, and medication safety practices.
This document discusses emergency preparedness and response for healthcare facilities. It covers topics like the fundamental paradox of preparing for unlikely emergencies, terrorism, weapons of mass destruction including chemical, biological, radiological and nuclear agents. Various disease categories are described based on their priority, means of transmission and potential impact. The document emphasizes the importance of healthcare workers understanding emergency response plans and their role in responding to different emergency situations.
This document discusses domestic violence and abuse, including definitions, prevalence, risk factors, signs and symptoms, screening and documentation procedures for healthcare providers, and interventions to assist victims. It is intended for mandatory annual training of employees at Chesapeake Medical Staffing.
The document discusses the Health Insurance Portability and Accountability Act (HIPAA) and how it relates to protecting patient privacy and confidentiality. HIPAA aims to assure health insurance portability, reduce fraud, and guarantee confidentiality of health information. It requires covered entities like hospitals and healthcare providers to implement privacy protections for protected health information. HIPAA affects how patient information can be shared, used, and accessed according to regulations regarding consent, authorization, and permitted disclosures for treatment, payment, and operations. Staff must be trained on HIPAA policies and compliance is mandatory to avoid penalties for violations.
This document discusses cultural diversity and its impact on health care. It notes that culture includes factors like religion, ethnicity, language, gender, age, education, and socioeconomic class. Culture shapes a group's values, beliefs, behaviors and decision-making over time. A patient's cultural background influences their health beliefs, perspectives on illness and treatments. The document emphasizes the importance of cultural competence in health care, including understanding different cultural perspectives, using interpreters effectively, and employing models to understand a patient's experience of their illness.
The document discusses bloodborne pathogens and safety protocols for employees of Chesapeake Medical Staffing. It covers mandatory training on bloodborne pathogens, personal protective equipment (gloves, gowns, masks, etc.), standard precautions to treat all blood and body fluids as infectious, and procedures for exposure incidents. The two main bloodborne pathogens discussed are hepatitis B and human immunodeficiency virus (HIV), along with their transmission routes and related safety practices.
This document discusses airborne pathogens and provides information about tuberculosis (TB), SARS, and their transmission. It notes that healthcare workers face greater risk of exposure to airborne pathogens than the general public and outlines recommended precautions like respiratory protection, isolation, and annual TB testing for workers. The document emphasizes the importance of early detection and treatment to control the spread of airborne illnesses like TB and prevent exposure.
This document discusses age-specific competencies in caring for patients of different ages. It covers growth and development from infancy through adolescence, highlighting physical, mental, communication and safety needs specific to each age group. The document is intended as training material for medical staff, emphasizing the importance of understanding age-appropriate needs and behaviors in providing quality patient care.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
- Video recording of this lecture in English language: https://youtu.be/RvdYsTzgQq8
- Video recording of this lecture in Arabic language: https://youtu.be/ECILGWtgZko
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
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Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Gene therapy can be broadly defined as the transfer of genetic material to cure a disease or at least to improve the clinical status of a patient.
One of the basic concepts of gene therapy is to transform viruses into genetic shuttles, which will deliver the gene of interest into the target cells.
Safe methods have been devised to do this, using several viral and non-viral vectors.
In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient's cells instead of using drugs or surgery.
The biggest hurdle faced by medical research in gene therapy is the availability of effective gene-carrying vectors that meet all of the following criteria:
Protection of transgene or genetic cargo from degradative action of systemic and endonucleases,
Delivery of genetic material to the target site, i.e., either cell cytoplasm or nucleus,
Low potential of triggering unwanted immune responses or genotoxicity,
Economical and feasible availability for patients .
Viruses are naturally evolved vehicles that efficiently transfer their genes into host cells.
Choice of viral vector is dependent on gene transfer efficiency, capacity to carry foreign genes, toxicity, stability, immune responses towards viral antigens and potential viral recombination.
There are a wide variety of vectors used to deliver DNA or oligo nucleotides into mammalian cells, either in vitro or in vivo.
