health and safety better version Flashcards

this is about the health safety and security of care settings

1
Q

what are hazards

A

something that could potentially harm someone or caus adverse health affects

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2
Q

examples of health and safety managements systems

A

training
implementing new policies
carrying out risk assessments
supervision
reviewing incidents
monitoring
following procedures minimising risks

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3
Q

what are the types of hazards

A

muscoloskeletal hazards Environmental Hazards
Biological Hazards
Chemical Hazards
Psychological Hazards
Physical hazards
Working Conditions
Working Practices
Lack of security system

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4
Q

environmental hazards

A
  • trip hazards causing bruises
    -worn or ** damaged equipment
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5
Q

biological hazards

A
  • medical waste not disposed
  • poor levels of hygiene causing infections
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6
Q

chemical hazards

A
  • medication errors( wrong dose administered)
  • cleaning agents( incorrectly stored/used causing serious physical harm)
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7
Q

Psychological Hazards

A
  • stress and fatigue( due to long working hours/ shortage of staff)
  • abuse( can undertake abuse from patients and staff)
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8
Q

physical hazards

A
  • excessive loud noise at work( use of a loud vacuum can cause deafness)
  • gamma rays
  • x rays
  • radiation
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9
Q

working conditions hazards

A

temperature( workplace being hot/cold could cause dehydration or conditions like asthma)

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10
Q

working practices hazards

A
  • excessive working hours resulting in fatigue and lack of concentration
  • lack of supervision for new staff may result in risks and accidents
    e.g. using a hoist incorrectly could result in physical injury for patients and staff
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11
Q

lack of security systems hazards

A

lack of door lock,cctv,alarm will pose a threat for individuals in care environments

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12
Q

what are examples of hazardous activities in care settings

A
  • exposure to infections
  • lifting heavy equipment
  • assisting someone out of a wheelchair
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13
Q

what are examples of practical hazards

A
  • broken toys
  • stairs
  • wet floors
  • uneven flooring
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14
Q

who can hazards have an impact on

A

employers
employees
individuals who require care/support

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15
Q

how can hazards impact employers

A

they can face serious consequences such as going court/being fined

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16
Q

how can hazards impact employees

A

staff may develop physical injuries, long-term health problems, mental health issues,

not enough adequate training

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17
Q

how can hazards impact individuals who require care or support

A

service users
they may not receive adequate care due to shortage of staff/lack of training

having high levels of poor hygiene can cause infections

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18
Q

what are the impacts of hazards

A

injury or harm
illness
financial support
poor standards of care

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19
Q

injury or harm for
individuals receiving care and support

A

slips,trips and falls - resident in a care home may fall on wet floor resulting in bruising

medication errors - a care worker is administering wrong dose leading to overdose and severe allergic reactions

physical abuse - a patient with dementia may be roughly handled leading to bruising

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20
Q

injury or harm for
employees

A

back injuries – A nurse may suffer back strain from improper lifting of patients

violent aggression - A support worker in a mental health may face physical assault from a distressed patient, leading to cuts, bruises, or psychological trauma.

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21
Q

illness for
individuals receiving care or support

A

HAI’S - a patient in a hospital may contract MRSA

food poisoning - a resident in a care home may develop vomiting due to improper food handling

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22
Q

illness for
employees

A

work related distress - a staff working on a ward with not many staff may be exhausted
experiencing anxiety

exposure to diseases - a staff helping a patient who has covid may contract illness if not protected properly leading to staff absence

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23
Q

poor standards of care for
individuals receiving care or support

A

illness gets worse

emotional distress - an autistic child may feel frustrated if his care plan isn’t done properly causing further illness

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24
Q

poor standards of care for
employees

A

increase overload - a staff covering multiple shifts may not give adequate attention to children leading to errors
- lack concentration
- feel tired and exhausted

low morale - a nurse failing to deliver care to patients and provide resources may feel dis empowered and exhausted

