Spill Management Training Material

                             Spill Management Training Material

Cleaning Methods for Blood Spills and Body Substances

Clean spills with a 0.5-1.0 percent chlorine solution.

Clean spills of blood, body fluids and other potentially infectious fluids immediately:

a. Cover the area immediately with any absorbent material like tissue paper, old newspaper, and gauze piece.

b. For small spills: While wearing utility or examination gloves, remove visible material using a cloth soaked in a 0.5-1.0 percent chlorine solution, then wipe clean with a disinfectant cleaning solution.

For large spills: While wearing gloves, flood the area with a 0.5-1.0 percent chlorine solution, mop up the solution, and then clean as usual with detergent and water.

 

You are in a floor & there is a minor spillage, how do you manage?

Minor spillage< 10 diameter (spill of 10ml syringe)

ü  Place the caution hazardous material sign board

ü  Mark the area sufficiently so that the solution poured remains within demarcation

ü  Place tissue over the spill

ü  Inform housekeeping to clean & mop

ü  HK wear gloves

ü  HK spray 1% sodium hypochlorite over the spill

ü  Keeps for 10 minutes

ü  Disposes waste in yellow bag along with PPE

 

You are in a floor & there is a major spillage, how do you manage?

ü  Major spillage> 10cm diameter (spill of more than 10ml of syringe)

ü  Alert people

ü  Place yellow cleaning sign board

ü  Cover spill with paper towel/ absorbent

ü  Inform HK to clean

ü  HK wear PPE

ü  HK pours 10% sodium hypochlorite over the spill

ü  Keep for 20 minutes

ü  Take the paper towel/ absorbent paper into to dusting pan with the help of brush

ü  Disposes waste in yellow bag

ü  Clean the area with Bacillocid

ü  Dispose all the PPE in yellow bag

ü  Nurses supervisor fills the incident form

 

 

What do you do in case of blood spill on patient file?

Contaminated file is put in a yellow color bag, sealed, labeled and sent to MRD. There they photocopy the entire file and send the Xerox file back to the ward with authorized signature form Director/Consultant/Nursing Staff.

Safety Education Training Material

                                             Safety Education Training Material

Safety program

......Hospital has formulated a safety program to monitor the degree to which the risk of an intervention/procedure or any unsafe contact in the care environment are reduced for a patient, visitors and health care providers/ employees.

 

Objective of the program

The main objective of the safety program is to monitor and prevent the effect of adverse events on the patients.

 

Scope of the program

Any event that causes an inconvenience to the patient/patient party/employees is covered under this program. ......Hospital maintains Incidence Book to record any adverse events like but not limited to needle prick injury, fall, wrong medication, medication errors such as wrong route, wrong time etc. are noted down with details like date, time of occurrence, type of event & corrective and preventive measures taken. Utmost care is taken so that accidents do not occur, but in rare occurrences, where the harm is minimum or nil to serious incidents, all are discussed and resolved by the team.

Composition of the safety team-

The team comprises the Medical Director, Consultant, Administrator, other Staff. As of date following are the safety team members

a)  DR. 

b)  MR. 

c)  MR. 

d)  Miss. 

e)  Miss. 

 

Responsibilities of Safety Committee:

To take a periodical safety round and see for any violations or situations wherein the safety may be compromised. The safety round elaborates all the points and hence they are not detailed here. The safety round is done with the Administrator.

 

Frequency of meeting:

The team meets once in 6 months or as required to discuss if any issues were noticed / reported with respect to the events mentioned. The team also takes periodical safety and facility rounds and notes the discrepancies, if any, in the round book. In case any incidents are present, the action is taken and recorded. The minutes of meeting are recorded in the Minutes Book

Sentinel events:

According to the definition, a sentinel event is : “an unexpected incident, related to system or process deficiencies, which leads to death or major and enduring loss of function for a recipient of health care services. Major and enduring loss of function refers to sensory, motor, physiological or psychological impairment not present at the time services were sought or begun. The impairment lasts for a minimum period of two weeks and is not related to an underlying condition”.

All staff should be proactive when any of the above kinds of problems occur in the hospital premises. The escape routes should be informed to the patients and staff should guide them to their safety.

The facilities inside the organization should be utilized as an immediate, initial help. Assistance from civil authorities like Fire, Police, Ambulance services, etc. should be taken to prevent further damage to human life.

The hospital has identified community disasters that can result in an inundation of casualties.  The hospital is equipped to provide basic first aid and treat the problems. For further management of the medication/ treatment, the patients are sent to other hospitals. The patient is accompanied by a doctor to the other hospital.

 

Needle Stick Injury Training Material

         Needle Stick Injury Training Material

What to do if needle stick injury happens?

ü  Encourage bleeding/ irrigate mucous membrane

ü  Do not suck the injury site

ü  Wash with soap & water

ü  Inform area supervisor/ in-charge / & inform the infection control nurse

ü  The NS1 form will be filled by the doctor in the ER

ü  Blood sample is sent for HBsAg titer, HCV, HIV

ü  Subsequent blood sample is collected at 1month, 3month, 6month interval & thereafter yearly

ü  The doctor decides the type of prophylactic treatment according to the source of infection & nature of the wound treatment is given

ü  Complete the incident report

 

What do you do if you get needle stick injury?

·        Wash the area under running water.

·        Inform the nurse in charge & infection control nurse.

·        Report to emergency; ensure that an needle stick is filled.

 

Medication Error Training Material

                                                 Medication Error Training Material 

Medication errors: A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional. Such events may be related professional practice, procedures, and systems, including prescribing; communication; labeling, packaging, and nomenclature; dispensing; distribution; administration; education; monitoring and use.

