NURS 1112 Quality Assurance- (1) PDF

Quality Assurance- Occupational Control Measures- Managing Injuries 23/9/24 K LOOTAWAN OBJECTIVES Outline the use of Discuss the importance occupational controls to of the correct reduce the opportunity application of for patient and health reprocessing met...

Quality Assurance- Occupational Control Measures- Managing Injuries 23/9/24 K LOOTAWAN OBJECTIVES Outline the use of Discuss the importance occupational controls to of the correct reduce the opportunity application of for patient and health reprocessing methods care worker contact with for assuring the safety potentially infectious and integrity of patient material care equipment PREVENTING INJURY Main ways of preventing injury in the health care environment: Hand hygiene- reduces spread of microorganism Use of PPE when indicated Clutter free environment Cleaning, disinfection and sterilization ACTIVITY What is the difference This activity is to between :- be done cleaning, individually. disinfection and sterilization On the Ward Measures Have clearly identifiable sharps bins according to institution policy and standard practice Maintain cleanliness and decluttering of ward environment Have adequate stock of consumables Have policy & procedures manual readily available and accessible to all staff Training of custodial workers Identify , label and rectify all hazards Keep proper documentation Ward Measures 01 02 03 Do not use Have MSDS Maintain faulty available accurate equipment records of all stocks including drugs and solutions PROTOCO WHAT IS HEALTH CARE WASTE ? The term health-care waste L FOR includes all the waste generated within health-care facilities, HEALTH research centers and laboratories related to medical CARE procedures. In addition, it includes the same types of waste originating from minor WASTE and scattered sources, including waste produced in the course of DISPOSA health care undertaken in the home (e.g. home dialysis, self- L administration of insulin, recuperative care).  SHARPS-items that could cause cuts or puncture wounds INFECTIOUS-material suspected to contain pathogens in sufficient concentration or quantity to cause disease in susceptible hosts PATHOLOGICAL -a subcategory of CATEGORI infectious waste PHARMACEUTICAL- includes expired, ES OF unused, spilt and contaminated pharmaceutical products CHEMICAL-discarded solid, liquid and WASTE gaseous chemicals RADIOACTIVE- materials contaminated with radionuclides NON-HAZARDOUS -general waste is waste that has not been in contact with infectious agents, hazardous chemicals or radioactive substances and does not pose a sharps hazard (WHO (2014). Safe management of waste from health care activities) STEPS FOR RISK ASSESSMENT AND MANAGEMENT 1. Identify hazards – What are the real or potential hazards that could cause harm in the organization? 2. Assess risks – What are the risks if someone is exposed to these hazards, and how likely is it that someone could be exposed to a hazard in the organization? 3. Control risks – What actions can be taken to control the risk? 4. Review control measures – How effective are the controls that are in place, and how can they be modified as required, to ensure the ongoing safety of everyone? (Australian commission on safety and quality in health care Fact Sheet) DECONTAMINATION AND REPROCESSING OF https://health.gov.tt/sites/def ault/files/2022-03/PAHO%20 MEDICAL DEVICES MoH%20Manual_Cleaning%2 C%20Disinfection%20and%2 0Sterilization.pdf Read the manual located at this link above and you will be able to understand the difference between , cleaning, sterilization and disinfection. All of which are methods used to decontaminate equipment in the health care setting ACTIVITY Draw up a table Disinfectant define each of the Antiseptic following and say Detergent exactly when it is Sterilizers used. Lubricants Read chapters 2, 3 & 4 in the manual provided HIEARACH Y OF CONTROL LS ENGINEERING CONTROLS Engineering controls are used to reduce or E.g. ventilation, control the risk of screening, adequate exposure at the spacing, safety source from equipment infected/colonized patients  Read chapters 2.3 & 4 in Safe management of wastes from health-care Reading activities, Second edition, Edited by Yves Chartier, Assignm Jorge Emmanuel, Ute Pieper, Annette Prüss, Philip Rushbrook, Ruth ent Stringer, William Townend, Susan Wilburn and Raki Zghondi (2014) WHO https://iris.who.int/bitstream/handle /10665/85349/9789241548564_eng.pdf?sequence=1  Ministry of Health Trinidad and Referenc Tobago, (2020). Guidelines: cleaning, disinfection and sterilization. Retrieved from: es https://health.gov.tt/sites/default/f iles/2022-03/PAHO%20MoH%20M anual_Cleaning%2C%20Disinfecti on%20and%20Sterilization.pdf