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25
financial loss for individuals receiving care and support
medical costs - a patient undergoing surgery that is very difficult to access may need to pay extra fees
26
financial loss for employees
legal consequences - a staff may face court or legal action if a patient died on their watch due to negligence reputation damage - a staff failing to meet health and safety requirements when handling patients may struggle attracting clients and getting higher roles in their professions
27
what is intentional abuse
abuse that is deliberate
28
examples of intentional abuse in health settings
physical abuse - a care worker roughly handling a patient causing them bruising psychological abuse - a support worker constantly making fun of a patient with learning disabilities causing them anxiety financial abuse - a carer stealing money from a vulnerable old adult who has dementia
29
impact of intentional abuse on individuals requiring care or support
physical abuse - bruises ,cuts psychological effects - ptsd, anxiety social effects - isolation long term effects - suicidal thoughts and self harm loss of confidence low self esteem
30
impact of intentional abuse on employees
legal consequences - staff involved in abuse could face criminal charges /prosecution - imprisonment - job dismissal leading to reputation damage
31
what is unintentional abuse
harm caused due to ignorance, lack of training or failure to follow procedures
32
examples of unintentional abuse in health settings
medication errors - A nurse forgetting to give medication on time. lack of supervision - a carer leaving a dementia patient unsupervised leading to accidents. poor manual handling - a care worker holding a person on a hoist incorrectly leading to injuries.
33
impacts of unintentional abuse on individuals requiring care or support
physical effects - injuries psychological effects- anxiety, loss of trust in care givers
34
impacts of unintentional abuse on employees
legal consequences - retraining, job dismissal workplace morale - staff involved in unintentional abuse may face guilt and stress
35
what are the short term effects of abuse
injuries- bruised, cuts loss of trust- individuals may be reluctant to have support from professionals behavioural changes - aggression and violence, refuse to take medication
36
what are long term effects of abuse
anxiety depression lack of independence - individuals may rely on caregivers due to fear
37
what are health care environments
settings which provide medical attention and care for individuals with illnesses, injuries and long term conditions
38
what are examples of healthcare environments
- hospitals - GP - clinics - pharmacies
39
what are risks of healthcare environments
hospital acquired illnesses like mrsa medication errors - wrong dosage administered/ wrong medicine trip hazards - individuals may fall due to wet floors
40
what are care environments
settings providing ongoing care and support for individuals
41
what are examples of care environments
- nursing homes - residential care homes - support groups
42
what are the risks of care environments
manual handling risks - improper lifting can cause injuries to residents neglect and abuse - individuals may suffer poor care and mistreatment infection risk- shared facilities may increase risk of spreading of infections
43
what are child care environments
settings providing care,education and supervision for early years or school age groups
44
what are examples of child care environments
childminders homes nurseries primary schools after school clubs
45
what are risks of child care environments
choking hazards - small objects like toys and food can lead to choking risk allergic reactions - exposure to allergens can cause severe allergic reactions/health issues
46
what are public environments
community based areas were individuals may access care and support
47
what are examples of public environments
libraries parks leisure centres shopping centres
48
what are risks of public environments
infection risks - public spaces increase exposure to illnesses allergies - pollen and poor air quality can affect individuals with respiratory conditions
49
what are transport services
services essential for individuals accessing healthcare or public services
50
what are examples of transport services
ambulances school transport services taxis
51
what are risks of transport services
road accidents - reckless driving can cause injuries medical emergencies - patients may need urgent attention while on transport infection risks - surfaces can contract germs and infections
52
what is legislation
laws passed by the parliment
53
what are the 4 aspects of the health safety executive ( HSE )
- responsible for monitoring health and safety in the workplace by doing spot checks - provides guidance and advice on how to minimise risks in the workplace - is the regulator for health and safety in the workplace - issues improvement notices and and can fine settings or take them to court
54
in the health and safety and work act what are the employers responsibilities
- working environment must not put anyone at risk - equipment provided must be safe and in good working condition - employers must provide adequate health and safety training for staff - protective equipment must be available for staff
55
working environment must not put anyone at risk
- carrying out risk assessments - providing ppe - putting in place procedures to prevent accidents - monitoring staff practice
56
equipment provided must be safe and in good working condition
- provide equipment that is safe and in good working order - to regularly safety check equipment - ensure that electrical equipment is pat tested
57
employers must provide adequate health and safety training for staff
- provide health and safety training that must be updated regularly - train staff to use specialist equipment - to have evacuation practices - provide adequate first aid
