Tweedy | Healthcare Safety for Nursing Personnel | E-Book | sack.de
E-Book

E-Book, Englisch, 366 Seiten

Tweedy Healthcare Safety for Nursing Personnel

An Organizational Guide to Achieving Results

E-Book, Englisch, 366 Seiten

ISBN: 978-1-4822-3028-4
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)



Nursing personnel play an integral role in healthcare and medical delivery organizations. Nurses not only work to keep patients safe, but must also contend with a number of safety and health risks. Illustrating the occupational risks nurses face, Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results addresses healthcare safety as related to nursing personnel risks, hazards, and responsibilities in hospitals and healthcare facilities.

The book begins with an introduction to nursing safety that supplies a fundamental understanding of patient, nursing, and facility safety. Next, it delves into the range of safety issues that nurses must contend with. Topics covered include administrative area safety, bloodborne pathogens, workplace violence, infection control and prevention, emergency management, fire safety, and radiation hazards.

Examining the concepts and principles of patient safety as related to organizational dynamics, culture, system methods, and key patient safety initiatives, the book supplies essential knowledge of healthcare safety risks, challenges, and controls. It includes information on leadership, management, communication skills, and understanding accidents.

The book includes helpful resources in the appendices, such as a nurse safety perception survey, an accident causal factor chart, sample ergonomics symptoms report, sample TB exposure control plan, and a model respirator plan for small organizations. Complete with review exercises in each chapter, this book is ideal for certification training in nursing programs and as a reference for developing nursing in-service safety sessions.
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Nursing Safety
ANA Nurse Health & Safety Survey Results
Safe Patient Handling and Mobility: Interprofessional National Standards
New Patient Safety Survey: Few Nurses Call Their Hospitals Safe
International Board for Certification of Safety Managers (IBFCSM)
The Function of Safety
Safety Responsibilities
Nursing Supervisor Involvement
Addressing Behaviors
Employee Engagement
Understanding Hazards
Hazard Identification
Preparing for Inspections
Job Hazard Analysis (JHA)
Job Design
Hazard Control and Risk Management
Hazard Control and Correction
Active and Passive Controls
Engineering Controls
Administrative Controls
Work Practice Controls
Personal Protective Equipment (PPE)
Areas to Evaluate
System Safety
Understanding Accidents
Accident Reporting
Accident Investigations
Classifying Accident Causal Factors
Interviewing Witnesses
Accident Analysis
Root Cause Analysis (RCA)
Preparing Accident Reports
Human Factors
Error
Motivating People
Review Exercises

Leadership and Management Overview
Introduction
Leadership
Practical Leadership
Leadership Ethics
Management
Knowledge Management
Decision-Making
Psychological Safety
Crisis Management
Traditional Organizational Structure
Organizational Culture
Covert and Overt Cultures
Interfacing Support Functions
Operational and Support Functions
Human Resources
Facility Management
Employee Health
Workers’ Compensation
Return to Work/Modified Duty Positions
Substance Abuse
Orientation, Education, and Training
Providing Adequate Sessions
Safety Training
Effective Speaking and Writing
Communication
Communication Barriers
Effective Writing
Review Exercises

