DHO Chapter 14: Safety

base of support

keeping the feet 18 inches apart, placing one foot slightly forward, balancing weight on both feet, and pointing the toes in the direction of movement

Bloodborne Pathogen Standard

has mandates to protect health care providers from diseases caused by exposure to body fluids

body mechanics

the way in which the body moves and maintains balance while making the most efficient use of all its parts.

ergonomics

an applied science used to promote the safety and well-being of a person by adapting the environment and using techniques to prevent injuries

safety glasses

are required for some procedures such as body fluids splashing like in surgery and labor and delivery

(Material) Safety Data Sheet (SDS)

documents that provide product identification, safety precautions, how to handle spills for CHEMICALS

Occupational Exposure to Hazardous Chemicals Standard

requires that employers inform employees of all chemicals and hazards in the workplace, provide training, and provide MSDS sheets for all chemicals

every 2 hours

How often should a patient/resident's body position be changed?

Discoloration of the skin

First sign of a pressure ulcer

PASS

Pull the safety pin, aim low, squeeze the lever, sweep back and forth

Restraint time frames

check on resident every 30 mins and remove to exercise every 2 hours

Physical Restraints

restrict the movement of patients such as geri chair, wrist restraints, bed rails, and lap lock cushion

Particle in eye

Do not rub; report to supervisor asap

tornado watch

conditions are right for a tornado to form

Fuel, heat and oxygen

Three things needed to start a fire.

Fire and Tornado

close fire doors and resident room doors

Hemmorrhage

excessive bleeding/call for help, hold pressure over, elevate area above heart, do not apply tourniquet

RACE

Acronym used for fire: remove resident in danger, activate alarm, clear area of others and hazards, and extinguish fire if safe

Ways to identify patients.

Check the identification wristband, ask the patient to state his or her name, repeat the patient's name at least twice, check the name on the patient's record, or bed.

Solutions in EYES

Immediately flush the area with cool water then inform your instructor or immediate supervisor.

bomb threat procedure

I will listen for background noises, be courteous, write down notes such as gender, accent, and age, report to supervisor

Safety checkpoints before leaving a patient/resident in bed

Make sure the patient is in comfortable position, side rails are elevated (up), the bed is in the lowest level to the floor, wheels on bed are locked, call light and supplies are in easy reach, open privacy curtains, leave area neat and clean.

Three diseases that can be contracted by exposure to body fluids that are a concern to health care workers.

Hepatitis B, Hepatitis C, HIV (human immunodeficiency virus) that causes AIDs

work place violence

avoid racial, sexual, and cultural comments, use tact, discretion, and respect

earthquake

protect self under heavy object, remain calm, help nurse triage residents, avoid open flames, stay off phones, and be alert for after shocks

unattended fall

call for help, do not move resident, calm resident, and check for injuries

attended fall

lower resident to floor with you, call for help, calm resident, check for injuries

restraint alternatives

measures used instead of physical or chemical restraints such as activities, comfortable chair or rocking chair, yellow caution tape or long mirror on doors, wandering safely, encourage sleep in safe situation

Steps to restrain a resident

document behaviors, try all alternatives, notify resident and family, obtain a dr order for least restrictive restraint

Restraints

side rails, wrist restraints, geri chair, lab lock cushion, vest restraint

restraint complications

cyanotic skin color, skin cool to touch, weak pulse at site

Oxygen Precautions

no smoking signs, no open flames, avoid using electrical equipment close, no flammable liquids, use cotton linens, no petroleum based products on resident

chemicals

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