58
protective equipment must be available for all staff
- make no charge on personal protective equipment - maintain an adequate supply of ppe - ensure staff wear ppe provided
59
in the health and safety at work act what are the employees responsibilities
- report any hazards to employer - take part in any health and safety training - wear any protective clothing provided - take care of themselves and others
60
what is the management of the health and safety at work regulations
it was introduced to reinforce the hasawa places duties on employees and employers adding specific detail about the safe management of health and safety
61
adds specific detail about the safe management of health and safety
employers must ensure that risk assessments are carried out control measures required are implemented information, training and supervision is provided so that work activities are carried out safely
62
what is the food safety act
sets out legal requirements for food businesses making sure that food is safe for consumption
63
what are the key aspects of the food safety act
covers the safe preparation,storage and serving of food environmental health officers : - seize food that is thought to be unfit for consumption - serve an improvement notice - close premises causing a risk to health CQC requires that care services ensure the food and drink they provide is handled,stored,prepared and delivered in a way that meets the requirements of the act
64
what are the impacts of the food safety act on care settings
food provided must be safe to eat food must be correctly stored employers must maintain high standards of hygiene employers preparing and serving food should be trained in food safety
65
what is the food safety (general food hygiene) regulations
set specific hygiene standards for food preparation and handling.
66
what are the key aspects of the food safety (general food hygiene) regulations
requires that food safety hazards are identified food handlers must wear clean and appropriate clothing food handlers must be trained in food hygiene to a level appropriate for their job the environment where food is prepared and cooked should be kept clean and in good condition
67
what are the key impacts of the food safety (general food hygiene) regulations on care settings
food safety controls and procedures must be in place and reviewed regularly food preparation and serving areas must be well maintained employers must provide clean protective equipment use of critical points when identifying hazards - cook ware - food processing equipment - packaging - personal hygiene
68
what is the manual handling operations regulations
focus on reducing injuries related to lifting, carrying, and moving objects or people.
69
what are the key aspects of the manual handling operations regulations
avoid the need for manual handling as far as possible assess the risk of injury from any manual handling that is unavoidable take action to reduce the risk of injury employers must provide information ,training and supervision about safe manual handling
70
what are the impacts of the manual handling operations regulations
training must be provided for anyone who needs to carry out manual handling any manual handling activities must be risk assessed employees must not operate manual handling equipment that they have not been trained to use lifts should be planned or practised before doing it for real reduced risk of injury
71
what are tips for safe lifting
stand with feet apart bend the knees keep back straight lean forward to get a grip of the item lift smoothly
72
73
what is riddor
requires the reporting of workplace accidents, diseases, and dangerous events to the Health and Safety Executive (H S E). it requires employers to keep written records of and to report the following incidents to the hse
74
what incidents should employers report to the health and safety executive
work related accidents that cause death work related accidents that cause serious injury
75
what should records be kept of
any accidents,diseases or dangerous occurrences that require reporting under riddor any other accident causing injuries that result in a worker being away from work
76
what is an accident book
to record and report details of specified work-related injuries and incidents.
77
what information should the accident book contain
date,time and place of event details of those involved summary of what happened details of the injury
78
what does keeping records of accidents enable employers to do
helps to prevent injuries use the information as an aid to risk assessment develop solutions to potential risks collect info to help them properly manage health and safety risks in their workplace
79
what is the role of the public health england
aims to detect possible outbreaks of diseases as quickly as possible
80
what are some diseases/illnesses that should be reported
food poisoning measles salmonella tuberculosis malaria
81
what is the data protection act
ensures that personal information is used fairly and securely.
82
what are the 8 principles of the act
processed fairly and lawfully used only for purpose intended accurate and kept up to date kept for no longer than necessary Individuals have the right to access their own information. information should be shared on a need to know basis data must be kept secure and confidential not transferred with other countries outside the EU adequate and relevant
83
what is the civil contingency act (CCA)
ensures that emergency services and organisations are prepared for major accidents
84
what are some emergency situations that may affect an organisation and its ability to maintain patients/residents safety
an explosion a fire flooding a major transport accident an outbreak of an infectious disease pandemic
85
examples of contingency plans
major incident plans shelter and evacuation planning fire,place or health service response plans