Nursing Hazards
Introduction
Administrative Area Safety
Shift Work and Job Stress
Shift Work
Stress
Slip, Trip, and Fall Prevention
Safety Signs, Colors, and Marking Requirements
Electrical Safety (29 CFR Subpart S)
Three Common Hazards
Bloodborne Pathogens
Hazardous Material Safety
Nursing Personnel and Workplace Violence
Helicopter Safety
Noncompensated or Voluntary Worker Safety
Home Health Safety
Surgical Department
Perinatal Nursing
Intensive Care Units
Emergency Department
Dialysis Unit Safety
Equipment
Personal Protective Equipment
Medical Equipment Management
Medical Equipment Management
Joint Commission Requirements
Maintenance, Testing, and Inspecting
Medical Equipment Reporting
Safe Medical Device Act of 1990 (SMDA)
SMDA Reportable Events
Other Reporting Requirements
Security
NFPA 99-2012, Security Management (Chapter 13)
Resources
Incident Reporting
Property Protection
Sensitive Area Access
Identification of Patients, Visitors, and Staff
Traffic Control and Vehicle Access
Weapons on Campus
Handling Civil Disturbances
Handling Situations Involving "VIPs" or the Media
Access and Crowd Control
Communications
Orientation and Education
Evaluation of Security
Using Proven Practices to Improve Security
Forensic Patients
Workplace Violence
Workplace Violence Protection for Nurses by Accrediting Bodies
Workplace Violence Prevention (NIOSH Publication No. 2002-101)
Management Commitment and Employee Involvement
Ergonomics
Evaluation of Ergonomics Efforts
Workstation Evaluations
Workstation Interventions
Human Factors
Musculoskeletal Disorders (MSDs)
Administrative Issues
Equipment Maintenance
Facility Design Issues
Mechanical Lift and Assist Devices
Understanding the Body
Injuries and Disorders
Back-Related Problems
Back Injury Prevention
Lateral Transfers
Ambulating, Repositioning, and Manipulating
Performing Activities of Daily Living
Useful Tips
Lift Teams
Guiding and Slowing Falls
Transfer Task Safety
Personal Factors
Work Evaluation Tools
Training and Education
Patient Transport Functions
Transporting Patients
Patient Care
Transport Team Development
Wheelchair Safety
Review Exercises

Patient Safety
Introduction
Worker Fatigue and Patient Safety
Leading Efforts
IOM Reports
Errors and Adverse Events
Active and Latent Errors
Factors Impairing Human Performance
Error Reporting
Reporting Using Technology
Analyzing Events and Errors
Common Error Causal Factors
Medical Education and Error Acknowledgment
Safety Cultures
Safety Culture Perceptions
Healthcare Bureaucratic Structure
Proactive Organizations
Understanding Change
Organizational Change
Teamwork
Understanding Systems
Systems Approach
Key System Safety Elements
System Reliability
Failure Mode and Effect Analysis (FMEA)
Technology and Safety
Patient-Centered Healthcare
Error Disclosure
Medical Error Disclosure Guidance
Evidence-Based Medicine (EBM)
General Patient Safety Practices
Using Patient Safety Checklists
Human Factors
Patient Safety Officers and Committees
Quality Improvement
Benchmarking
Other Measurements
Stakeholders
Plan-Do-Study-Act (PDSA)
Root Cause Analysis
Patient Roles in Patient Safety
Improving Patient Safety
Wrong Surgeries
Diagnostic Errors
Display Confusion
Air Embolism from Contrast Media Injectors
Serious Reportable Events (SREs)
Handoffs
Implementing Structured Handoff and Sign-Out Procedures
Foreign Bodies
Surgical Fires
Anesthesia Hazards Due to Inadequate Inspection
Medical Device Alarm Safety
Discharged Patient Events
Healthcare-Associated Infections (HAIs)
Central Venous Catheter–Related Bloodstream Infections (CRBSI)
Surgical Site Infection (SSI)
Ventilator-Associated Pneumonia (VAP)
Catheter-Associated Urinary Tract Infection (CAUTI)
Medication Safety
Medication Errors
Risk Factors for Adverse Drug Events
Prevention of Adverse Drug Events
Accomplishing Medication Reconciliation
Medication Administration
Reducing Medication Errors
Reporting Medication Errors
Investigating Medication Errors
Computerized Provider Order Entry (CPOE)
Emergency Department Patient Safety
Other Key Patient Safety Issues
Infusion Pumps
Ambulatory Care
Work Hours and Patient Safety
ACGME 2010 Standards
Rapid Response Systems
Call System Operation
Health Insurance Portability and Accountability Act (HIPAA)
Patient Restraints
Most Medical/Surgical Restraints Exempt
Patient Fall Prevention
Environmental Hazards
Bed Safety
Electronic Records
Key Components of Electronic Health Records
Electronic Charting
Infant Abduction Prevention
Preventive Measures
Quality and Safety Education For Nurses (QSEN)
Review Exercises

