Downloaded 10 times
Uploaded byHamzi Hadi
HEALTH & SAFETY IN HOSPITAL CREATING A SAFE WORK PLACE..pptx
This document discusses health and safety in hospitals. It outlines the roles and responsibilities of leaders in ensuring various aspects of patient and staff safety. This includes providing education and training, implementing safety protocols for medications, blood transfusions, falls prevention, and more. Leaders are responsible for proper use and maintenance of equipment, use of personal protective equipment, and understanding emergency codes. The goal is to create a safe work environment and reduce risks and errors to provide safe patient care.
More Related Content
Similar to HEALTH & SAFETY IN HOSPITAL CREATING A SAFE WORK PLACE..pptx
HEALTH & SAFETY IN HOSPITAL CREATING A SAFE WORK PLACE..pptx
- 1. HEALTH & SAFETYIN HOSPITAL :CREATING A SAFE WORK PLACE MUHAMMAD HAMZIHADI BIN HAMRAH CLINICAL NURSE HOSPITAL TUANKU JAAFAR SEREMBAN 2023
- 2. Contents 1. MALAYSIAN PATIENTSAFETY GOAL 2.0 2. HEALTH AND SAFETY • EMERGENCY CODE • SAFETY EQUPMENT • VISITOR/ PATIENT • HANDLING HAZARDS
- 3. What is health? Healthis a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. A healthy workplace is one where workers and managers collaborate to continually improve the health, safety and wellbeing of all workers and by doing this, sustain the productivity of the business (World Health Organisation, 2019).
- 4. SAFETY DEFINITION Safety isa state in which hazards and conditions leading to physical, psychological or material harm are controlled in order to preserve the health and well-being of individuals and the community. Definition safety in workplace: The process of protecting employees from work related illness and injury.
- 5. HUMAN - Who involved: -Patient - Nurse, Dr and others allied health - Visitor - Other stakeholder NON HUMAN - Building eg: hospital, clinic - Equipment - Facilities Health and safety workplace
- 6. PATIENTS FALL + MEDICATIONERROR + BLOOD TRANSFUSION ERROR + UNINTENDED RETAINED SURGICAL ITEM + NOSOCOMIAL INFECTION and many more = MALAYSIAN PATIENT SAFETY GOAL REVISE IN 2021 VERSION 2.0
- 7. MALAYSIAN PATIENT SAFETY GOAL2.0 NURSE’S/LEADER’S ROLE AND RESPONSIBILITY
- 8. INTRODUCTION “Nurses spend 24hours a day with patients providing direct patient care. They have a huge responsibility to ensure compliance to the Malaysian Patient Safety Goals. Therefore, having sound knowledge of patient safety in the healthcare setting is a vital importance to ensure patient safety at all times.” -DG Dr. Noor Hisham Bin Abdullah
- 18. ROLES AND RESPONSIBILITIESOF LEADERS 1.Education And Training 1.1 Orientation and Mentor-Mentee program to new nurses who report duty 1.2 CME / CNE in the unit/ department/hospital 2.Practicing Standard Of Precaution (SOP) 3. Monthly surveillance audit sent to State Health Department and Ministry. - Properly anchor after insertion - Change dressing every 7 days / necessary - Clean the hub of the catheter properly - Cohort or isolate infected patients - Strictly 5 moment hand hygiene - Follow 4 key component • Maximal Barrier Precaution, • Skin antiseptic, • Catheter site selection, • Daily review CVC
- 26. ROLES AND RESPONSIBILITIESOF LEADERS 1.Education And Training 1.1 Orientation Program to new staff 1.2 CNE Hospital / Department and Unit level 1.3 Mentor-mentee Program to all new staff or staff that just join the team. 2. The use of related forms such as PERI-OPERATIVE CHECK LIST(SSSL_POCL_09 Version 2.0). 3. National Operating Room Nursing Audit (NORNA) to be practiced in order to upgrade knowledge and be competent nurses in the Operating Room. 4. All staff nurses in OT should be credentialed and privileged.
- 27. SSSL Form PRIMARY TEAMCHECKLIST MULTIDISIPLINARY TEAM CHECKLIST
- 31. ROLES AND RESPONSIBILITIESOF LEADERS 1.Education And Training 1.1 CNE/CME at Hospital / Department / Unit level 2. Implement Principle of 7R's when administering medication 3. Use 2 identifier of patient before administering medication 4. Implement proper medication storage system 4.1 Label High Alert Medication for example Potassium Chloride 4.2 For Look Alike Sound Alike (LASA) medication use TALL MAN lettering. 4.3 Separate LOOK ALIKE medications further from each other. 5. Ensure that there are written instructions from doctor before serving medicine 6. Use ‘medication nurse’ vest to avoid interference from others while administering medication. 7. Report and learn from medication errors.
