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Nursing Continuing Education
Institute Personal Safety
in a Work Environment
| Course Number |
LWN501 |
| Objectives |
At the end of this course, you will
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.
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| Credit Hours and Fee |
3.0 CE Credit Hours with a fee of $24.00 |
| Instructor |
Rudolf Klimes, PhD (Indiana University), MPH
(Johns Hopkins University); Adjunct Professor, Folsom Lake College,
Folsom, CA |
An annual mandatory safety training course required
by JCAHO, OSHA, CA-DHS
for RNs (CEP 11430) & all.
Welcome
to this
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 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 once.
Proposed 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:
1.15 OTHER RESOURCES:
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 |
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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.
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.
TEST
Study this web-site for 3 hours for an
approved (RN-CEP 11430, MFT- PCE 39) 3-hours Continuing Education Certificate
(0.3 CEUs).
Click here for the self-correcting test.
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