86
what is the control of substances hazardous to health
regulations focus on managing risks related to hazardous substances.
87
what doe the coshh regulations require
employers to either prevent or reduce their workers exposure to substances that are hazardous to their health must protect staff and service users from harm by ensuring that dangerous substances are stored safely/disposed of staff who use hazardous substances are trained to do so
88
what are some information of coshh
chemicals and medications must be kept in the original containers substances must be stored in a safe and secure place containers must have an appropriate safety cap/lid the coshh file must be kept up to date
89
what should the coshh file contain
identify and name the hazardous substance state where the hazardous substance is kept describe the effects of the substance identify what the hazardous labels on the container mean state the minimum amount of time it is safe to be exposed to them
90
what is safeguarding
the measures taken to protect people's health,well being and rights
91
which individuals may be more at risk of abuse /neglect
individuals who have a physical disability a learning disability lack mental capacity
92
what does safeguarding children involve
protecting children from maltreatment and abuse ensuring they grow up in a safe and effective environment away from neglect /chaotic family life taking action to protect individual children who are suffering from harm this may be by putting them up for adoption of fostering
93
what are common safeguarding issues in adult environments
mal administration of medication- medication is either incorrect or given late falls- residents not assessed on their risk of falls , walking aids not provided poor nutritional care - appropriate food was not provided for those with chewing or swallowing problems, religious or dietary needs financial abuse - vulnerable adults are victims of theft of money / personal possessions
94
what are DBS checks disclosure and barring service
are a requirement for anyone age 16 and over for roles involving working with children and vulnerable adults ensures that individuals are safe to work with children and vulnerable adults
95
what are the 3 types of dbs checks
standard - checks for criminal convictions and warnings enhanced - it includes information held by the local police force that is considered relevant to the role applied for enhanced with lists - includes info from standard checks with access to the children's and adults' barred lists, which are lists of individuals barred from working with vulnerable groups
96
what are influences of legislation on staff
safeguarding : the children act includes the paramountcy principle and safeguarding children's well-being and ensuring they are raised in safe and supportive environments. working together to safeguard children 2015 provides guidance on working to safe guard and promote the welfare of children health and safety : legislation requires employees to have a responsibility for their own safety and that of others they should : - inform their employers if they identify any hazards - take care to ensure activities don't put nobody at risk - follow systems of work in place for their safety training : employers are required to take part in training relevant to their job role so that they have the skills and knowledge to perform their duties to their required standards
97
influence of legislation on premises
all care settings providing food must comply with food safety regulations risk assessments for activities and equipment must be carried out to ensure the safety of all who work in or use the care setting health and safety laws require fire exits to be kept clear fire extinguishers should be available by exits and fire blankets in kitchens equality act requires that adaptions should be made to provide access for those with disabilities These could include : - disabled parking spaces - automatic doors - ramps for wheelchair users - wide doorways - disabled toilets - lowered tables
98
influences of legislation on practices
examples include : activities and equipment must be risk assessed staff not trained in manual handling should not attempt to move or lift individuals or objects a coshh file will be kept and updated regularly work related accidents,injuries and diseases will be reported according to RIDDOR regulations regular fire drills will take place to ensure everyone knows what to do in an emergency safeguarding training will ensure that staff are able to identify signs of abuse staff will be provided with training required for their role
99
health and safety management systems what are the steps to effectively manage health and safety
having trained employees a trusting and supportive environment understanding of the risks to a particular workplace
100
what are the reasons for risk assessments
helps avoid injuries,illnesses and incidents minimises and eliminates health and safety risks helps employers provide workers with safe and healthy working conditions helps check what could cause harm to people using the care setting staff,service users, and visitors will feel confident using the service knowing that risk assessments are carried out
101
what is the purpose of a risk assessment
check equipment is safe and fit for purpose ensure that care setting buildings are safe identify potential dangers identify ways of controlling and minimising risks
102
5 stages of carrying risk assessment
identify hazard identify who may be harmed and how consider level of risk so decide on control measures needed to reduce risk make a written record of findings review risk assessment regularly and improve control measures if needed
103
what is the importance of risk assessments
