chapter 12 Workplace safety

Question 1

alignment

Answer 1

Good posture the a in the ABCs of good body mechanics

Question 2

balance

Answer 2

stability produced by the even distribution of weight the b in the ABCs of good body mechanics

Question 3

body mechanics

Answer 3

the efficient and safe use the body

Question 4

coordinated body movement

Answer 4

using the weight of the body to help with movement the C in the ABCs of good body mechanics

Question 5

disaster

Answer 5

a sudden unexpected event causes injury to many people
major damage to property
or both

Question 6

grounded

Answer 6

an adjectives used to describe electrical equipment that has a way of returning straight electrical current to the outlet
so that the risk of electric shock is reduced

Question 7

post-procedure actions

Answer 7

steps that are routinely performed before each patient or resident care procedure called getting ready actions in this book

Question 8

procedures

Answer 8

a series of steps followed in a particular order when providing care to a patient or resident that helps to ensure that the care provided is safe and correct

Question 9

RACE fire response plan

Answer 9

the general actions that are taken in the event of a fire emergency 
remove to safety 
activate the alarm 
contain the fire 
extinguisher evacuate

Question 10

safety data sheets

Answer 10

SDS
A document that summarizes key information about a chemical such as its composition 
which exposures may be dangerous 
what to do if an exposure should occur 
and how to clean up spills

Question 11

workplace violence

Answer 11

violent Acts including physical assault and threats of assault directed persons at work or on duty

Question 12

Ergonomics

Answer 12

the practice of Designing equipment and work tasks to conform to the capability of the worker

Question 13

What can stress the body

Answer 13

same action over and over again

Moving large awkward or heavy objects

Question 14

What hazards does OSHA recognize in healthcare setting

Answer 14

exposed to blood-borne pathogens and other infectious diseases
Hazardous chemicals
Unsafe walking surfaces
Threat of violence from combative patients residents and visitors
Physical demanding nature duties such as manual lifting and transferring and repositioning patients increases risk of injury

Question 15

risk of injury for nursing assistants

Answer 15

Twice as likely to be injured on the job

Question 16

what are MSDS

Answer 16

musculoskeletal disorders
muscle strains and tears
Ligament sprains
Joint and tendon inflammation
Pinched nerves
Herniated discs in the spinal column

Question 17

Ergonomics

And OSHA

Answer 17

OSHA’s guidelines focused on preventing MSD injuries

adjusting the work environment and how workers perform work-related practices so injuries are prevented

Question 18

Work-related practices

Answer 18

1 Force, which is the amount of physical effort that is required to perform a task such as during heavy lifting for repositioning a patient
2 repetition, we’re the same motion or series emotions are performed continually or frequently
3 awkward postures, where person assumes positions that place stress on the body such as reaching above the shoulder height kneeling squatting leaning over bed or twisting the Torso while lifting

Question 19

OSHA guidelines

Answer 19

1 ergonomics training

2 manual lifting minimized and eliminated when possible

Question 20

what are the ABCs of good body mechanics

Answer 20

a equals alignment
B equals balance
C equals coordinated body movement

Question 21

alignment

Answer 21

good posture
No excess strain placed on joints and muscles
Back neutral

Question 22

Balance

Answer 22

stability produced by even distribution of weight
holding center of gravity close to your base of support
Standing= base of support is feet center of gravity is torso large is a face the more balanced
spread your feet further or Bended Knees so torso is closer to your feet

Question 23

coordinated body movement

Answer 23

use weight of body to help with movement
use momentum
Strong muscles of the body to work do the work of lifting
Use your legs not your back to lift

Question 24

What is the most common work-related injury in the nursing field

Answer 24

back injuries
Consequences
Painful costly
And career
Prevent you from participating in other activities
You may have to be cared for instead of being the one caring for

Question 25

back support

Answer 25

use it properly

Improper prolonged use weakens back muscles

Question 26

procedures

Answer 26

series of steps followed in a particular order
Steps or procedures May differ depending on where you work and what state you receive your training in
Always follow policies of the facility or the state where you work

Question 27

pre procedures

Answer 27

promote efficiency safety courtesy and respect to the patient of the residents rights
Always begins with checking the patient for the residents care plan
The care plan will tell you the specifics about providing care for each individual person Uline care plans change sometimes frequentl

Question 28

Weaver’s

pneumonic for getting ready

Answer 28

wash
Equipment
Announce
Verify
Explain
Respect
Safety

Question 29

also wash and documents pneumonic for finishing up

Answer 29

alignment
Light
Safety
Open
Wash
Document

Question 30

finishing up / post-procedure actions

Answer 30

promote Comfort safety communication among members of the healthcare team

Question 31

what are factors increasing chances of falling

Answer 31

moving too quickly
Wet floors
Objects in path
 Lighting
 Helping weak, unsteady or uncooperative people

Question 32

how do you prevent Falls

Answer 32

move only as quickly as you can
If you see water fluids on the floor stop immediately and dry the area failure to do so puts you your patients residents visitors and co-workers have risk
Be aware of objects like electrical cords and Furniture
Night Lights are helpful in healthcare settings
Better to get someone to help you than go It Alone when transporting or transferring

