| OBJECTIVES: Upon
completion of this course, participants will be able to: 1. Discuss their roles in maintaining the safety of their work areas, 2. Understand Performance Improvement, Patient Advocacy, Security, 3. Demonstrate their safety knowledge by correctly completing tests. |
An annual mandatory safety training course required by JCAHO, OSHA, CA-DHS for RNs (CEP 11430) & all.
LearnWell.org Course LWN102. Welcome to this accredited 3-contact-hour Continuing Education course with instant online processing and certification 24/7. Study the course below, take the 12-question multiple-choice, register and pay $24 online. If you score 75% or above, you may print your CE certificate on your printer as soon as you finish. If you have difficulty printing your certificate, click here.. You may retake the test. The instructor is R. Klimes, PhD, MPH. LearnWell will appreciate your feedback.
Course 2: Bloodborne Pathogens/Washing,
Tuberculosis, Exposure Monitoring
3. Hazardous Materials, Asbestos, Radiation Safety.
4. Electrical & Utility Safety, Emergency Preparedness, Fire Safety.
5: Pesticide Precautions, Medical Equipment, Ergonomics.
1.1 Performance Improvement (PI)
1.11 What is PERFORMANCE IMPROVEMENT?
PI is a work philosophy that focuses on helping people
do things better.
It promotes quality patient care and
job satisfaction . PI It is based on individual
responsibility and cooperation
among all services. Quality can always be improved, even when it already at a
high level.
1.12 What are the six PI PRINCIPLES?
Customers come FIRST. Meet the needs of ALL patients, visitors,
fellow staff, and suppliers.
Communicate
& listen. Help all customers to understand & respond to each
other well.
Streamline
tasks, when possible. Improve the job and don't blame others
for problems.
Ongoing
improvement is crucial. Check Details. Don't wait for problems.
Maintain the improvements. Keep up the improvements or they will slide
back.
Best
ideas come from those who implement work. Speak up. Support
each other.
1.13 How does PI benefit?
| PI Benefits: | Patients | Staff |
| SAVES TIME | Less delays in admission, discharge, diagnostic testing, recovery, etc. | Less ineffective work |
| DECREASES PROBLEMS | Reduces misdiagnosis, medication errors, hospital-acquired infections. | Avoids recalls, late deliveries. Clarifies roles/responsibilities. Reduces complaints. |
| REDUCES STRESS | Improves comfort levels and reduces pain and fears. | Helps deal with changes in policy, procedures, equipment, roles, responsibilities, |
| OTHER BENEFITS | Saves money. Is efficient | Increases work pride |
1.14 CASE: Jane is doing an excellent job and all her evaluations bear this out. She cannot find anything to improve. She should:
| a. Seek counsel from others | b. Read and research | c. Tell others how to improve |
1.15 OTHER RESOURCES:
| InfoQuest | Symbia |
| ISPI Awards |
Go right on to
1.2 Patient Advocacy
1.21 PATIENT RIGHTS, while hospitalized, by law, are:
| Considerate and respectful CARE | Explanation of bill regardless of type of payment |
| Name of the DOCTOR who will care for you | Privacy and confidentiality of their information--written, verbal or electronic |
| Information about their illness, course of treatment, and recovery | Knowledge of discharge instructions and continuous health care requirements |
| Consent or refusal of treatment or procedure |
In addition, children (according to the ACCH) have the right to
1) care that supports the child and the family,
2) care that respects their need to grow, play and learn,
3) information that they can understand,
4) opportunity to make choices.
1.22 DEALING WITH COMPLAINTS and RESOLVING CONFLICTS:
| 1. Discuss the complaint with the patient's attending doctor. | 3. Speak to the manager of the unit or department. |
| 2. Speak to the nurse and/or person in charge. | 4. Contact a patient representative when appropriate or at the patient's request. |
1.23 ADVANCE DIRECTIVES, 1991 Patient Self-Determination Act:
| Provide ADVANCE DIRECTIVES, that is written information to each person upon admission about their rights to make decisions about medical care, and written policies of the organization about these rights. |
| Document in the person's medical record whether or not they completed an Advance Directive. |
| Provide care whether or not a person has completed an Advance Directive. |
| Ensure compliance with state law requirements respecting Advance Directives |
| Provide education about Advance Directives. |
The
following order should be followed in respect to Advance Directives (AD):
1. Doctors are encouraged to talk with their
patients about their desire for care and AD and complete it before
hospitalization. If there is no AD, then:
* Ambulatory Care/Non-patient Care Personnel starts AD.
* Admitting Personnel prepare AD.
* Emergency Department Personnel prepare AD.
* Unit Personnel must ask patient if there exists a completed AD.
2. If there is a AD, patients give a copy to their doctor or bring it in when
admitted.
3. If there is no AD, a patient representative can be called to answer questions
and complete a AD. A representative of Social Services can also answer
questions.
1.24 CASE: Bill feels miserable and complains about everything. He does not like the hospital food, the TV programs, the hospital noises. The nurse should listen and hand him a complaint form and ask him to submit it.
| TRUE | FALSE |
1.25 OTHER RESOURCES: AD Links, Forms, by States
Go on to...
1.3 SECURITY
1.31 Warning Signs of VIOLENCE:
| Restlessness, pacing | Yelling, loud voice, swearing | Unreasonable demands |
| Tight jaw, clenched fist | Under influence, alcohol/drugs | Threats |
| Pounding on wall or desk | Holding a weapon | Comments to intimidate |
1.32 Prevent VIOLENCE...this is part of your responsibility.
| Treating others with respect | Trust your instincts to spot danger |
| Review patient records for past violence | Report to Security all incidents involving you |
1.33 What to do when involved in VIOLENCE:
| Keep calm | Watch for weapons | Be positive and reassuring |
| Remain alert | Keep your distance | Never take a weapon away |
Further, don't make promises you do not have the authority to keep nor restrain a violent person.
1.34 Prevent THEFT of Equipment.
| All equipment is to be MARKED with ID | Inventory in different location from equipment |
| Keep inventory: serial no, purchase date, cost | Secure equipment that is not usually moved |
1.35 Prevent THEFT in Offices.
| Lock cabinets and files (when possible), doors (when leaving office), windows. |
| Set alarm (where available) when leaving. Keep your keys with you at all times. |
1.36 Prevent THEFT in Hallways/Floors.
| Halls should be lit after hours | Have access doors closed | Note visitors very carefully |
1.37 Prevent THEFT in all Areas by Reporting to Security or Engineering.
| Burned out lights and doors that don't lock | Suspicious and unusual occurrences |
Keep exterior doors secured and use only approved entrances.
1.38 Report Problems or Incidents to 911, Security or Engineering.
1.39 CASE: Kim is called away from her office and knows that she will have to be gone a few minutes. Her office is the only one in that area. She should lock her office.
| TRUE | FALSE |
Take this course for free. Or study this web-site for an approved (RN-CEP 11430, MFT- PCE 39) 3-hours Continuing Education Certificate (0.3 CEUs) and take the quiz. Then go to www.ce5.com and pay and submit the quiz answers.
Go to the TEST
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