The most common vector system based on retroviruses, adenoviruses, herpes simplex viruses, adeno associated viruses.
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
1. This material is the private property of Chesapeake Medical
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Safety and Hazard
Communication
JCAHO Mandatory
Annual Competency
Chesapeake Medical Staffing
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Contents
Universal Codes
Disaster Plan
Bomb Threat Plan
Latex Allergies
Chemical Safety “Right to Know”
Fire/Electrical Safety
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Introduction
CMS Associates are expected to practice
the basic principles of hospital safety at all
times in a clinical setting. While hospitals
may vary in specific policies and procedures
regarding safety, universal basic safety
principles should always be a foundation of
clinical practice.
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of Chesapeake Medical Staffing is prohibited.
Universal Emergency Codes
The state of Maryland has passed a law
that requires all healthcare facilities
to adopt universal emergency codes to be
used consistently across the entire state.
The next slides identify universal
emergency codes.
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Emergency Codes
Code Red: Fire
Code Pink: Infant or Child Abduction
Code Blue: Cardiac Arrest – specify
adult, child or infant
Code Green: Combative Person
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Emergency Codes
Code Orange: Hazardous Material Spill
Code Gold: Bomb Threat
Code Grey: Elopement
Code Purple: Security only response
Code Yellow:Code Yellow: Disaster or EmergencyDisaster or Emergency
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Any duplication or use by anyone other than an employee
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Key Elements to Review
• Safety and security
• Medical equipment
• Emergency preparedness
• Utility systems
• Life safety (fire)
• Hazardous materials (haz-mat)
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Safety and Security
Security officers are on duty 24/7. Their
specific duties include:
• access control
• escort service for employees at shift change
• investigation of threats and aggressive actions
taken against the particular facility or its
employees
• maintenance of peaceful visitation periods
• oversight of prisoner patients
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Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Access Control and ID
Most hospitals require visitors to wear a visitor’s
pass. After visiting hours, the only doors with
public access are usually in the ER. A security
officer should be present 24/7 at the emergency
entrance.
• Maryland state law requires that all health care
providers wear a photo ID in a clinical setting.
• All CMS employees must wear their photo ID
badge while working (please notify the office if
you need a new ID badge).
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Any duplication or use by anyone other than an employee
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Individual Responsibilities
It is the responsibility of every employee to
participate in creating a secure environment.
• Wear your photo ID badge in plain view.
• Lock your car and personal equipment.
• Report all suspicious activities or persons.
• Report threats, stalkings and violent behavior
of employees, visitors or patients to Security.
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Any duplication or use by anyone other than an employee
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Clinical Engineering
Clinical engineering is responsible
for:
• ensuring proper preventive maintenance for
all medical equipment.
• inspecting all new medical equipment.
• evaluating/fixing broken equipment.
• inspecting medical equipment for electrical
safety.
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Any duplication or use by anyone other than an employee
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Medical Equipment Safety
For Your Safety:
• Never use electrical equipment with wet hands.
• Never place liquids above or on top of electrical
equipment.
• Never cover vents/fans on electrical equipment.
• Never pull an electrical cord out from the outlets
by the cord.
• Never use adapters to form a 3 prong socket (only
equipment with original 3 prong plugs may be
used in patient rooms).
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Emergency Disaster Plan
JCAHO requires hospitals to have an
emergency disaster plan which describes
how the facility will respond in the event
of a disaster. Each department must
have a plan outlined in the Disaster
Manual listing specific duties in case of a
disaster.
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Emergency Management
Emergency management policies &
procedure are designed to assure:
• Mitigation: actions to reduce the chance of or
lessen the impact from a disaster event
• Preparedness: equipment, policies & training to
enable quick and effective response
• Response: implementing plan in reaction to an
unplanned event or drill in a coordinated
successful manner
• Recovery: getting back to normal business after a
major disaster event.
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Universal Disaster Plan
Disaster plans (internal or external) have
three stages. The stage is determined by
the resources needed in terms of:
• bed capacity
• staff availability
• equipment/supplies needed
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Internal Disaster
Any internal event or situation which severely
reduces the organization’s ability to function
normally (examples include severe weather,
earthquakes, gas leaks, fire or bomb threats, civil
disturbances, loss of electricity or water).