Emergency Management & Fire Safety
Introduction
Joint Commission Requirements
Other Emergency Planning Issues
Hospital Evacuation Planning
Community Involvement
Partnership for Community Safety
Hospital Roles in Community Emergencies
Incident Command System (ICS)
Incident Commander Responsibilities
Strategic National Stockpile
Planning for Terrorism
Pandemic Planning
Fire Safety
Life Safety Code Comparisons
Design Considerations
Fire Prevention
Inspections
Fire Warning and Safety
Manual Alarm Stations
Electrically Supervised Systems
Special Requirements for Cooking Areas
Fire System Inspections
Fire Confinement
Emergency Egress
OSHA Egress Standards
Fire Extinguishers
How Fire Extinguishers Work
Proper Maintenance
Surgical Fires
ATSM Surgical Fire Standard
Fire Blankets
Life Safety
Interim Life Safety
Review Exercises

Hazardous Materials
Introduction
Hazardous Substance Safety
Hazardous Substance Exposures
Hazardous Chemical Determination
Reproductive Hazards
Threshold Limit Values (TLVs)
Chemical Properties
Flash Points
Airborne Exposure
Emergency Showers and Eyewashes
Compressed Gas Safety
OSHA Hazard Communication Standard (29 CFR 1910.1200)
Globally Harmonized System (GHS)
Major Hazard Communication Standard Changes
Safety Data Sheet (SDS) Changes
Managing and Communicating Changes to the Hazard Communication Standard
Employee Training
Healthcare Hazardous Materials
Acetone
Acryl Amide
Ammonia
Cadmium (29 CFR 1910.1027)
Chlorine Compounds
Iodine
Isopropyl Alcohol
Methyl Methacrylate
Peracetic Acid
Pesticides
Phenol Substances
Quaternary Ammonium Compounds
Solvents
Ethyl Alcohol
Glutaraldehyde
Orthopthalaldehyde (OPA)
Ethylene Oxide (29 CFR 1910.1047)
Formaldehyde (29 CFR 1910.1048)
Hazardous Drugs
Hazardous Pharmaceutical Wastes
Medical Gas Systems
Anesthetic Gas Hazards
Scavenging
Nitric Oxide
Nitrous Oxide
Managing Waste
A. Medical Waste
Respiratory Protection (29 CFR 1910.134)
Types of Respirators
Review Exercises

Infection Control and Prevention
Introduction
Healthcare Immunizations
Guidelines of the Advisory Committee for Immunization Practice
Other Vaccination Considerations
Centers for Disease Control and Prevention (CDC)
CDC Guidelines for Hand Hygiene in Healthcare Settings
Guidelines for Environmental Infection Control in Healthcare Facilities
CDC Standard Precautions
Disease and Infection Transmission Routes
Airborne Precautions
Droplet Precautions
Contact Precautions
New Infection Risk
Centers for Medicare & Medicaid Serivces (CMS) Hospital-Acquired Conditions (HAC) and Present on Admission (POA) Indicators
Disinfectants, Sterilants, and Antiseptics
Germicidal Effectiveness
Regulatory Approval of Disinfectants
EPA’s Registered Sterilizers and Tuberculocidal and Antimicrobial Products
CDC Recommendations
Selecting a Disinfectant
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)
Exposure Control Plan
OSHA Hand Hygiene Requirements
Employee Involvement
Recordkeeping
Engineering Controls
Needleless Systems
Exposure Determination
Control Measures
Personal Protective Equipment
Housekeeping, Laundry, and Waste Practices
Hepatitis B Virus (HBV)
Hepatitis B Vaccination
Hepatitis C (HCV)
Human Immunodeficiency Virus (HIV)
Other Key Topics
Latex Allergies
Information and Training
Training Methods and Interactive Question Opportunities
Trainer Qualifications
Medical Recordkeeping
Training Recordkeeping
Hazardous Waste Operations and Emergency Response (29 CFR 1910.120).
Post-Exposure Evaluation and Follow-Up
Tuberculosis (TB)
TB Screening Procedures for Settings Classified as Low Risk
TB Screening Procedures for Settings Classified as Medium Risk
TB Screening Procedures for Settings Classified as Potential Ongoing Transmission
OSHA Tuberculosis Exposure Enforcement Guidelines
OSHA Citations for TB Exposures
OSHA Abatement Methods
OSHA Tuberculosis Respirator Requirements
TB Exposure Control Plan
Administrative Controls
Environmental Controls
Respiratory-Protection Controls
Engineering Controls
Healthcare Opportunistic Infections
Bacteria
Methicillin-Resistant Staphylococcus Aureus
Viruses
Aspergillus
Anthrax
Severe Acute Respiratory Syndrome (SARS)
Pseudomonas
Legionella
Infection Control Risk Assessment (ICRA)
Medical Waste
Sharps Containers
Separating Medical and Hazardous Wastes
Infectious Wastes
Medical Waste Best Practices
Waste Handling for Offsite Transfer
Containers
Medical Waste Disposal
DOT Infectious Shipping Requirements
Review Exercises

