NUR 3165 CIF Nurse Workplace Safety Discussion

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Health Medical

NUR 3165

Career Institute of Florida - Spring Hill

NUR

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Unit 9 Discussion Forum

Discussion Forum (suggested level of effort: 1 hour)

The purpose of a discussion forum is for students to engage one another over topics related to the course material.  An initial post by each student "sets the table" for follow-on responses by other students.  In a graduate-level academic setting, the initial post is more than describing opinion by the student.  Rather, it is opinion supported by published literature or other references (e.g., refereed journals, textbooks, and especially the PMBOK).  The response post can be less formal but no less thoughtful in content.


Discussion Topic:  Timing Issues related to Resourcing Projects

Initial Post Requirement (20 points):  Minimum 300 words.

Review Section 9-3c, CPM 4e.  For the Suburban Homes Construction Project or the Casa De Paz Development Project, describe a timing issue that could occur early in a project and a timing issue that could occur at the end of a project.  Then, discuss how you would address each of these issues.

Response Post Requirement (10 points):  Minimum 150 words.  In the response post, you will provide a counter opinion or alternative point of view, not simply a reaffirmation of the initial discussion post.  The response post can rely entirely on your experience or it can be a combination of your experience supplemented with information learned from the course reading materials and other references.

Assessment: You will be assessed on 1) content and 2) completeness (e.g., use of in-text citation of references used for summarizing, paraphrasing and quoting and other writing mechanics) and word count. 

Guidance:  See the Purdue Online Writing Lab (OWL) website for guidance on citations and references.   A copy of the Purdue OWL citation chart is provided in the course home page (Moodle).  Discussion forum content can include a combination of material from literature and your own personal experience.  Do some research and find papers that are associated with the topic of the question.  It is recommended that you use the materials provided in this course and the assigned readings in CPM 4e and the PMBOK 6e for references when appropriate for the question you’ve chosen.  Online blogs are not acceptable references.