 

Types of errors:

Order Error – Types of ordering errors include: inappropriate medication selected, inappropriate dose, illegible order, duplicate order, order not dated/timed, wrong patient/chart selected, contraindications, verbal order misunderstood, verbal order not written in the drug chart, wrong frequency, route, illegible writing, therapy duration, alert information bypassed or use of nonstandard nomenclature or abbreviations.

Transcription error –Transcription involves both the orders that are manually transcribed onto manual record (e.g. Drug chart). Types of transcription errors include: wrong medication, time, dose, frequency, duration, rate patient/chart, verbal order misunderstanding, verbal orders not entered into patient case sheet.

Preparation/Dispensing Error – Types of preparation and dispensing errors include: Inaccurate Labeling, wrong quantity, medication, dose, diluents, formulation, expired medication, Pyxis refill error, and delay in medication delivery.

Administration Error – Types of administration errors include: Wrong patient, dose, time, Medication, route, rate, extravasation (may be an ADR) and unauthorized dose given

 

Procedure for the Identification and Review of any Medication Errors:

The inpatients who are administered different drugs need monitoring during their stay in the hospital. This is of paramount importance in the case of patients undergoing treatment in the ICU’s. Certain drugs can produce serious immediate or delayed side effects. Patients with past history of drug allergies shall be identified. If drugs prone to produce allergic reactions, it should be done with caution. A small dose of the drug is given intra dermal and marked with time, if any drug allergy is noted the main dose administration is withheld and the doctor shall be informed. Drug reactions producing cardiac, neurological, pulmonary, skin etc. side effects shall be promptly identified and the concerned doctor should be promptly informed and remedial action is taken. All events and actions taken should be recorded by the concerned nurses in the patient’s case sheet and signed with date. The medical superintendent and the nursing superintendent or the nursing supervisor shall be notified in cases where wrong medications are administered to a patient, or there has been negligence on the part of the nursing staff in following directions of drug administration and necessary investigations should be initiated. When Intra Venous (I.V) medications are given the nurse must be present along with the patient to monitor the progress or note any undue side effects. Starting and discontinuation of I.V medication shall be done by the treating nurse and the details should be noted in the case sheet with sign, date and time. The nurse should enquire about the patient’s welfare from time to time after such treatment and make sure that everything has been running smoothly

Spill Management Post Training Test

  

Spill Management Post Training Test

           1.      Spill in a hospital can be ?

A.     Biological Spill

B.     Chemical Spill

C.     Mercury Spill

D.    Radioactive Material

E.     All of the above

 

           2.      Type of spill ?

A.     Spot

B.     Small Spill (>10cm)

C.     Large Spill (<10cm)

D.    All of the above

 

          3.      What chemical you can use for Spill Cleaning

A.     Sodium Hypochlorite

B.     Granular Chlorine

C.     All of the above

 

          4.      What PPE is include in Spill Kits

A.     Eye & Face Protection

B.     Gloves & Boots

C.     Coverall

D.    All of the above

Spill Management Pre Training Test

 

Spill Management Pre Training Test

           1.      Spill in a hospital can be ?

A.     Biological Spill

B.     Chemical Spill

C.     Mercury Spill

D.    Radioactive Material

E.     All of the above

 

           2.      Type of spill ?

A.     Spot

B.     Small Spill (>10cm)

C.     Large Spill (<10cm)

D.    All of the above

 

          3.      What chemical you can use for Spill Cleaning

A.     Sodium Hypochlorite

B.     Granular Chlorine

C.     All of the above

 

          4.      What PPE is include in Spill Kits

A.     Eye & Face Protection

B.     Gloves & Boots

C.     Coverall

D.    All of the above

Scope of Services Post Training Test

  

Scope of Services Post Training Test

           1.      Scope of services display in a hospital refers to?

A.     The Services provided by hospital

B.     Patients can expect appropriate procedures, treatments, interventions and care will be provided by hospital

C.     Hospital offers its services to patients whose medical needs can be met within the capability

D.    All of the above

 

           2.      What is the broad scope of services?

A.     Out-Patient Services

B.     In-Patient Services

C.     All of the above

D.    None of above

 

           3.      Which is support service in hospital?

A.     Biomedical engineering

B.     Maintenance

C.     Information Technology

D.    All of the above

E.     None of above

 

           4.      Where to display scope of services signage's?

A.     The scope of services shall be displayed near the entrance of the hospital

B.     The individual department’s scope of services is displayed at the OPD

C.     Signage is present on all floors to direct the patient

D.    All of the above

E.     None of above

Scope of Services Pre Training Test

 

Scope of Services Pre Training Test

           1.      Scope of services display in a hospital refers to?

A.     The Services provided by hospital

B.     Patients can expect appropriate procedures, treatments, interventions and care will be provided by hospital

C.     Hospital offers its services to patients whose medical needs can be met within the capability

D.    All of the above

 

           2.      What is the broad scope of services?

A.     Out-Patient Services

B.     In-Patient Services

C.     All of the above

D.    None of above

 

           3.      Which is support service in hospital?

A.     Biomedical engineering

B.     Maintenance

C.     Information Technology

D.    All of the above

E.     None of above

 

           4.      Where to display scope of services signage's?

A.     The scope of services shall be displayed near the entrance of the hospital

B.     The individual department’s scope of services is displayed at the OPD

C.     Signage is present on all floors to direct the patient

D.    All of the above

E.     None of above