Radiation, Lab, and Drug Hazards
Radiation Safety
OSHA Ionizing Radiation Standard (29 CFR 1910.1096)
Restricted Areas
Surveys and Monitoring
Radiation Areas
Caution Signs
Airborne Radioactivity
Storage Areas
TB Exposures
Ergonomics
Slips, Trips, and Falls
Bloodborne Pathogens
Storage and Handling Procedures
Medical Radioactive Materials
Shielding
ALARP
Nuclear Medicine
Brachytherapy (Implant) Patients
Medical, Reproductive, and Fertility Considerations
Nuclear Regulatory Commission (NRC)
NRC Performance-Based Standards
Radiation Control Planning
Radiation Safety Committee
Radiation Safety Officer (RSO)
Regulatory and Occupational Dose Considerations
National Council on Radiation Protection (NCRP)
Food And Drug Administration (FDA) and Radiation Safety
The Radiological Society of North America (RSNA)
The American College of Radiology (ACR)
Radioactive Waste Management
Nonionizing Radiation (29 CFR 1910.97)
Ultraviolet (UV) Radiation
Radiofrequency (RF) and Microwave (MW) Radiation
Wireless Medical Telemetry
FDA/CDRH Recommendations for EMC/EMI in Healthcare Facilities
Consensus Standards
Other Recognized Standards
Lasers and Electrosurgery
Laser Safety
Laser Safety Officer (LSO)
Laser Standards
Laser Classifications
Class 1 Laser
Class 1M Laser
Class 2 Laser
Class 2M Laser
Class 3R Laser
Class 3B Laser
Class 4 Laser
Laser Plumes
Laser Skin Protection
Fires Prevention Tips during Laser Surgery
Magnetic Resonance Imaging (MRI)
FDA MRI Safety Guidelines
Other MRI Safety Recommendations
MRI Burns
Other Clinical Risks
CT Radiation Doses
Fiber-Optic Light Burns
Sonography
Laboratory Safety
Clinical Laboratory Improvement Amendments (CLIA)
Joint Commission Laboratory Accreditation
College of American Pathologists (CAP) Accreditation
College of American Pathologists (CAP) Accreditation Program
COLA Accreditation
OSHA Laboratory Standard (29 CFR 1910.1450)
Summary of Lab Safe Work Practices
Centrifuges
Laboratories and the OSHA Bloodborne Pathogens Standard
Tuberculosis (TB)
Morgue
Chemical and Fire Hazards
Chemical Exposure Response
Standard Operating Procedures
Laboratory Equipment
Microtome Safety
Pressure and Vacuum Systems
Fume Hoods and Laboratory Ventilation
Employee Training
Medical Examinations and Consultations
Supervisor Responsibilities
Safety Personnel Responsibilities
Laboratory Personnel Safety Responsibilities
Animal Research Facilities
Laboratory Hazardous Waste Disposal
Autoclaves
Good Clinical Laboratory Practices (GCLP)
Laboratory Physical Environments
Drug Hazards
Clinical Pharmacy
General Safety Considerations
Pharmacy Safety
OSHA Hazard Communication Standard
Pharmacy Ergonomics
Workplace Violence
General Medication Labeling
Closed Pharmacy Procedures
Drug Recalls or Safety Alerts
High-Risk Medications
Investigational Medication Safety
Evaluation of Medication Management
Drug Quality and Storage
Current Standards
NIOSH Revision of ASHP Definition
Developing a Hazardous Drug List
Where to Find Information Related to Drug Toxicity
2010 NIOSH Update of Hazardous Drug Alert for Healthcare Settings
Hazardous Drug Safety Plan
Transfer Procedures
Caregiver Exposure Precautions
Administering Aerosolized Drugs
Hazardous Drug Waste
Spill Control
Medical Surveillance
Ventilated Cabinets
Recordkeeping
Proposed Universal Waste Rule for Pharmaceuticals
Current RCRA Requirements
USP 797: Pharmaceutical Compounding—Sterile Preparations
USP 797 2008 Revision
Review Exercises

