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CDC experts address Ebola infection control issues - CIDRAP

CDC experts address Ebola infection control issues - CIDRAP | People and OHS | Scoop.it
CIDRAP
CDC experts address Ebola infection control issues
CIDRAP
...
Estelle van der Linde's insight:

Nurses can be exposed to an array of infectious diseases. Ebola is an example which is currently all over the media.

Fortunately Alison does not have to care for any patients with the Ebola Virus, but if she has to look after a patient with a contagious infection or disease she is extremely careful and uses all the appropriate PPE and procedures.

This article addresses the requirements of biosafety in the lab and hospital. Questions are being raised in what to do with the soiled laundry of those with the Ebola virus and also the deceased victims themselves. The requirements for control can vary between the different infections and for Alison to be as safe as possible she should review the PPE and safe handling procedures for each infectious disease or virus when required.

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Nurses' Use of Hazardous Drug Safe Handling Precautions - Martha Polovich, MN, RN, PhD

An interview with Martha Polovich, MN, RN, PhD - Hazardous Drug Safe Handling Precautions. ONS 2010.
Estelle van der Linde's insight:

Dr Martha Polovich just completed a PhD and wrote her dissertation on Hazardous Drug Safe Handling Precautions in Nurses. She wanted to know why some nurses did not use PPE when handling hazardous drugs such as chemo drugs. She found that there were a number of barriers which stopped nurses from using the correct hazardous drugs handling precautions. Some of these included the cost of the PPE, the lack of availability, the age of the nurse and the attitude of the hospital or health care institution and colleagues. All these factors influenced weather or not the nurse would be more or less likely to use the correct PPE.

In her study, Dr Polovich found that the higher, or better the workplace safety environment, the more likely the nurses will use the correct PPE and procedures when handling hazardous drugs.

I thought it was interesting that ultimately the results of the study did not focus on the individual nurse, rather the whole safety culture of an organisation. It was found this was more importatnt and played a bigger part than just focusing on the individual. 

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Patient Lifting Techniques

Therapists from rehabilitation provider Tx:Team demonstrate appropriate techniques for moving and lifting patients in the hospital. Use these techniques to r...
Estelle van der Linde's insight:

Alison has had to shift alot of patients in her relatively short career. Over time this can be very straining on the back. It is important she always lifts with the proper techniquies.

This video demonstrates the correct ways to shift a patient. It shows that it is easier and less straining on the body to push rather than pull. This is why there are two people pushing and one as a 'guide' pulling the patient into the correct position. It is also important for her to lift the patient when they are positioned in the 'power zone' (between the hips and the shoulders). This can be difficut if there is a large difference in height between the lifters.

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Jeremy, a mechanical engineer

Jeremy, a mechanical engineer | People and OHS | Scoop.it
Estelle van der Linde's insight:

This is Jeremy. Jeremy is a mechanical engineer for a company that specialises in making pumps for ‘de-watering’ dams. Jeremy spends most of his day sitting behind a computer. One of the biggest OH&S issues he faces on a daily basis is ergonomics. It can be difficult and straining to sit in one place staring at a computer screen all day.

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Tim, an Operations Manager

Tim, an Operations Manager | People and OHS | Scoop.it
Estelle van der Linde's insight:

This is Tim, a fellow CQU OH&S student. Other than spending his time diligently studying, Tim works as an operations manager at a company that distributes fruit and vegetables. On a daily basis Tim does a variety of things ranging from logistics, warehousing, office, HR, customer service, fleet management and even being a handy man! With such a variety of work on his plate he has a variety of OH&S issues to look out for. His main issues are ergonomics and manual handling.

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Nurse's exhaustion as a vector of some infectious iatrogenic deseases?

Nurse's exhaustion as a vector of some infectious iatrogenic deseases? | People and OHS | Scoop.it

Professional responsibility should be seen in a global perspective that may involve the tension between  the responsibility one has to care and be present at work in a context of ressource's shortages or even in pandemic circumstances and the professional responsibility not to expose patient to ungodly risks such as infectious deseases (transmitted by healthcare professional). 

Are nurses poor working conditions vectors of healthcare infectious deseases in the healthcare system?  Well, «[This study findings confirm an association between nurse staffing and health care–associated infection rates, with fewer infections seen in hospitals in which nurses care for fewer patients. The higher rate of infections in hospitals in which nurses care for more patients seems to be related, at least in part, to the high nurse burnout associated with heavier patient caseloads. Nurse burnout has been linked to job dissatisfaction and overall quality of patient care,32 but not to “nursing-sensitive” clinical outcomes.»

So may we suspect that massive  economical restrictions that notably prevent from creating better working conditions for nurses to really care for the patients, are going to inflate even more our infectious desease statistics?


Via Marie-Josée Potvin
Estelle van der Linde's insight:

This study compares human factors, that is the workload of the nurse, and the rate of infectious diseases. This study took place in America and compared the workload (number of patients and length of shifts) to the number of infections that patients acquired in hospital (urinary tract infections and surgical site infections). The results show that hospitals who give a greater workload to their nurses have higher cases of infections in patients. It also demonstrated that a reduction in 'burn out' in nursing staff led to a decrease in infections in patients.

Fortunately Alison is happy with her workload and shift lengths, and does not feel like she is close to 'burn out'.

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Spectralink SAFE: Protection and Peace of Mind for Nurses

Spectralink SAFE: Solving the ever-increasing issue of safety in the workplace.
Estelle van der Linde's insight:

Although Alison hasn't had too many hairy experiences in her time as a nurse she has certainly heard many stories from friends and colleagues. Unfortunately nurses are sometimes exposed to physical violence from patients because of dementia, adverse drug reactions, substance abuse or psychosis. This device aims to provide help in these situations.

I thought that this device was cleaver in that not only do you simply press a button which sends for help, but the device itself has a sensor which can give a simplistic analysis of the situation. It can tell if the nurse is running or lying on the floor etc. This could be very useful when it is just not practical to call for help which is quite often the case in emergency situations.

Not only does this provide security and peace of mind for the nurse, it could also potentially reduce risk and liability.

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Monish, a pharmacist

Monish, a pharmacist | People and OHS | Scoop.it
Estelle van der Linde's insight:

This is Monish, a pharmacist at a small community pharmacy. Monish finds some of the biggest OH&S issues that he faces daily to be that he spends all day on his feet and has to bend down and reach above his head a lot to locate drugs in the dispensary. He also spends a lot of his day standing behind a computer screen which he sometimes finds tiring for his eyes.

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Alison, a RN

Alison, a RN | People and OHS | Scoop.it
Estelle van der Linde's insight:

This is Alison, a registered nurse. Alison finds that some of her biggest concerns in relation to OH&S are manual handling. As a nurse, she has to do a lot of lifting and assisting patients in and out of bed etc. Working in a hospital, she is also exposed to a lot of sick people so is more susceptible to contracting contagious illnesses.

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Peter, a travelling Business Development Manager

Peter, a travelling Business Development Manager | People and OHS | Scoop.it
Estelle van der Linde's insight:

This is Peter, my Dad. He is a Business Development Manager for a company that specialises in aerospace support in rotary wing aircraft. As part of his job he travels the world meeting with military officials and organisations; here he is in NYC!

Because of the diverse variety of places he visits, the OH&S issues he faces are very broad! Some of these include weather conditions (extreme temperatures), long haul flights, sitting at a desk for extended periods, being exposed to bacteria/viruses that are not prevalent in Australia. Even though he faces all these potential issues, he told me he still very much enjoys travelling for work.

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