reduces risk of injury and harm to staff,service users and visitors staff must identify hazards that may occur during planned activities with vulnerable adults and children like lack of supervision of a child with scissors when potential hazards are identified action must be taken so harm is avoided and control measures can be put in place risk assessments is a legal requirement settings with more than five employees should have a risk assessment recorded
104
what is a policy
a plan that outlines the policy purpose and the instructions for carrying out the necessary actions achieving it s aim of keeping service users safe and promoting their rights also ensures that the care setting is complying with the requirements of the legislation
105
what is a procedure
a step by step on how to complete a task or implement a policy
106
policy ( fire safety )
every care setting by law is required to have a fire emergency evacuation plan personal emergency evacuation plans ( peep ) should be put in place those with poor mobility who would be using a wheelchair and others with conditions like deafness so may not be aware of what is happening care settings should have regular fire drills,and fire alarms should be tested regularly to check they are working and can be heard throughout the building fire exits and escape routes should be clear some staff may be given specific roles to assist with evacuation or to support individuals who need assistance to leave the building
107
what are the responsibilities of an asbestos 'duty to manage' holder
find out if asbestos is present make a record of the location , type and condition of the asbestos assess the risk of anyone being exposed to the asbestos prepare a plan for how to manage risks put the plan into action ,monitor it and keep it updated provide this info to anyone who might work on or disturb the asbestos
108
policy ( transport )
a transport policy would cover maintenance and safety of vehicles used risk assessments procedures to be followed would include : - service and maintenance work up to date - seat belts fitted and working - parental consent forms for a school trip - the visit is risk assessed and control measures put in place taking account of general potential hazards at every stage of the trip . traffic ( if the vehicle breaks down ) . weather ( rain,wind ) . medical emergency - first aid provision - emergency contact details ,phone money - supervision
109
what would the electrical policy cover :
electrical appliances belonging to the care setting and also to residents need to be maintained and checked for safety good practice guidance when using electrical appliances examples of what electrical safety policy and procedures would cover : - portable electrical equipment should be pat tested regularly - staff need to make frequent visual checks for : . damaged cables . damaged plugs . damaged or worn equipment how to report damage and to whom
110
safeguarding policies and procedures in care settings
a named person is responsible for safeguarding all staff must be dbs checked all staff must have safeguarding training all staff must know potential indicators of abuse a reporting system must be in place for concerns of abuse there are ways to minimise risks to vulnerable individuals
111
food safety policy
It is essential that care settings have food hygiene policies and procedures to protect at risk individuals examples of food hygiene procedures : - ensure all work surfaces and equipment are clean before preparing food - clean surfaces with hot water and antibacterial washing up liquid - wash fruit and vegetables before use - use the correct chopping board when preparing meals keeping raw and cooked food separate to avoid food poisoning - use correct food storage methods - check 'use by' and 'eat by' dates - cook food thoroughly to kill bacteria - keep food covered to prevent contamination
112
chemical and biological hazards
examples of chemical and biological hazards found in care settings : - cleaning liquids - body fluids - disinfectants - medication - contaminated clothing - clinical waste
113
how to dispose of hazardous waste
- clinical waste ( yellow bags ) - bodily fluids ( flushed down toilets ) - medication ( taken to a local pharmacy ) - needles,sharps,syringes ( yellow sharps box)
114
storage and dispensing of medicines
there should be a medicines policy and clear procedures giving correct ways of working for employees to follow only staff trained can give medication
115
what are the main points of agreed procedures about handling medication
ordering - process should be quick and efficient receiving - list of medication ordered should be checked against that received storing - controlled drugs must be stored in a locked cupboard or kept by the individual if self administering administering - ensure the right person receives the right dose of the right medication at the right time recording - use the medicine administration record and make sure records are clear transfer - medication has to stay with the individual as it is their property so if transferred to another care setting the medication goes with them disposal - return unwanted medication to a pharmacy
116
lone working
lone workers are individuals who work in the community in a separate location to their team e.g. social workers,personal care staff, personal assistants a lone working policy enables employers to meet their duty of care to protect employees who work alone by helping staff identify risks and consider appropriate ways to reduce risks
117
risks of lone working
staff are required to work at all hours including late at night social workers may have to take children away from parents causing an often high intense and emotional experience personal care staff can be mistaken for health visitors carrying drugs and may be attacked
118
procedures for safe lone working
