Safe Patient Handling

Flames of evolution in patient care have been fanned into a wholesome revolution in the nature of nursing care due to the ever changing healthcare needs and demands of patients. This has led to a paradigm shift from generalized patient care to a patient centered approach. The increase in interaction and individualized patient management has improved healthcare delivery. However, on the flipside, this has not come with new challenges. Healthcare providers are increasingly being exposed to new health hazards as new and sophisticated treatment approaches are developed. Injuries due to sharps are of significance in nursing practice. The International Healthcare Workers Safety Center (2010) reports that an average of 27.97 per 100 licensed beds sharps injuries occurred in 2007 while in 2008 17.2 per 100 licensed beds sharps injuries were recorded. According to Centers for Disease Control and Prevention (2010), 385,000 healthcare workers are injured due to sharps annually in the United States. This puts the healthcare personnel at risk of contracting infections such as Hepatitis C and B from contaminated objects. In regard to this concept, this paper will explore sharps safety at the clinical site with a view of using evidence based practice to creating awareness on the need for sharps safety in hospital settings.

Over the last several years, a wide variety of health care organizations have been facing a number of challenges. This is because of pressures associated with: rising costs, increasing demands and larger numbers of patients. For many facilities this has created a situation where patient safety issues are often overlooked. This is because the staff is facing tremendous amounts of pressure, long hours and more patients. The combination of these factors has created a situation where a variety of hospitals need to improve their patient safety procedures. In the case of Sharp Memorial Hospital, they are focused on addressing these issues through different strategies. To fully understand how they are able to achieve these objectives requires looking at: specific ways the organization has responded to the crisis in medical errors, their definition of patient safety, the causes of errors, systematic barriers and transformations that have been adopted. Together, these different elements will provide the greatest insights as to how the facility is coping with the crisis in patient safety.

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

The Occupational Safety and Health Act purpose is to assure that individuals are working in safe environments. OSHA has been around for over 40 years and has come with many advantages as well as disadvantages. According to OSHA, “nursing homes and personal care facilities has had one the highest injury and illness rates, workers have faced numerous amounts of health hazards, and disorders compared to other work places”. These obstacles occurring in the health care work force has lead to the NYS Safe Patient Handling Act. This act consists of programs ensuring workers are better educated on how to prevent injuries, reduce disorders and improve quality of care towards patients.

The Nurse and Health Care Worker Protection Act of 2015, or H.R. 4266, was reintroduced to congress in December of 2015 by Representative John Conyers and Senator Al Franken (Mitchell & Dawson, 2016). It is legislation that attempts to protect patients, nurses, nurse assistants, and other healthcare workers from injuries as a result of unsafe patient handling and mobilization. Congress found that in 2014, registered nurses were the sixth largest profession who were reporting musculoskeletal disorders and injuries as a result of their employment with 11,360 cases; the second highest profession in 2014 of reported musculoskeletal injuries was nursing assistants with 20,020 cases (H.R. 4266, 2015).

In the 1990’s, the American Nurses Association (ANA) identified indicators which brought about the development of the Nursing’s Patient Safety and Quality Initiative (Miller & Soule, 2008). These indicators were specific to nursing,

Statistical analysis showed that there is a high correlation between patient falls and the factors of nurse staffing that were addressed in this study. This shows that nurse staffing is significant in preventing patient falls and safety concerns in the hospital. The findings in data collected reinforce previous findings that greater staffing leads to fewer patient falls in the hospital. There were several correlations between the data collected and patient falls.

The American Nurses Association (ANA) is supporting efforts to reduce or eliminate musculoskeletal injuries associated with lifting, repositioning, and transferring patients. According to the American Nurses Association (2016), the average nurse will lift 1.8 tons per shift and over 38% of nurses will experience a back injury during his or her career. The ANA endorses legislation that requires healthcare facilities to implement the use of patient handling assistive equipment. Through this initiative, the ANA hopes to ease some of the nursing shortage issues that are compounded by work-related injuries.

Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/

Workplace safety is a major issue faced by nurses in healthcare settings. It is said that, hospitals are hazardous workplaces; unsafe workplaces are dangerous for the patients too. Today, many nurses are suffering hospital violence, heavy workloads causing serious injuries, contracting diseases caused by exposures to certain diseases, antineoplastics, and certain health care toxins, that workers bring home to their families. This in turn leads to acute staff shortages. Ample supply of nurses is very important in providing safe and timely care to the patient population. Maintaining a healthy workplace will enable the healthcare systems to control costs associated with healthcare management as well as enhancing the productivity of nurses in health care. It is estimated that creating a healthy environment in the workplace not only benefit nurses, but also benefits patients and other members of the health care team. This report explains some of the safety issues existing in health care, which directly or indirectly affects nurses as well as the health of the Canadian population.

A universal aspiration for all Registered Nurses (RN) and workplace environments is to create a safe atmosphere for both the client and employees. The RN has an obligation to ensure, “a culture of safety by using established occupational health and safety practices, and other safety measures to protect client, self and colleagues from injury or potentially abusive situations” (Saskatchewan Registered Nurses’ Association, 2007, p. 11). This competency guides RN’s to provide and advocate safe practice environments. Thus, the issue this paper will discuss is Occupational Health and Safety (OH&S). The population being focused on is home care, which is, “care provided to patients in their homes to restore their functional capacity, to allow

Mandating safe staffing levels for registered nurses in acute care settings has been an important topic of discussion for many years. As the demand for registered nurses continues to rise, so does the clinical demands on the nurses currently working. If there are no specific policies in place that mandate safe and appropriate nurse-to-patient ratios for all acute care facilities, registered nurses (RNs) may be required to take on even more patients than the already high numbers currently given to many of them. Inadequate RN staffing has the potential to cause increases in adverse patient events (American Nurses Association (ANA), The registered nurse safe staffing act, 2015) as well as an increase in nurse injury (Musick, Trotto, & Morrison,

Medical errors and unsafe care harm and kill thousands of Americans each year. Approximately two million healthcare-associated infections occur annually in the United States, accounting for an estimated 90,000 deaths and more than $4.5 billion in hospital healthcare costs (Patient Safety, 2015). Safety is one of the six competencies the QSEN faculty and National Advisory Board explained to be initiated in nursing pre-licensure programs in order to increase the quality and safety of healthcare systems. Safety in healthcare decreases risk of harm to patients and providers through both system effectiveness and individual performance. The integration of safety in healthcare, which is important for future nurses to utilize in practice, can be

One of the greatest challenges in healthcare, as well as the biggest threat to patient safety, is staffing and the nurse to patient ratio on hospital floors. Studies have shown that low staffing levels lead to increased mortality rates in patients, as well as multiple other adverse effects including falls and pressure ulcers. These adverse effects are all preventable, but policies on staffing must be in place to ensure safety for staff and patients.

Recent attention in health care has been on the actual architectural design of a hospital facility, including its technology and equipment, and its effect on patient safety. To address the problems of errors in health care and serious safety issues, fundamental changes of health care processes, culture, and the physical environment are necessary and need to be aligned, so that the caregivers and the resources that support them are set up for enabling safe care. The facility design of the hospital, with its equipment and technology, has not historically considered the impact on the quality and safety of patients, yet billions of dollars are and will be invested annually in health care facilities. This provides a unique opportunity to use current and emerging evidence to improve the physical environment in which nurses and other caregivers work, and thus improve both nurse and patient outcomes.