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External Disaster
Any incident or event occurring outside the
hospital which might result in a sudden increase of
patients being brought to the hospital (examples
include motor vehicle crashes, stadium/prison
accidents, catastrophic fires, airline/train
accidents).
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Implementation
Once a disaster stage has been identified,
the usual procedure is an overhead
announcement by the hospital operator.
Using a code name specific for the hospital,
all staff are alerted of the impending
Disaster. Staff should follow department
disaster plans until the “all clear”
announcement is made.
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Stage I
• Alerts employees that there is a potential
disaster situation.
• Normal routines should be not interrupted.
• Department supervisors will evaluate available
resources.
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Stage II
• Acknowledges that additional resources are
needed and call-ins may occur.
• Hospital supervisors are expected to
calculate the amount of time needed for
additional staff to arrive at the facility.
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Stage III
• Alerts widespread or complete disruption of
normal operations with potential harm to staff,
visitors, or patients.
• Full mobilization of all hospital staff and agency
personnel for a prolonged time should be
expected.
• Potential mass evacuation of the building may be
planned.
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Bomb Threat Plan
In the event of a telephone bomb threat, the plan
advises team members how to respond over the
telephone.
• Try to keep the caller on the phone as long as possible.
• Ask questions to gather information, such as, “Where
exactly is the bomb located?”
• Write down as much information as you can remember
about the caller as well as specific information
regarding the bomb.
• Dial, or have a co-worker dial, the operator to
immediately report the situation.
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Utility Systems
Red outlets in the patient care areas are connected
to the emergency generator power systems to
support any emergency situation.
• Always use these outlets for such equipment as ventilators,
IV drips for life-maintaining medications and other life
maintaining equipment.
• Never unplug vital life-saving equipment from the red outlet
without clinical engineering approval.
• All patient care employees should know where the power
panels and medical gas shut-off valves are located.
• Any hospital employee is allowed to shut off medical gases
under the direction of a Respiratory Therapist.
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Closing Oxygen Valves
• Respiratory care team members will report to
clinical setting to assist with O2
valve shut off.
• Charge nurse or clinical coordinator will take
charge of O2
issues until Respiratory Therapist
arrives.
• Oxygen shut off priorities:
• Identify any patients with a life critical need for O2
• Assess the proximity of fire and risk to piped O2
• Balance the risks.
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Water Loss
In the event of a water loss,
antiseptic wipes or hand gels should
be available
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of Chesapeake Medical Staffing is prohibited.
Latex Allergies
• Healthcare workers are at risk for developing a
latex allergy because they frequently use or are
exposed to products containing latex.
• Detecting symptoms early, reducing exposure
and obtaining medical advice are necessary to
limit an allergic reaction.
• It is recommended to use non-latex gloves for
activities which do not involve contact with
infectious materials (i.e. food preparation,
routine housekeeping, and general maintenance
work).
27. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Latex Reaction Prevention
To limit the chance of a latex reaction, it is
recommended to use the following work practices:
• Do not use petroleum-based hand creams or
lotions (such as Vaseline Intensive Care) when
wearing latex gloves -- instead, use a water
based lotion (such as Eucerin).
• Wash your hands and dry them completely
after taking off latex gloves.
28. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Latex Reactions
Types of latex reactions to latex:
• irritant contact dermatitis: the development of
dry, itchy skin
• allergic contact dermatitis: dry, cracking,
peeling skin
• latex allergy: symptoms may appear from a
few minutes to several hours including: skin
rash; flushing; nasal, eye, sinus problems;
difficulty breathing, coughing spells, and
wheezing
29. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Latex Screening
• All patients admitted to the hospital should be
evaluated for latex allergies.
• A stock of latex-free equipment and supplies
should be available for staff.
• All CMS employees should disclose a history of
latex allergy during the new-hire application
process to assure availability of latex-free gloves
at assigned clinical sites.