telling colleagues where you are going and when you will be back carrying a personal alarm taking self defence training training on appropriate response to an attack a flagging system - social workers have a system of flagging up potentially violent people and are able to recommend who should/should not not visit those people
119
security policies /procedures
are necessary to keep staff and service users from intruders by preventing unauthorised individuals who maybe violent or steal or steal individuals possessions from entering the care setting also necessary to prevent vulnerable individuals such as young people or adults with dementia from leaving care settings unsupervised also ensures that the setting complies with health and safety regulations
120
how does monitoring keys provide security in care setting
having a list of key holders means the whereabouts of all sets are known at all times limited amount of people will have access to keys so access is controlled preventing intruders from entering the building
121
security policies and procedures
staff wearing id lanyards having electronic security pads with pin code entry locking external doors and gates having a staffed reception desk c c t v monitoring external entrances issuing visitor badges having window locks or restraints
122
reasons for reviewing policies and procedures
to ensure they reflect any changes in legislation to keep them up to date to identify any issues that need addressing to check that they still meet the settings needed and aims to check that they are implemented effectively
123
124
how does monitoring who has keys provide security in a care setting
having a list of key holders means the whereabouts of all sets of keys is known at all times a limited number of people will have keys so access is controlled preventing intruders entering the building
125
security policies and procedures
staff wearing id lanyards having electronics security pads with pin pads code entry locking external doors and gates having a staffed reception desk having window locks and restraints cctv monitoring external entrances issuing visitor badges
126
reasons for reviewing policies and procedures
to ensure they reflect any changes in legislation to keep them up to date to identify any issues that need addressing check that they still meet the settings and aims check that they are being implemented effectively
127
roles involved in health,safety and security in H&S care and child care environments
employers - must provide a safe place to work and necessary training ;appropriate and safe work equipment NHS - has a role to provide environments that are secure and healthy to work must provide staff with training information and supervision to be able to work safely local authority - prompting health and safety by : - providing guidance and raising awareness of health and safety in the health care setting by providing info about roles and responsibilities local authority - enforces health and safety by : - carrying out inspections and making recommendations for improvements - they can re-inspect or prosecute premises if they do not maintain adequate standards care manager - must develop,review and update the care homes health,safety and security policies and procedures - must also ensure effective safe systems for recording and reporting and investigating accidents,injuries and incidents under riddor regulations headteacher - have management roles to ensure safeguarding protecting welfare of staff,students and visitors so school site and all activities taking place are healthy,safe and secure employees - use safe working practices to maintain one's own and others safety - attend health and safety training - use ppe provided and report hazards in the workplace individuals requiring care and support: - follow any health and safety instructions provided verbally by staff e.g. emergency evacuation - they should report any hazards they become aware of
128
Employers responsibilities involved in health,safety and security in H&S care and child care environments
Employers : promoting H&Safety policy : - ensuring all health and safety policies are in place - ensure all staff are aware of their responsibilities - ensure health and safety training is provided - ensuring appropriate staff are recruited e.g., DBS checked Maintaining H&Safety policy : - updating policies regularly - recording and following up all accidents and incidents - provide ongoing training - check setting for H&Safety issues like doing risk assessments - staff supervision Enforcing H&Safety policy : - regular fire drills and evacuation procedures - ongoing monitoring and supervision - implementing disciplinary procedures as and when required
129
Employees responsibilities involved in health,safety and security in H&S care and child care environments
Employees : using equipment or substances : - using it accordingly with training - taking care of themselves and others around them - wear ppe as required and provided - not tampering with any equipment provided to meet H&Safety regulations Reporting serious danger : - reporting hazards and anything dangerous to the employer immediately - implementing safeguarding procedures
130
Individuals requiring care and support responsibilities involved in health,safety and security in H&S care and child care environments
Understanding H&Safety policies: - taking part in fire evacuation drills - reporting any hazards they become aware of - cooperate with risk assessments and safety instructions
131
consequences of not meeting responsibilities
If H&Safety care settings don't meet legal responsibilities there can be severe consequences . Direct costs : - compensation claims - legal costs - fines Indirect costs : - poor reputation for the care setting - lowered staff morale - loss of trust and respect from colleagues - future employment may be difficult to find Disciplinary action : - job dismissal - increased monitoring e.g. ofsted , cqc - requirement for individuals to undergo further training or re-training criminal prosecution : - sued criminal law : - prosecution for breaching regulations causing being injured or harmed: - injury harm,death of residents,staff and visitors - psychological abuse harm may occur if service users are neglected ( poor standards of care )
