Working as a nurse, patient care associate, or any other health care professional is not an easy job. Nursing profession has the highest rate of back and other injuries related to lifting, moving and transporting patients. Hospitals and other nursing facilities were experiencing increased numbers of injuries, which meant many lost work days, worker’s compensation costs and patient safety at risk.
The Assembly Subcommittee on Workplace Safety advocated for the “Safe Patient Handling Act” (A.1370/S.2470), introduced by Assemblyman Rory Lancman and Senator George Maziarz. Safe patient handling act “is a policy and practice that replaces manual lifting and moving tasks for healthcare professionals with machines and training, resulting in comfortable and safe mobility for the patient without risk of injury to the care-provider”. (Health.ny.gov)
New York State’s Safe Patient Handling Law was introduced as part of the 2014-15 budget. Safe patient handling was proven to reduce risk of injury, as well as improve quality of care.
In 2002, there were examples in New York of newly created programs that put emphasis on safe patient handling which resulted in significant decrease in number of patient lifting related injuries. Examples of facilities and organizations who implemented the safety patient handling programs were: New York State Veterans Home at
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The New York State SPH Act, will require each healthcare facility to have patient handling committee, which will include risk management, nursing, purchasing or occupational safety a
Thompson, S and Jevon, P. (2009). Manual Handling 4 - using a sling hoist. Available: http://www.nursingtimes.net/nursing-practice/clinical-zones/accident-and-emergency/manual-handling-4-using-a-sling-hoist/1973993.article. Last accessed December 2013.
Nielsen, Ronald P. OSHA Regulations And Guidelines : A Guide For Health Care Providers. Albany, NY: Delmar,
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
When a person chooses to become a nurse they make a moral commitment to care for all patients. This commitment cannot be taken lightly, as stated in the Code of Ethics for Nurses “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem” (American Nurses Association, 2001, 7). Therefore, three ethical considerations that impact the safe practice of nursing will be explored in further details. These ethical considerations include substance use disorder in the workplace, professional boundaries, and the use of social media. Since Florence Nightingale’s era, nurses have been faced with various stresses. The goal is that nurses will be safe practitioners respecting
In an article written by Samantha P. Ziglar, BSN, RN, she describes the main purpose of restraints through her eyes in the medical field. Ziglar states that at least one in every four patients will be restrained at least once, that’s 79.715 million people in the United States (Population). “Specific reasons include fall prevention, limiting wandering behavior and preventing dislodging or interference of therapeutic devices, and controlling violent or agitated behavior” (Ziglar 1). Ziglar emphasises the growing problem among restraints; improper use among nurses. “Patient safety should be every nurse’s top priority; therefore, nurses need to have a thorough knowledge base of the risks and benefits of using physical restraints” (1). As a result of what a nurse needs, restraints are required to succeed in his or her profession, making their patient as safe and comfortable as possible. The purpose of restraints as a whole is to provide patient protection. Ziglar lists the pros and cons of the use of restraints. Some major
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
Patients Safety is the most crucial about healthcare sector around the world. It is defined as ‘the prevention of patients harm’ (Kohn et al. 2000). Even thou patient safety is shared among organization members, Nurses play a key role, as they are liable for direct and continuous patients care. Nurses should be capable of recognizing the risk of patients and address it to the other multi disciplinary on time.
Proper training on the use of body mechanics as it pertains to lifting, moving, and maneuvering patients is insufficient. To date, interventions with the strongest level of evidence for safe patient handling that reduce the risk of musculoskeletal injury among nurses include: (a) patient care ergonomic assessment protocols, (b) use of patient handling equipment/devices, (c) clinical tools, such as algorithms and patient assessment protocols to aid in implementation, and (d) no manual lift policies, once all other program components are in place (Powell-Cope, l, 2Hughes, Senlac, & Nelson, 2008).
It is right of a patient to be safe at health care organization. Patient comes to the hospital for the treatment not to get another disease. Patient safety is the most important issue for health care organizations. Patient safety events cost of thousands of deaths and millions of dollars an-nually. Even though the awareness of patient safety is spreading worldwide but still we have to accomplish many things to achieve safe environment for patients in the hospitals. Proper admin-istrative changes are required to keep health care organization safe. We need organizational changes, effective leadership, strong health care policies and effective health care laws to make patients safer.
The activity made me learned that most injuries that happened in the hospital are caused by improper manual handling and that cist a lot of money to the NHS due to staff calling off sick due to back, leg or shoulder pains. This made me realize that I am also one of the many staffs who consciously or unintentionally doing the wrong handling of items or patients, therefore, I also become more aware of how my body pains came from after long work, In order for me to deliver care to my patients and protect myself I need to learn how to perform proper manual handling which was taught and shown during this training. The proper used of sling, banana board, rota stand and pat slide helps me a lot to prevent injuries and promote safety to my patients.
For example, slide sheets that are made with low-friction material to easily repositions the patients in the bed; transfer belts are belts that are placed around the patient’s waist for transferring and assisting the patient during their walking rehabilitation; transfer board like banana and slide boards are used to bridge the gaps of transferring the patient from one surface to another; different hoist like mobile, standing and ceiling hoist are used to lift, assist the patient to stand up and to transfer the patient; stretcher that is use to carry the patient in a lying position and mobile chairs like wheelchairs to transport the patient in a sitting and standing position. (Accident Compensation Corporation, [ACC]
The use of restraints is a common practice in acute care and long-term care settings. According to a study regarding the use of physical restraints in 40 acute care hospitals in the United States, the overall rate of restraint use is 50 restrained patients per 1,000 patient’s days; an estimated 27,000 people are in physical restraints each day (Minnick, Mion, Johnson, Catrambone, & Leipzig, 2007). Restraints are often used in hospital settings to keep a person from hurting themselves or doing harm to others. It is also used to prevent falls. Using restraints can cause several problems and adverse patient outcomes. It has been found that physical restraints are associated with increased rates of respiratory and elimination problems, circulation
This project started back in 1994 and according to the author has been an ongoing never ending project filled with staff education and teamwork. The results of this project was a dramatic reduction in the use of physical restraint and an overall feeling of improvement for the quality of life among patients. This article breaks down the methods used in order to achieve the goals sit for this hospital. This hospital is the largest in Virginia housing 250 patients at the start of this project, according to the author “44% of the total patient population were in restraints.” The first step was to gather a committee who brain stormed how to make their goals possible for their facility. Once making plans to go “restraint-appropriate versus restraint-free” patients were reevaluated by the entire team looking for alternatives to risk rather than resting on a restraint as an option. Moving forward with their goals they offered large amounts of staff re-education on restraints. This article talks about the setbacks of failed attempts at alternatives, showing that the staff in the hospital had a trial and error growing process. When patient injuries happened the staff assured everyone that they were in this together as a team. This article shows the overuse of restraints and the positive attitude to correct that overuse. This article will be part of my argument in the sense
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
Safety is important everywhere; safety in a hospital is just as important if not more. When a baby is born, it wants the safety of its mother. If a child falls off their bike, they cry for their parents. If a teen or adult goes to work, they want the comfort of knowing that they’re safe and going to make it home. The truth is, going to work in the hospital, it can be a very unpredictable. Hospitals aim to be safe. We all take special precautions to make sure others’ germs and bacteria doesn’t spread. If someone harms themselves and gets sent to the hospital, we take special precautions to make sure their safe. Although, with the windows able to open, some patients get the urge to jump. The windows in hospitals should