Safety Obj. 3-5

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befreshbaby
ID:
15452
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Safety Obj. 3-5
Updated:
2010-04-20 22:57:18
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safety
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Safety Obj. 3-5
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  1. OSHA

    1. Stands for __
    2. Their mission is to____.
    3. They protect ____.
    4. They regulate ______.
    5. An example _____.
    • 1. Occupational Safety and Health Administration
    • 2. Ensure safe work environments for health care workers
    • 3. Health care worker's safety
    • 4. Violation Fines
    • 5. Needleless system
  2. CDC
    • 1. Centers for Disease Control and Prevention
    • 2. Under the Department of Health and Human Services
    • 3. Protects public health by providing knowledge to enhance health decisions.
    • 4. Focuses on developing and applying disease prevention,
  3. NIOSH
    • 1. National Institute for Occupational Safety and Health
    • 2. Part of CDC.
    • 3. Created to conduct research on how to prevent work related injuries and illnesses.
  4. Ergonomics
    Developed by CDC to help prevent injuries caused by excessive physical work related stressors.

    examples: carpal tunnel syndrome
  5. Work Related Stressors
    • 1. Repetitive Tasks
    • 2. Forceful Movement
    • 3. Awkward Movement
  6. Restraints

    1. Purpose
    2. Legal Implications
    3. Alternatives
    • 1. Ensure Safety of Patient and Others
    • 2. Restraints should be used as a Last Resort and interferes with clients freedom.
    • 3. MUST be considered first
  7. How to Select the proper Restraint
    • 1. Least Restrictive
    • 2. Does not interfere with treatment
    • 3. Readily changeable
    • 4. safe for the client
    • 5. Discreet
  8. Type of Restraints
    • 1. Belt
    • 2. Mitt.
    • 3. The elbow.
    • 4. Crib net
    • 5. Restrictive Chairs.
    • 6. Side Rails.
  9. Legal Implications for Restraints
    • 1. Know the agencies Policy
    • 2. Must have Doctors order (within 24 hours if emergency)
    • 3. Principle of Least restriction - Only Restrain Client for needed purpose
    • 4. Cannot Delegate responsiblity to family memeber
    • 5. Reevaluate need for the restraint
  10. Monitoring Restraints
    • 1. Assure Patient that the restraint is temporary and protective
    • 2. Make sure to apply restraint so the patient can move as freely as possible.
    • 3. Make sure blood circulation is not cut off.
    • 4. Assess and check every 30 minutes
    • 5. Release and provide ROM (range of motion) exercise/assess to the area every 2 hours.
    • 6. Do not leave alone if restraint is temporarily removed
    • 7 . if cyanosis, Pallor, coldness, tingling sensation, pain or numbness.. immediately lossen the restraint and exercise the area.
    • 8. provide emotional support
    • 9. immediately report any changes to RN
  11. Alternative to Restraints
    • 1. Keep bed in lowest position
    • 2. lock bed wheels.
    • 3. Care/ Meet patients needs promptly.
    • 4. use side rail cushions.
    • 5. Know when patients are at risk
    • 6. observe patients walk.
    • 7. Report mental changes.
    • 8. maintain safe environment
    • 9. Use security Devices
  12. Documentation

    DOCUMENT AND CHART EVERY STEP YOU MAKE!
    • 1. consent from patient/guardian
    • 2. Specify behavior as necessary
    • 3. Type of Restraint
    • 4. Time restraint was applied/removed
    • 5. Frequency of care (Assessment/ ROM exercises)
    • 6. Explanation/ Teaching to patient and family
    • 7. Notification to physican (only during emergency)
  13. Abuse
    Unnecessary use of restraints is abuse
  14. Physical/ Chemical Restraints

    1. Physical
    2. Chemical
    3. Alternatives
    4. New Research on Restraints?
    • 1. Any type of restraint that is applied to the body
    • 2. Medication
    • 3. Consider ALL alternative before using restraints
    • 4. Restraints can actually cause more harm to the patient.
    • ex. increases the risk of falling.

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