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Chapter 11 Promoting a Healthy Work Environment Copyright © 2015. F.A. Davis Company Workplace Safety • Environmental hazards • Physical safety • Emotional safety Copyright © 2015. F.A. Davis Company Reducing Risk • Occupational Safety and Health Administration (OSHA) • Centers for Disease Control and Prevention (CDC) • National Institute for Occupational Safety and Health (NIOSH) Copyright © 2015. F.A. Davis Company Reducing Risk (cont'd) • American Nurses Association (ANA) • Joint Commission • Institute of Medicine (IOM) Copyright © 2015. F.A. Davis Company Reducing Risk (cont'd) • Workplace programs: safety plan – – – – Consult federal, state, and local governments. Distinguish between real and imagined risk. Seek administrative support. Calculate costs of program. Copyright © 2015. F.A. Davis Company Workplace Programs • • • • Identify potential hazard. Assess degree of risk. Develop a plan. Implement the program. Copyright © 2015. F.A. Davis Company Violence • Social issue • High rate of assaults on hospital workers – Threats – Physical assaults – Muggings Copyright © 2015. F.A. Davis Company Violence (cont'd) • Situations that increase workers’ susceptibility – Routine contact with the public – Working alone or in small numbers – Working late – Poor security Copyright © 2015. F.A. Davis Company Violence (cont'd) • Situations that increase workers’ susceptibility (cont’d) – Patients and families under stress who carry weapons – Individuals – Lack of experienced staff members – Units and patients that need seclusion or restraint activities Copyright © 2015. F.A. Davis Company What Nurses Should Know • Does violence in the surrounding community affect my workplace? • Does the layout of the facility invite violence? • Is there a prompt response by administration to violence? Copyright © 2015. F.A. Davis Company What Nurses Should Know (cont'd) • Are incidents being reported to and addressed by management? • Would training that deals with workplace violence be adequate for employees and management? • Which types of patients are more prone to violence? Copyright © 2015. F.A. Davis Company Behaviors • • • • History of violent behavior Delusional or paranoid speech Aggressive and threatening statements Rapid speech and angry tone of voice Copyright © 2015. F.A. Davis Company Behaviors (cont’d) • • • • Stiff posture, clenched fists, tight jaw Alcohol/drug use Male gender or a youth Unrealistic policies Copyright © 2015. F.A. Davis Company When Assault Occurs: Placing Blame on Victims • Victim gender – Women receive more blame than men. • Subject gender – Female victims receive a greater amount of blame from women than from men. • Severity – The more severe the assault, the more often the victim is blamed. Copyright © 2015. F.A. Davis Company When Assault Occurs (cont’d) • Beliefs – The world is a just place; therefore, the person deserves the misfortune. • Age of victim – The older the victim, the more he or she is held responsible for the assault. Copyright © 2015. F.A. Davis Company Keep an Eye Out • Look for clues indicating potential violence. • Call patients, family members, and visitors by their names. • Encourage the patient or the patient’s family to vent anger. Copyright © 2015. F.A. Davis Company Keep an Eye Out (cont’d) • If you feel uncomfortable, trust your intuition. • Know your institution’s policies and procedures. Copyright © 2015. F.A. Davis Company Preventing Workplace Violence • Have an ongoing prevention program. • Report all violent incidents. • Hold all patients, visitors, staff members, and management accountable for their behavior. • Adopt a zero-tolerance policy. Copyright © 2015. F.A. Davis Company Participate in Workplace Safety • • • • • Assess the workplace regularly. Know your clients. Be alert for suspicious behavior. Maintain behavior that helps to defuse anger. If situation escalates, remove self and call security. Copyright © 2015. F.A. Davis Company Participate in Workplace Safety (cont’d) • • • • Report situation to supervisor. Call the police. Get medical attention. Contact collective bargaining or state nurses’ association. • Participate in policymaking. Copyright © 2015. F.A. Davis Company Sexual Harassment Copyright © 2015. F.A. Davis Company Behaviors Defining Sexual Harassment • Pressuring another to participate in sexual activities • Asking another person about his or her sexual activities, fantasies, or preferences • Making sexual innuendos, jokes, comments, or suggestive facial expressions to another person Copyright © 2015. F.A. Davis Company Behaviors Defining Sexual Harassment (cont’d) • Continuing to ask for a date after the other person has expressed disinterest • Making sexual gestures with hands or body movements, or showing sexual graffiti or visuals • Making remarks about a person’s gender or body Copyright © 2015. F.A. Davis Company Sexual Harassment • Two forms of sexual harassment – Quid pro quo – A hostile environment Copyright © 2015. F.A. Davis Company Sexual Harassment (cont'd) • Recommendations from the American Nurses Association (ANA) on fighting sexual harassment – Confront – Report – Document – Support Copyright © 2015. F.A. Davis Company Latex Allergy Copyright © 2015. F.A. Davis Company Latex Allergy • • • • • • Contact dermatitis (most common) Generalized hives Urticaria Rhinitis Wheezing Anaphylaxis Copyright © 2015. F.A. Davis Company Decreasing the Potential for Latex Allergy • • • • Reducing unnecessary exposure Using alternative gloves (nitrile) Employee education programs Identifying workers at risk Copyright © 2015. F.A. Davis Company Needlestick Injuries Copyright © 2015. F.A. Davis Company “Needlestick Act” • Passed in 2001 • Revised blood-borne pathogens standards • Obligates employers to consider safer needle devices Copyright © 2015. F.A. Davis Company The Nurse’s Responsibilities • • • • • Always use universal precautions. Use and dispose of sharps properly. Get immunized against hepatitis B. Report all exposures. Know the human immunodeficiency virus/hepatitis B virus (HIV/HBV) status of your patient. Copyright © 2015. F.A. Davis Company The Nurse’s Responsibilities (cont’d) • • • • Comply with post-exposure follow-up. Support others who have been exposed. Become active on safety committees. Educate others. Copyright © 2015. F.A. Davis Company Ergonomics Copyright © 2015. F.A. Davis Company Preventing Back Injuries • • • • Participate in safety committees. Work in teams; do not be afraid to ask for help. Use transfer and lifting equipment. Do back exercises. Copyright © 