Agencies, Associations, and Organizations
Administrative Law
Occupational Safety and Health Administration (OSHA)
Summary of General Duties
Priorities
Citations
State-Approved Plans
Recordkeeping (29 CFR 1904)
Recording Work-Related Injuries And Illnesses
Medical Treatment
Restricted Work
Classifying Injuries
Classifying Illnesses
Posting the Summary
Form 301 Injury and Illness Incident Report
Access to Employee Exposure and Medical Records (29 CFR 1910.1020)
Environmental Protection Agency (EPA)
Resource Conservation and Recovery Act (RCRA)
Comprehensive Environmental Response, Compensation and Liability Act (CERCLA)
Superfund Amendments and Reauthorization Act of 1986 (SARA)
Clean Air Act (CAA)
Clean Water Act (CWA)
Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA)
Toxic Substances Control Act (TSCA)
Other Federal Agencies
Nuclear Regulatory Commission (NRC)
National Institute for Occupational Safety and Health (NIOSH)
Centers for Disease Control and Prevention (CDC)
Food and Drug Administration (FDA)
Agency for Healthcare Research and Quality (AHRQ)
National Institutes of Health (NIH).
Centers for Medicare & Medicaid Services (CMS)
Institute Of Medicine (IOM)
Accreditation Organizations
The Joint Commission
EOC Management
American Osteopathic Association (AOA)
Det Norske Veritas (DNV) National Integrated Accreditation for Healthcare Organizations (NIAHO)
Accreditation Canada
Commission on Accreditation of Rehabilitation Facilities (CARF)
College of American Pathologists (CAP) Laboratory Accreditation
Standards Organizations
American Conference of Governmental Industrial Hygienists (ACGIH).
American National Standards Institute (ANSI)
National Council on Radiation Protection and Measurements (NCRP)
National Fire Protection Association (NFPA)
Voluntary Associations
American Health Care Association (AHCA)
American Hospital Association (AHA)
American Society of Healthcare Risk Management (ASHRM)
American Association of Occupational Health Nurses (AAOHN)
Association for the Healthcare Environment (AHE)
Association of Occupational Health Professionals (AOHP)
ECRI
American Association of Colleges of Nursing (AACN)
Academy of Medical-Surgical Nurses (AMSN)
American Association of Critical-Care Nurses (ACCN)
American Nurses Association (ANA)
The American Academy of Ambulatory Care Nursing (AAACN)
American Association of Managed Care Nurses (AAMCN)
American Nephrology Nurses’ Association (ANNA)
American Organization of Nurse Executives (AONE)
American Psychiatric Nurses Association (APNA)
Association of periOperative Registered Nurses (AORN)
National Student Nursing Association (NSNA)
American Association of Nurse Anesthetists (AANA)
American Holistic Nurses Association (AHNA)
Emergency Nurses Association (ENA)
American Nursing Informatics Association (ANIA)
Association of Rehabilitation Nurses (ARN)
Review Exercises

References

Appendices:
Nurses Safety Perception Survey
Safety Improvement Principles
Accident Causal Factor Chart
Ergonomic Symptoms Report
Sample Personal Protective Equipment Hazard Assessment Form
Workplace Violence Prevention Policy
Bloodborne Training Requirements
Patient Handling Guidance
Patient Safety Plan Development Considerations
Sample TB Exposure Control Plan
Model Respirator Plan for Small Organizations
Glossary of Terms
AHRQ Patient Safety Tools and Resources

Index


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