- 35. ROLES AND RESPONSIBILITIESOF LEADERS 1.Education And Training 1.1 CNE/CME at Hospital / Department / Unit level 1.2 Orientation and mentoring program , bedside teaching 1.3 National Nursing Audit according to KKM schedule. 2. Ensure blood transfusion procedure follows the Standard Of Procedure (SOP) 3. Identify the correct patient with 2 identifier 4. Notify all incidents.
- 39. ROLES AND RESPONSIBILITIESOF LEADERS 1.Education And Training 1.1 CNE/CME at Hospital / Department / Unit level 1.2 Orientation and mentoring program , bedside teaching 2. Patient Assessment 2.1 Risk assessment of the patient should be done on admission/transfer in using the Morse Fall Scale (Modified Fall Scale), daily and whenever necessary. 2.2 Put proper signage on patient’s bed based on Fall Risk Assessment Score: (i) Low risk – Score 1 - 24 (No signage) (ii) Moderate risk – Score 25 - 44 (Yellow signage) (iii) High risk – Score > 45 (Red signage) 3. Implement Fall Prevention action and document in nursing report 4. Report incidence and conduct RCA
- 43. ROLES AND RESPONSIBILITIESOF LEADERS 1. Once the patient is admitted, prepare patients printed wristband that states her/his name, identification number or registration number. 2. Put the wristband on patient’s wrist. Ask patient full name using identification card. If the patient is unable to tell their name (unconscious patient, babies, children, mentally disable or patient with dysphasia) ask the caregiver or relatives or check any available identification. 3. Replace immediately previous patients name on the bed. 4. Ensure correct patient by using 2 identifiers. Ask patients names, Date of birth or IC number. 5. DO NOT state their name first and then ask to confirm or deny by yes/no response. 6. The inability to identify patient accurately by using methods given, must be documented properly in the Patient’s Record (BHT) 7. Any incorrect patient information registered need to report to Quality Unit ASAP.
- 48. ROLES AND RESPONSIBILITIESOF LEADERS 1. All nurses must understand the policies and procedures regarding “Incident Reporting And Learning System”. 2. Take immediate action following incident 3. Assist in communication with patient/ family when incident happen. 4. Report incident. 5. Inform supervisor 6. Involve in investigation as part of team member
- 50.
- 51. INJURIES AND ILLNESSRELATED INDUSTRY
- 52.
- 53.
- 54.
- 56. • Equipment, whichcan range from ceiling- mounted lifts to simple slide sheets that facilitate lateral transfer • Minimal-lift policies and patient assessment tools • Training for all caregivers or for dedicated lifting teams ROLES AND RESPONSIBILITIES OF LEADER
- 57.
- 58. VISITOR/ PATIENT • Visitorage, mobility and alertness • In house patient with multiple cause of admission
- 60. ROLES AND RESPONSIBILITIESOF LEADERS • Assess visitor/ patient condition • Reminding staff on possible hazards • Keep on educate staff regarding possible hazards might occurs • Work with various department to ensure the hazards can be avoid. • Flowchart if hazards occurs in the department
- 61.
- 62. SAFETY IN HANDLINGEQUIPMENT 1. EQUIPMENT has electric and non electrical 2. Safety and maintained of particular equipment 3. Proper placed at the specific place
- 63. WHAT ARE CONSIDEREDAS HOSPITAL DEVICE AND EQUIPMENT • Medical device” means any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software • Diagnosis, prevention, monitoring, treatment or alleviation of disease or compensation for an injury. • Investigation, replacement, modification, or support of the anatomy or of a physiological process.
- 64. WHAT ARE CONSIDEREDAS HOSPITAL DEVICE AND EQUIPMENT • Supporting or sustaining life • Disinfection of medical devices • Providing information for medical purposes by means of in vitro examination of specimens derived from the human body
- 65. WHY EQUIPMENT SAFETY? •Era of cost intensive medical care. • Demand for improving diagnostic facilities. • Sophisticated equipment’s with modern technology. • Progress in surgical procedure
- 66. WHY EQUIPMENT SAFETY? •Physicians becoming more investigation oriented • Introduction of computer science and robotics in medicine • Use of medical instruments in specific procedures, diagnostic evaluation, treatment and rehabilitation. • These devices/ equipment’s might directly affect the lives of patients.