Question 33

what chemicals are at the facility

Answer 33

Cleaning Solutions disinfectant sterilizing agents chemotherapy drugs
Harmful if inhaled swallowed and absorbed through the skin splashed in the eyes

Question 34

safety data sheets

Answer 34

Sheets saying what the chemical is how to protect themselves
Kept on file and be readily available for each unit in the healthcare facility
Renew the SDS every 3 years
Summarizes key information about the chemical what it’s made from what exposures may be dangerous what to do if there’s an exposure how to clean up spills
Container labels provide information about chemicals and container all containers must be clearly labeled your responsibility to know the chemicals

Question 35

preventing electrical shock

Answer 35

know how to safely operate and maintain electrical equipment
Precautions such as grounding appliances and power strips
grounding is achieved through three prong plug or safety only with a ground fault breaker
don’t use extension cords
don’t have more than two items plugged into an outlet
look around the room at Radio televisions table lamps
look at electrically controlled hospital beds and call like controls
follow procedures to have items sent for repair

Question 36

fire safety

Answer 36

fire to occur three elements must be present
fuel or something that burns heat
something to ignite the fuel and oxygen

Question 37

common sources of fuel in healthcare setting

Answer 37

cloth such as bed linens mattresses and paper
Paper
substances that easily catch fire and burn quickly such as cooking oil nail polish remover

Question 38

common sources of heat

Answer 38

electric Spark
smoking materials such as cigarettes cigars are matches
lighted candles
heating elements

Question 39

oxygen

Answer 39

is everywhere
in healthcare facilities many patients receive oxygen therapy which increases the content of the oxygen in the air and the immediate area

Question 40

small fires

Answer 40

Can sometimes be dealt with without people even knowing it happened

Question 41

large-scale fire

Answer 41

aulty electrical wiring in the walls
Gas leak
Terrorist attack
equals large-scale evacuation

Question 42

race fire response plan

Answer 42

remove any patients or residents were in immediate danger to safety
Escort people who can walk
Used wheelchairs for unsteady people
To prevent a confused or disoriented person from accidentally wandering back into the fire area a sign another alert patient or resident or visitor to attend to the first
Bedridden people move on their beds
If that’s can’t be moved cool to safety using Linens

Question 43

ACE part of plan

Answer 43

Activate the alarm
Follow facilities policy for reporting a fire

contain the fire by closing doors and windows

extinguish the fire if possible

evacuate the building

Question 44

extinguishing fires

Answer 44

move one of the three elements fuel heat or oxygen

Fires are classified as a type B type or C type

Question 45

Fire extinguisher

Answer 45

most common type is a b c extinguisher used for all types of fires
Use carbon dioxide to remove the oxygen from the air new line Smothers the fire
All facilities must have easily accessible fire extinguisher you are responsible for knowing where it is
You’ll be trained and how to use it

Question 46

p a s s

Answer 46

how to use the fire extinguisher 
Pull the safety pin out
Aim the hose toward the base of the fire
Squeeze the handle
Spray the contents of the fire extinguisher at the base of the fire sweeping from side to side

Question 47

evacuate the building

Answer 47

if large uncontrollable fire breaks out you’ll need to know how to get patients to safety

Question 48

Disaster preparedness

Answer 48

any disasters a sudden unexpected event causes injury too many people major damage to property or both
can be caused by accident nature explosion accidents War terrorism

Question 49

Acts of terrorism

Answer 49

use of explosives
Use of Rapid Fire automatic guns
Release of chemicals
Radiation exposure
Biological agents
Agency will have disastrous preparedness plan that will direct the actions of the team in the event of an

Question 50

workplace violence

Answer 50

can be large number of people at one time or one-on-one violence
National Institute for occupational safety and health (NIOSH)
includes acts of terrorism
new guidelines are intended to advised employers of the risks of violent acts that may occur in specific types of work environments and how to train their employees to recognize and respond to these risks
48% of all non-fatal injuries in the workplace of current Healthcare and Social Service settings

Question 51

NIOSH

Answer 51

national institute for Occupational Safety and Health

Question 52

external sources of violence

Answer 52

robbers are muggers walking to the parking lot

internal parties inflict violence toward co-workers patients and residents

Question 53

why is the risk of workplace violence so high for healthcare settings

Answer 53

people who are sick injured or disabled and their families may become very emotionally stressed which causes them
to seek Health Care Services patients are confused or agitated for medications medical conditions for dementia

Question 54

factors that increase the risk of workplace violence in the healthcare setting

Answer 54

prevalence of handguns among patients families and friends
Increase use of hospitals for criminal holds and care of acutely disturbed
Number of acute and chronically mentally ill patients being released from hospitals with a follow-up care
Availability of drugs or money at hospitals clinics in pharmacies making them likely robbery Target’s
unrestricted movement of the Publican clinics and hospitals and long waits in emergency or clinical areas that lead to frustration
Prevalence of gang members drug or alcohol abusers trauma patients to stress family members
Low staff levels during times of increased activity such as meal plans visiting times and transportation
Isolated work with clients during examinations are treatments
Solo work often in remote locations with no backup a way to get assistance
Lack of Staff training in recognizing in managing escalating Hospital in the south of Behavior
Fully lit parking areas