132
removal from professional registers
regulators of H&S care and teaching professions hold registers of those qualified to practice like doctors,nurses and teachers individuals can be struck of the professional registers if not fit to practice as there may be concerns about there ability to practice safely and effectively e.g. due to violence or harm to service users removal from professional registers can involve : - not being allowed to practice at all - practice being restricted so being limited in what they can do - loss of professional status and reputation - can no longer legally work in their profession
133
first aid requirements
first aid provisions must be available in all healthcare settings first aid requirements for employers are to : - carry out risk assessments to identify the level of first aid provision needed - provide appropriate first aid equipment and facilities - train and appoint staff to give first aid should employees get injured - record accidents or incidents that require first aid - provide an adequate number of first aider's for the number of individuals in the setting
134
reporting of accidents and incidents
it is good practice to record all incidents as this can inform future risk assessments in order to improve future safety standards floods and loss of water supply need to be reported to the water board risks of this could be hygiene risks as without water cleaning can become difficult leading to infections also service users may face dehydration in any situation when setting is closed, families,parents or other contacts of service users would need to be informed
135
aggressive and dangerous encounters and unauthorised access
can be caused due to being under the influence of alcohol or drugs or having mental health issues the response needs to involve : - being calm - speaking firmly and clearly ( ask them to leave ) - alerting other staff - keeping service users/children/residents away from the incident - calling police if they persist not to leave - keep yourself safe don't put others at risk
136
Evacuation procedures
should be in place in case of emergencies situations where an evacuation procedure can be used other than in a fire are : - a gas leak - a flood these all require a setting to be evacuated quickly and efficiently to keep people safe staff must be trained in emergency procedures and responsible for guiding individuals /vulnerable people to safety how you can keep yourself safe in firearms and weapon attacks : run - if you can hide- if you cant run away tell - the police when safe to do so
137
ACT FAST
a - act - sound the fire alarm to notify others c- control the fire - attempt to tackle small fire if trained to do so t- telephone emergency services - call 999 and ask for fire service f - follow emergency procedure - evacuate building immediately using the nearest safe exit a- assist others if it is safe to do so - help anyone in danger if safe s- shut doors and windows - close doors and windows to slow the spread of fire t- tell the fire officer - once at assembly report to the fire marshal inform of missing/trapped people
138
DR'S ABC
d- danger -check for dangers for yourself,casualties and others - don't put yourself at risk r- response - check if casualty is responsive by speaking calmly and gentle or shaking their shoulder s- shout for help - call emergency service a- airway - check if the airway is clear - if casualties are unconscious tilt their head back and lift chin up to open airway b- breathing - listen and feel normal breathing up to 10 secs - if breathing is normal ,place in recovery position - if not do CPR c - CPR - if casualty is not breathing begin CPR - continue until help arrives or casualty becomes responsive
139
follow up review of critical incidents and emergencies
After any major incident (e.g., fire, violent attack, serious medical emergency), a full review should take place. The review should be assessed: - Effectiveness of the response - Any failures in procedures - Recommendations for improvement Risk assessments should be updated accordingly. Staff and service users may require counselling or support services following incidents and emergencies Policies and training should be reviewed after events
140
responsibilities of a first aider
Definition: - is the initial treatment for an individual who has had an accident or is ill The purpose of first aid : - preserve life ( ensure the safety of the casualty and yourself ) - prevent further injury ( first aider should try to stop the injury getting worse ) - promote recovery( first aider should help casualty begin recovery ensuring medical care is given ) 3 p's are carried out by 6 responsibilities of a first aider : access for danger : - look around and check the area around the casualty for any risks or signs of danger e.g. chemicals ,traffic keeping yourself and the area safe : - quickly remove hazards without putting yourself in danger e.g. moving a sharp knife, switching off the cooker - ask bystanders to warn approaching traffic e.g. put a warning triangle sign prevent further harm : the key signs needed to be checked are - are they conscious - is their airway open - do they have a pulse - give appropriate emergency aid for injury e.g. for a burn put the burned area in cold water and clean it maintain respect and dignity : - send spectators away (crowds) - cover the casualties body parts get help : - request the appropriate level of help e.g. call 999 for medical attention , call a doctor, nurse or relatives stay with the individual until help arrives : - use a calm and confident voice - don't speak too quickly - say help is on the way - make eye contact - get down to their level