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Staffing.
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of Chesapeake Medical Staffing is prohibited.
Hazard Communication and
Right to Know
OSHA Hazard Communication/Right-to-Know
standards ensure health care workers are
informed about chemical labeling, material safety
data sheets (MSDS) gathering and chemical
hazards in clinical settings.
31. This material is the private property of Chesapeake Medical
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Material Safety Data Sheets
All hospitals are required to keep a
current chemical inventory and keep
Material Safety Data Sheets (MSDS)
in the Safety Office.
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Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Chemical Containers
Chemical containers must have the following
information on the label:
• chemical identity (name)
• ingredients
• hazard statement (tells the physical and health
hazards of the chemical)
• precautions to be taken when working with the
chemical and the PPE required
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Hazard Identification
The Hazardous Material Identification
System (HMIS) label is typically
square in shape and may not be
substituted for a product label.
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Health Hazard
The color blue represents the health hazard
class for a specific chemical product. The
degree of the health hazard is designated
through the use of a number rating system.
The range is from 1 - 4. The zero
represents a minimal health hazard and the
number 4 represents an extreme health
hazard.
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Fire Hazards
The color red represents the flammability
hazard class for a specific chemical product.
The degree of the flammability hazard is
designated through the use of a number
rating system.The range is from 0 - 4. The
zero represents a minimal fire hazard and
the number 4 represents an extreme
flammability hazard.
36. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Reactivity
The color yellow represents the reactivity
hazard class for a specific chemical product.
The degree of the reactivity hazard is
designated through the use of a number
rating system. The range is from 0 - 4. The
Zero represents a minimal reactivity hazard
and the number 4 represents an extreme
reactivity hazard.
37. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Special Hazards
The white diamond in the placard is used
for information purposes and can include a
number of symbols.
• W Do not use water with the material.
• OX The material has oxidizing properties.
• Radioactive The material is radioactive.
• P The material requires the use of protective
equipment.
• HazMat There are hazardous materials in the area.
• Laser During use of the equipment, eye
protection must be worn in the immediate
area.
38. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Fire/Electrical Safety
One of the most serious safety issues in hospitals is the
threat of fire. The risk is increased because work
conducted in clinical areas, laboratories and
operating/special procedure rooms may involve
flammable liquids and other hazardous substances. In
addition, the use of specialized equipment such as
lasers and other ignition sources utilized in oxygen-
enriched atmospheres increases the threat of fire. This
threat is far more critical in patient care areas since
patients are often incapable of self-preservation.
39. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Know the Fire Code
A team effort is required when a fire emergency
arises. Everyone is needed to protect the lives of
the patients.
• Know the fire plan for each hospital and department
where you accept an assignment to work
• Know the fire emergency code for each facility
• Know the location of the following:
fire alarms
extinguishers
fire doors
patient transport equipment
40. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Code Red
• Every team member must know and understand what to
do when a Code Red is called.
• Every team member must know and understand what to
do if they discover a fire or smoke.
• Every team member must know and understand what to
do if they smell or see smoke or feel excessive heat in an
area that should not be hot.
• Treat every Code Red as an emergency, even if you think
it is a drill (drills save lives as they help hospital personnel
rehearse emergency procedures).
• All departments must clear hallways and close all doors
during fire drills (even if the drill is not in your department
or work area).
41. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Electrical Safety
• Inspect electrical equipment and power cords
for signs of wear or damage damage before use.
• Report any damaged or malfunctioning equipment.
• Do not use the equipment that is not working
properly.
• Remove it from use and put a “defective equipment”
tag on the equipment so that it is not used, write
down what is wrong with name and date.
• Notify facilities services or bio-medical engineering
(informing them what is wrong with the
equipment/cord).
42. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Fire Pull Stations
Fire pull stations are usually located at the
stairwell entrances and exits of most hospital
units. Pulling the alarm box will activate the ball,
voice page, and/or flashing lights to warn the fire
team, staff, patients and visitors of a fire event as
well as automatically close magnetic fire doors. It
is your responsibility to note the locations of fire
pull stations in every clinical setting.
43. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
R A C E
The acronym RACE is used to remind HCWs to:
R Rescue/remove anyone in immediate danger
A Sound the ALARM and get fellow team members to help.
Pull the fire alarm and dial the emergency code. Tell the
operator the exact location of the fire. Get fellow team
members involved to help respond (pull stations are at
doors to stairs or outside, and nursing stations).
C Contain the fire by closing doors and windows.
E Evacuate if necessary/extinguish the fire if possible (if the
fire is is no larger than a waste basket and you have been
trained or you can do so without endangering yourself).
44. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Components of R A C E
Remove the patients
from danger. Patient
safety is always the first
consideration.
Alarm: Activate the fire
alarm. This is done by
pulling the alarm box
located at the stairwells,
exits to the building, and
other key places.
Close all doors and windows.
By closing the doors you can
gain 20 to 40 minutes of safe
time. The fire doors located
throughout the hospital close
automatically when the fire
alarm sounds.
Extinguish the fire if possible.
If the fire is in the wastepaper
basket or on a patient’s bed, an
extinguisher can be used to put
out the fire. If extinguishing
the fire is not possible,
evacuate as directed.
45. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Keep Doors Closed
If a door is hot, there is most likely
a fire on the other side. Do not open
a hot door. Opening a door may feed
the fire by giving it more oxygen!
DO NOT DELAY in notifying the Fire Department.
The faster the Fire Department arrives, the faster
the fire can be contained and extinguished.
46. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Patient Evacuation
In the event of patient evacuation:
• Do not use the elevators unless directed to do so by the
fire department.
• When possible, have patients move under their own
power.
• Only attempt to save records or equipment after the
patients are safely evacuated.
47. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Extinguishing a Fire
NEVER fight a fire if it is larger than the size of a waste
basket or if there is excessive heat or smoke. Activate the
emergency alarm immediately.
Know the universal classification of types of fire :
Class A: common combustibles: paper, wood, cloth,
rubber, plastic
Class B: combustible liquids or gasses, oil, grease
Class C: electrical equipment, surgical equipment,
computer equipment
Class D: combustible metals including magnesium,
potassium, sodium
48. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Types of Extinguishers
Class A: These extinguishers are good for
fires comprised of dry materials.
These silver extinguishers contain water.
Class B: These extinguishers are for fires involving
liquids and oils. They contain dry chemicals or
CO2 (carbon dioxide). If a water extinguisher
was used on this type of fire, it could cause the
fire to spread.
Class C: These extinguishers are good for live or
energized electrical fires. They also contain
CO2 (carbon dioxide).
49. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Using an Extinguisher
Remember the pneumonic PASS:
Pull: Pull the pin before you approach the
fire
Aim: Aim the nozzle (at the base of the fire)
Squeeze: Squeeze the handle (start 6-10 inches
from the fire)
Sweep: Sweep side to side
50. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Fire Safety Guidelines
• Exit doors and stairwells should never be blocked by clinical or
construction equipment.
• Do not use door stops (chocks) in the building.
• Do not stack anything within 18” of the ceiling, especially near
sprinklers.
• Keep stairs and corridors clear at all times- never store objects in
halls even if objects are on wheels.
• Reassure patients and visitors that Code Red is in effect and
appropriate action is being taken.
• Team members assigned to non-patient care areas should remain in
their department (if not the fire zone).
• Team members assigned to patient care areas should return to their
unit. Be prepared to evacuate to another “smoke compartment” on
the same floor or to another floor if an evacuation is necessary.
51. This material is the private property of Chesapeake Medical
Staffing.
Any duplication or use by anyone other than an employee
of Chesapeake Medical Staffing is prohibited.
Conclusion
Fire and life safety responsibilities are shared among a
multi-disciplinary group. Each has specific
responsibilities for design, implementation, testing,
maintenance or monitoring of part of a fire
prevention management plan in all health care facilities.
The goal is to provide a safe, functional, supportive,
and effective environment for patients, staff members,
and other individuals in the healthcare facility.