2015. F.A. Davis Company Repetitive Stress Injury (RSI) • Usually affects individuals who spend long hours at computers. • The most common injury is carpal tunnel syndrome. • Another injury is mouse elbow. • Badly designed computer stations present the highest risk. Copyright © 2015. F.A. Davis Company Preventing RSI • • • • • • • Monitor placement Keyboard alignment Mouse position Body alignment Vary tasks. Use fingertips when typing. Keep fingernails short. Copyright © 2015. F.A. Davis Company Impaired Workers Copyright © 2015. F.A. Davis Company Common Signs of Impairment • Witnessing an employee consuming alcohol or other substances of concern on the job • Apparent in employee’s dress, appearance, posture, and gestures • Employee’s use of slurred speech and abusive/incoherent language Copyright © 2015. F.A. Davis Company Common Signs of Impairment (cont’d) • • • • Reports from patients/coworkers Witnessing unprofessional conduct Employee has significant lack of attention to detail Witnessing an employee stealing controlled substances Copyright © 2015. F.A. Davis Company Impaired Nurse Programs (INPs) • Most employers and 37 boards of nursing have strict guidelines. • INPs conducted by boards of nursing work with employers to assist impaired nurses. • Compassion from coworkers is of utmost importance. Copyright © 2015. F.A. Davis Company Professional Responsibilities • Nurses need to uphold the standards of their profession. • Ignoring substance abuse places clients and other nurses in danger. • It is important to “help a colleague obtain help.” Copyright © 2015. F.A. Davis Company Workload • Rotating shifts • Mandatory overtime • Staffing ratios Copyright © 2015. F.A. Davis Company Reporting Questionable Practices • Most employers have policies regarding reporting behaviors that affect the workplace environment. • Code for Nurses (2001) is specific regarding this responsibility. Copyright © 2015. F.A. Davis Company Behaviors • Endangering a client’s health or safety • Abuse of authority • Violation of rules, regulations, or standards of professional ethics • Gross waste of funds Copyright © 2015. F.A. Davis Company Whistleblower • Describes an employee who reports employer violations to an outside agency • Do not assume “doing the right thing” will protect you. Copyright © 2015. F.A. Davis Company Whistleblower Guidelines • • • • Gather the facts. Does the practice violate any actual law? Know the state law requiring mandatory reporting. Type your documentation and include day, date, time, and circumstances. Copyright © 2015. F.A. Davis Company Whistleblower Guidelines (cont’d) • Identify witnesses. • Do not breach confidentiality in any way. • Send a copy of your complaint to the chief nursing officer or nursing department or any other department affected. • Utilize the ethics committee of your institution. • Keep copies of your records. Copyright © 2015. F.A. Davis Company Nursing Responsibilities Related to Threats of Terrorism • Know the evacuation procedures and routes in your facilities. • Develop your knowledge regarding the most likely and most dangerous biological weapons. • Monitor for unusual disease patterns. • Know the back-up systems for communication and staffing. Copyright © 2015. F.A. Davis Company Enhancing the Quality of Work Life • Social environment – Working relationships – Supporting your peers and supervisors • Involvement in decision making Copyright © 2015. F.A. Davis Company Enhancing the Quality of Work Life (cont'd) • Professional growth and innovation – Encourage critical thinking. – Seek educational opportunities. – Encourage new ideas. – Reward professional growth. Copyright © 2015. F.A. Davis Company Understanding Cultural Diversity • Communication • Space • Social organization Copyright © 2015. F.A. Davis Company Organization Diversity Fitness • Personnel reflect the current and potential population that the organization serves. • Silence and gestures are respected. Copyright © 2015. F.A. Davis Company Organization Diversity Fitness (cont'd) • Awareness of special family and holiday celebrations • Individuals first; culture second Copyright © 2015. F.A. Davis Company Managing Diversity • Be aware of and sensitive to your own culturebased preferences. • Explore your own biases and values. • Be knowledgeable about other cultures. Copyright © 2015. F.A. Davis Company Managing Diversity (cont'd) • Be respectful of and sensitive to diversity among individuals. • Be skilled in using and selecting culturally sensitive intervention strategies. Copyright © 2015. F.A. Davis Company Do’s and Don’ts for Managing Diversity DO DON’T Recognize diversity Pretend everyone is alike Value diversity Expect everyone to conform to the prevailing culture Develop informal supports Seek a quick solution Ensure fairness Develop different standards of performance Make the preceding principles an integral part of your philosophy Expect one workshop to solve the problem Copyright © 2015. F.A. Davis Company Conclusion • Workplace safety is a growing concern. • IOM and Joint Commission will continue to impact workplace safety issues. • Support the ANA. Copyright © 2015. F.A. Davis Company
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Explanation & Answer

Attached.

Running Head: CHAPTER ELEVEN DISCUSSION BOARD

Chapter Eleven Discussion Board
Institutional Affiliation
Date

1

CHAPTER ELEVEN DISCUSSION BOARD

2

Why is the subject of workplace health and safety of concern to nurses?
According to the health and safety at work act (1974), the employers are supposed to
ensure the safety of the employees at the workplace. The employers are also expected to assess
the risk of violence that could adversely affect their employees and put in place adequate
measures to reduce such risk.
How are these concepts related to patient safety and patient outcomes?
There is a very close relationship between patient outcomes and workplace health and
safety since research has shown that in the health care industry the healthcare centers which have
elaborate workplace health and safety policies provide the highest patient care in the industry.
What action is suggested when you are faced with an angry or hostile coworker?
In a situation where I am faced with a hungry or hostile coworker, I will maintain my
composure and seek help from either my coworkers or my immediate supervisor. I will restrain
myself from engaging and/or retaliating in the same way since the co-worker could be
emotionally challenged.
Why is substance misuse among nurses a serious c...


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