- 67. WHO IS RESPONSIBLEFOR THE SAFETY OF PATIENT?
- 68. ROLES OF EACHSTAKEHOLDERS TOWARDS SAFETY OF EQUIPMENTS/DEVICE • The Manufacturer, as the creator of the device, must ensure that it is manufactured to meet or exceed the required standards of safety and performance. This includes the three phases design/development/testing, manufacturing, packaging and labelling) that lead to a product being ready for the market.
- 69. ROLES OF EACHSTAKEHOLDERS TOWARDS SAFETY OF EQUIPMENTS/DEVICE • The Vendor provides the interface between the product and the user. He/she should ensure that the products sold comply with regulatory requirements. • They should be careful to avoid making misleading or fraudulent claims about their products or issuing false compliance certificates. • the vendor should make training a condition to the manufacturer or importer in accepting to sell the device
- 70. ROLES OF EACHSTAKEHOLDERS TOWARDS SAFETY OF EQUIPMENTS/DEVICE • The User should make sure that he/she has qualifications and training in the proper use of the device, and is familiar with the indications, contra-indications and operating procedures recommended by the manufacturer. • It is crucial that experience gained with medical devices be shared with other users, the vendor and manufacturer to prevent future problems.
- 71. SCOPE TOWARDS DEVICE SAFETY •Planning and implementation of a maintenance program in the facility. • Optimal operational efficiency. • Maintaining an up-to-date inventory of each and every equipment, their distribution in the facility. • Anticipating the requirement of commonly required spare and arranging for their adequate stocking. Ensuring break down maintenance to promote uninterrupted services. • Ensure safe and hazard free working place.
- 72. EQUIPMENT LIFE SPANAFTER PROCUREMENT
- 73.
- 74. PLANNING • PLANNING INVENTORY/RESOURCES : It includes getting contracts of devices, financial resourcing and manufacturer, manpower resources programme, independent services, physical resources organizations. • FINANACIAL RESOURCES (Initial cost operation): Financial resources required for Physical resources like space, tools, test equipment, computer resources, vehicles. Human resources like recruiting, initial training.
- 75. PLANNING • PHYSICAL RESOURCES:Workspace, Tools and test equipment investments reduce the maintenance cost and increase reliability, Supplies like cleaning and lubricating supplies, Spare parts and Operation and service manuals. • HUMAN RESOURCES: Biomedical engineers, Biomedical technicians, Medical personnel’s and service providers.
- 76.
- 77.
- 78. CONSTRAINS OF EFFECTIVE MAINTENANCE •Inadequate training of staff. • After sales services by supplier is not satisfactory. • Facilities backup on power supplies is inadequate. • Patients are less aware of the high tech facilities in the hospitals. • Utilization of the special facility or skill requires staff motivation and cost to the patient.
- 79. CONSEQUENCES • Only 50-60%of equipment are in usable condition(according to a survey done by deptt.of exp) • Common factors contributing for wastage are – Purchase of equipment which is never used due to lack of technical expertise to use and maintain. – Reduce lifetime due mishandling and lack of maintenance and repair. – Non availability of spares, accessories. – Excessive downtime due to lack of preventive maintenance.
- 80.
- 81.
- 82. ROLES AND RESPONSIBILITIESOF LEADER 1. All leader must understand the policies and procedures regarding “safety equipment handling”. 2. Should take immediate action following incident if 3. Report incident. 5. Get information from staff 6. Involve in investigation as part of team member
- 83.
- 85. ROLES AND RESPONSIBILITIESOF LEADERS • Equipment is adequate for staff • Ensure staff follows protocols and policies handling hazards environments and equipment's • Training for all staff in donning and doffing PPE
- 86.
- 87. 1.All leader must understandand remember every color code meaning. 2. Should take immediate action following incident happens. 3. Able to define role and responsibility of nurses during code event. ROLES AND RESPONSIBILITIES
- 93. ROLES AND RESPONSIBILITIESOF LEADERS • Ensure all staff understand their role during code • Ensure staff follows protocols and policies of the code • Plan a drill for all staff at certain point of time.
- 94. CONCLUSION Safety and Healthprocedures in the workplace can reduce the employee illnesses and injuries which leads to minimizing potential death to be happened. Safety and Health procedures also can prevent and reduce risks, errors and harm that occur to patients during provision of health care.
- 95. References 1. Caring forOur Caregivers (2013) Facts About Hospital Worker Safety . US department of labor. Occupational safety and health administration 2. Malaysian Patient Safety Goal (2021) version 2.0
- 96.